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CANCELED: Chronic Myofascial Pain and Central Sensitization: Integrating Pain Mechanisms with Objective Physical Findings and Treatment Strategies

Total Credits: 1.0 Regular

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Events |  Webinar
Jay P. Shah, MD
1 Hour
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**This session will be live only** In this lecture we will explore the dynamic and pivotal roles that myofascial trigger points (MTrPs), central sensitization, limbic system dysfunction and objective physical findings play in the evaluation and management of chronic myofascial pain and dysfunction. Spinal segmental sensitization (SSS) is a hyperactive state of the dorsal horn caused by bombardment of nociceptive impulses. Painful MTrPs are a very common source of persistent nociception and sensitization that often results in SSS, facilitated segments, somato-visceral effects, and chronic myofascial pain.

By integrating the fascinating knowledge emerging from the pain sciences in a clinically accessible way, participants will learn to integrate important palpation skills with various needling and electrical stimulation techniques to treat painful MTrPs and sensitized spinal segments more effectively. The diagnostic and treatment techniques presented in this lecture are applicable in the management of a variety of chronic musculoskeletal pain conditions.

Learning Objectives:

Upon completion of this lecture, participants will be able to:

  1. Examine the unique neurobiology of muscle pain and the dynamic interplay of muscle nociceptors and endogenous biochemicals in the initiation, amplification and perpetuation of peripheral and central sensitization
  2. Understand the complex, pivotal and fascinating roles that nociceptive “afferent bombardment, neurogenic inflammation, wide dynamic range neurons, subcortical structures (e.g., the limbic system) and dysfunctional descending inhibition play in muscle sensitization, pain chronification, somato-visceral interactions and the objective, reproducible physical findings of allodynia, hyperalgesia and referred pain patterns commonly observed in MPS
  3. Outline an Integrated Hypothesis for myofascial pain as a complex state of Neuro-muscular Dysfunction involving both peripheral and central factors
  4. Determine the reproducible physical manifestations of spinal segmental sensitization (involving dermatomes, myotomes and sclerotomes) observed in chronic myofascial pain
  5. Design an appropriate treatment algorithm (e.g., dry needling, electrical stimulation techniques, etc.) to desensitize the involved segments, eliminate chronic MTrPs and alleviate chronic myofascial pain and dysfunction


1.0 Regular Credits - Pending Approval


Jay P. Shah, MD's Profile

Jay P. Shah, MD Related seminars and products

Physiatrist and Clinical Investigator


Jay P. Shah, MD is a physiatrist and clinical investigator in Bethesda, Maryland. His interests include the pathophysiology of myofascial pain and the integration of physical medicine techniques with promising complementary approaches in the management of neuro-musculoskeletal pain and dysfunction. He also completed the one-year UCLA Medical Acupuncture course and a two-year Bravewell Fellowship at the Arizona Center for Integrative Medicine.

Jay is a well-known lecturer on mechanisms of chronic pain, myofascial pain, dry needling techniques and other related topics. He and his co-investigators have utilized novel microanalytical and ultrasound imaging techniques that have uncovered the unique biochemical milieu and viscoelastic properties of myofascial trigger points and surrounding soft tissue.  

He has given many invited lectures and hands-on workshops nationally and internationally for physicians, chiropractors, physiotherapists, osteopaths, dentists, and acupuncturists among other professional groups. His presentations integrate the fascinating knowledge emerging from the basic and clinical pain sciences in order to improve evaluation and management approaches to musculoskeletal pain and dysfunction.

Jay was selected by the American Academy of Pain Management as the 2010 recipient of the Janet Travell Clinical Pain Management Award for excellence in clinical care and by the National Association of Myofascial Trigger Point Therapists as the 2012 recipient of the David G. Simons Award for excellence in clinical research.

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