When people talk about fibromyalgia, they sometimes use the terms tender points and trigger points interchangeably. In actuality, they have quite different meanings. All accurately diagnosed FM patients have tender points; some may also have trigger points. Tender Points Tender points are used to help diagnosis fibromyalgia. They are extremely sensitive spots on the body that elicit pain when four kilograms (or about 10 lbs.) of pressure are applied. There are 18 specific tender points located at nine bilateral locations. Tender points occur on both the right and left sides of the body at these nine locations: Occiput: bilateral, at the suboccipital muscle insertions. (Where the neck muscles attach at the base of the skull) Low cervical: bilateral, at the anterior aspects of the intertransverse spaces at C5-C7. (Front lower neck) Trapezius: bilateral, at the midpoint of the upper border. (Midway between the neck and shoulder) Supraspinatus: bilateral, at origins, above t...
Have you ever developed cramping in your hands and fingers from typing too much, or had pain in your calf muscles from wearing ill fitted shoes or overdoing? These are examples that could be the result of developing myofascial trigger points.
What Is a Myofascial Trigger Point?
A myofascial trigger point (TrP) is a self-sustaining irritable area in a taut/tight band of muscle fiber that is felt as a nodule or bump. The irritated spot causes shortening of the muscle involved interferes with movement causing pain and weakness.
MTrP = myofascial trigger point
TrP = trigger point
TrPs = trigger points (plural)
Muscles develop TrPs because of injury , surgery, poor posture, repetitive motion, chronic tension, muscle strain, disease , or other aggravating factors. They can also cause changes in balance, nausea, vision, hearing, heart palpitations, bowel and gonad related difficulties, urinary difficulties, and many other autonomic disr...
Alternative Names Abdominal tenderness Home Care Call your health care provider if Any person with point tenderness should call the emergency number (911) or go to an emergency room to be examined right away by a health care provider. What to expect at your health care provider's office Your health care provider will perform a physical exam, which includes gently pushing on areas of your abdomen. Persons with peritonitis will often tense the abdominal muscles when the doctor touches the area. This is called "guarding." The doctor will note any point tenderness. This is a general term that means you have tenderness in a certain area. For example, if you have appendicitis, you will likely have point tenderness when a certain part of your belly area is touched. This area is called McBurney's point. The health care provider will also ask questions about your symptoms and medical history: When did the symptoms start? Is this the first time you have had such discomfort? If not, when does the discomfort...
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