This is fibromyalgia (FM) awareness month, so it is only fitting that we clear up some confusion between tender points and trigger points. Knowing the difference can affect your diagnosis and treatment.
What are Tender Points?
Tender points are specific areas of tenderness, which have been mapped out on the “Tender Point Model.” The tender point model became part of the American College of Rheumatology criteria in 1990 after its development for a fibromyalgia study.
Characteristics of Tender Points
The examiner cannot feel them.
They cause local pain when pressed.
They are no longer restricted to points on the tender point model.
Though often found around joints.
They are not related to joint disease or joint pain.
They do not cause deep pain.
They are not related to muscle pain.
Tenderness is due to an upset in the central nervous system, called centralization.
Finding Pause for the Use of the Tender Point Model
Those who treat ...
"Separation" of the acromioclavicular (AC) joint, where the end of the collarbone meets the shoulder blade, is actually a sprain of the ligaments that connect the two bones. "Separation" is an old medical term that has been applied to the widening of the space between the bones. Since this problem involves ligaments, it really should be called a sprain. AC separation is typically an injury of young, active people who fall on the shoulder. Most commonly, it occurs when a person lands on the point of the shoulder, driving the shoulder blade down relative to the clavicle. Patients often tell of being thrown over the handlebars when bicycling, being tackled while playing football, or being upended while skiing. As with sprains , there are degrees of severity. Weight lifters, in particular those who do bench presses, often get AC separation. It can also occur in other situations where lifting occurs, or with injury such as falling on the shoulder. A mild, or first-degree, s...
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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