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Self-Treatment of Pain from Muscles-1
K Point Syndrome:
Muscles of the K Point Group on one or both sides are stiff
(myogelosis). One or several of them present pain and
cause resultant functional disturbances.
Symptoms: asthenopia, temporal pain, jaw pain, neck pain or tightness, frozen shoulder, side chest pain,
acute or chronic low back pain, bottom pain, groin pain, leg pain, hand and/or foot numbness, etc
Conventional Diagnosis: spondylosis, repetitive stress syndrome, VDT syndrome, post-whiplash
syndrome, TMD, thoracic outlet syndrome, periarthritis scapulohumeralis, intercostal neuralgia,
piriformis syndrome, myofascial pain, fibromyalgia, neuropathic pain, etc
K Point Muscle Group:
Pain in Locomotive System:
It consists of ca. 40 muscles
shown below. They synchronously react to K Point block or
stretch of the long head of the triceps brachii or the gracilis on
the same side and normalize their tone.
Most pain of
unknown origin (non-specific) derives from muscles.
As there has been no systemic physical examination, it
tends to be misdiagnosed as being caused by
abnormalities of the spine, joints, nerve or mental
status. Unnecessary surgeries are often recommended.
Orbicularis oculi
Temporalis
Long head,
Triceps brachii
Masseter
CO head, SCM
K Point
Infraspinatus
Pain from Muscles
Pec major
Obliquus
ext abdom
>85%
Brachioradialis
Pronator quad
Specific
Protean Presentation
No Systematic
Physical Exam
Sartorius
Misdiagnosis & Unnecessary Surgeries
Latissimus
dorsi
Serratus ant
Abd PB & DM
Tensor
fasciae latae
Adductor
longus
Teres minor
Vastus
med & lat
Gracilis
EHＬ, EDL
Peroneus
longus
EHB, EDB
Interossei
Bouquet Toss Stretch (LH Triceps Brachii) Self-Evaluation:
Interossei
Lower GMax
Long head,
Biceps femoris
Lateral head,
Gastrocnemius
Semitendinosus
Abd H & DM
FHB, FDB
Know the condition of K Point Group
as often as possible every day.
Biceps Brachii
Raise the arms up as high
as possible.
Quickly bend the elbow
fully. Bilateral stretch
has bilateral effects.
Long Head of
Triceps Brachii
Pull a muscle bulk on the back of
the arm with the finger tips.
Muscles which are soft, when
they relax, never cause pain.
Charlie Chaplin Stretch (Gracilis)
Pinch the bulk. It is felt stiff like a rope.
When a pain is caused by a squeeze,
do either of the two muscle stretches
shown on the left side immediately.
or
Turn the feet out 45º each
and slightly bend the knees.
Bring the knees close. Do
it 3 times.
The same effects in the
sitting position.
Long Head of
Triceps Brachii
Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University
Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan
Self-Treatment of Pain from Muscles-2
Individually Independent Muscles: 30 muscles found so far
Each muscle causing pain needs to be stretched as often as possible.
Characteristics：
Each muscle becomes
solid independently.
Pain is not always felt
over the responsible
muscle.
SM head, SCM
Long &
Short
heads,
Biceps
brachii
Scalenus
medius
Upper
trapezius
Middle
trapezius
Anterior deltoid
Pectineus
Rectus
femoris
None of K Point block or
bouquet loss or Charlie Chaplin
stretch is effective.
Splenius
capitis
Levator
scapulae
Posterior
deltoid
ECRB
Quadratus
lumborum
ECU
ECRL
Adductor
pollicis
Occipitalis
Teres major
Lower
trapezius
Rectus
abdominis
Treatment：
Supreme
trapezius
Upper
gluteus
maximus
Short head,
Biceps
femoris
Peroneus
brevis
Soleus
Gluteus
medius
Semimembranosus
Medial
Head,
Gastrocnemius
Adductor
hallucis
Local anesthetic block to and self-stretch of the muscle causing pain are effective.
3 successive quick stretches are counted as 1 unit.
When quick bending of the cervical spine may damage the spinal cord,
a 30-second static stretch instead is counted as 1 unit.
For SM Head of the sternocleidomastoid, acupressure under the mastoid process
is an easier way.
1. SM Head, SCM
Acupressure
Stretch
Mastoid
Process
SM
Head
or
Acupressure
Dizziness, Feeling of stuck
throat, Pain in the head behind
the ear to the chest, Difficulty
in neck rotation or extension,
Straight neck or drop head
The muscle
stretched
Painful Side
Press the most painful point
just under the bony projection
behind the earlobe for 30 secs.
2. Scalenus Medius
Turn the neck to the painful
side. Extend the neck and
hold the posture for 30 secs.
Stretch
Pain
behind
the ear
The muscle
stretched
Painful Side
Pain at the side of the
neck may spread
beyond the clavicle
Tilt the head opposite to and
turn it toward the painful side.
Hold the posture for 30 secs
after the maximal turn.
Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University
Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan
Self-Treatment of Pain from Muscles-3
Individually Independent Muscles:
Each muscle causing pain needs to
be stretched as often as possible.
3. Supreme Trapezius
Stretch
Supreme
Trapezius
The muscle
stretched
Pain
Extend the neck and turn it
to the painful side. Raise
the shoulder .
Supreme
Trapezius
4. Upper Trapezius
Keeping the neck position,
drop the shoulder. Do it
3 times.
Stretch
Upper
Trapezius
Pain or
tightness
The muscle
stretched
Painful Side
Hold the posture for 30 secs
after the maximal turn.
Tilt the head opposite to and
turn it toward the painful side.
5. Middle Trapezius
Middle
Trapezius
Stretch
Upper
interscapular
pain
The muscle
stretched
Painful Side
Pull the arm down diagonally.
Do it 3 times.
6. Lower Trapezius
Stretch
Pain, esp.,
while lying
on the back
or
The muscle
stretched
Lower
Trapezius
Pull the arm up to the opposite
side and twist the upper trunk.
Hold the stretch for 30 secs.
Sit with the legs spread, bend the
trunk with the hands reaching the
opposite ankles and hold for 30 secs.
Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University
Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan
Self-Treatment of Pain from Muscles-4
Individually Independent Muscles:
Stretch each muscle causing pain
as often as possible.
7. Splenius Capitis
Stretch
Nape pain
The muscle
stretched
Painful Side
Bend the neck. Tilt and turn the
head opposite to the painful side.
8. Levator Scapulae
Hold the posture for 30 secs
after the maximal turn.
Stretch
Nape and/or
upper back
pain
The muscle
stretched
Painful Side
Bend the neck. Tilt and turn the
head opposite to the painful side.
9. Posterior Deltoid
Posterior
Deltoid
Stretch
Pain behind the
arm, esp. when
trying to put the
hand over the
opposite
shoulder or
moving the lifted
arm toward the
ear
Painful Side
Pull the arm toward the
opposite shoulder. Do it
3 times.
10. Anterior Deltoid
Anterior
Deltoid
Hold the posture for 30 secs
after the maximal turn.
Stretch
Pain in front of
the arm, esp.
at the start of
forward arm
elevation.
Painful Side
Put the palm of the painful arm
behind the buttock. Pull the hand
to the other side. Do it 3 times.
Shoichi Kokubun, MD, PhD, Professor Emeritus Tohoku University
Director, Research Center for Spine & Spinal Cord Disorders, NHO Sendai Nishitaga Hospital, Sendai, Japan