This is a listing of updates made to the trigger points tutorial prior to 2010. They are provided for historical interest only, and as a “paper trail” demonstrating how the documents have been maintained. All newer updates are listed in the tutorial itself. Note: most of the links to specific locations within the trigger points tutorial will not work, as they are from obsolete editions.
Note: most of the links to specific locations within the trigger points tutorial will not work, as they are from obsolete editions.
— A little smorg of updates today: (1) A lovely new illustration by Shayne Letain for the introduction! Look for the man with toxic waste signs sticking into his back. And (2) a new case study section with a fascinating success story, demonstrating “a terribly important basic piece of wisdom to ‘get’ for anyone who is prone to muscle pain.” And (3) just a bit of updating of the tools sections with the idea of a “bucket of balls.”
— As promised last week, there are now four new advanced sections about the use of medications to treat trigger point pain. These are major new sections with a whole bunch of useful information for patients and pros.
— The visual design of the site was upgraded over the past several days. Although this is not an update to the content of this tutorial, it is nevertheless a significant upgrade for all of them — like publishing new editions of books with better typesetting and layout. The new design is even cleaner and reader-friendly; it now looks that good in most web browsers; and pages load as much as 50% faster. Many under-the-hood improvements will make it much easier for me to improve tutorial content. The tutorials are now well-oiled machines of digital publishing goodness, vastly superior to the low-production values of most eBooks. More information about the upgrade is published on the front page.
— Another new advanced tip section today: “Don’t be fooled by reverse referral.” This one’s a head trip. It’s so confusing, I left it out of earlier versions of the tutorial simply because I still didn’t know how to explain it. But I decided it was time to tackle it, and here you go — I think I more or less got the point across.
— Improvements to the section, “How about acupuncture?” Some optimism about acupuncture was removed from the section, and an important new reference was added. Recent scientific evidence has continued to hammer away at acupuncture, and optimism about it can no longer be justified. You can read about the most recent acupuncture evidence in, Does Acupuncture Work for Pain?.
— New section! “Don’t get hung up on anatomy, and be persistent.” Sounds like a bit of a no-brainer, but there’s a couple ideas in there that patients often need to hear. It’s a nice addition in the “tip” category that really should have been there before.
— Corrections and minor improvements have been made by the hundreds since the publication of the last major upgrade, which was three weeks ago. The polishing never really ends!
— Massive upgrade published. This is by far the largest single update a PainScience.com tutorial has ever gone through. The trigger points tutorial has more than doubled the amount of information it offers, and is now book-length at around 80,000 words. Every single customer who ever purchased the tutorial received 2 weeks of free access to the upgraded tutorial. Here’s a summary of everything that’s changed:
There were “only” 50 sections of treatment recommendations before. Most were overhauled and expanded significantly, and then 20 new ones were added.
A valuable new feature has been added, a downloadable Quick Reference Guide, which somewhat miraculously summarizes all this information in a single page.
Lots of interesting new scientific evidence has now been integrated into the tutorial. There are now around 150 footnotes (up from 60ish), all of them adding value with interesting tangents and/or referencing hard science.
An incredible amount of work went into improving the organization and “flow” of the tutorial. A small technological innovation, the addition of a table of contents button that is always available on the left side of the screen, will make it much easier to get around such a large document.
I added many new “expanding” sections with extra information for professionals and keen patients — sort of like super footnotes, readers can reveal them or ignore them as they wish. (They appear in parentheses in the table of contents.)
Several of the “Perfect Spots” articles were revised and expanded as well — they aren’t technically part of the tutorial, but they are an important free accessory to the tutorial.
October 2007 through May, 2008 — Fifteen substantive updates were published over eight months. All of them were made more or less made obsolete by and rolled into the major update of the whole tutorial, published July 28, 2008.