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In this study, researchers report how experts diagnose myofascial trigger point (MTrP) pain syndrome. Trigger points are hyperirritable spots within a tight band of muscle or in the fascia over the muscle. Many people suffer from this painful muscle condition. Accurate diagnosis helps guide treatment. To find out what criteria experts use in the diagnosis, the authors reviewed 93 studies on the subject. They found 19 different ways health care providers assess and diagnose MTrPs. Four factors were used most often: Tender points in the muscle Patient report of pain pattern Typical pattern of pain expected from specific MTrPs Local twitch reponse The local twitch response is the visible contraction of tense muscle fibers when pressed.About half the studies used tender points and expected pain pattern as their criteria. Eleven studies didn't report any method used to diagnose MTrPs.
The authors point out that there isn't a consistent way to define or diagnose MTrPs among researchers. Studies ...
Try washing your hair, brushing your teeth or getting dressed without the use of one shoulder, it's darn near impossible to do anything without your shoulders. We use our shoulders all day long, 365 days per year. And over the years, the shoulders may not be feeling as comfortable or limber as they once did back in your younger days. Or maybe you are in your younger years but have been hard on your shoulders. Whether you are young or old, stiff painful shoulders make life's daily activities much more difficult to get done.
The most common reason to have a painful shoulder is tendonitis. The shoulder is a complex joint with a network of tendons called the rotator cuff . As all of the muscles in the shoulder work to pull, push, lift and reach, the tendons - which attach the shoulder muscles to the bones - can get very inflamed and painful. Sometimes the rotator cuff actually gets pinched between two bones, the acromion and the humerus. This condition is called shoulder impin...
My shoulder hurts...is it osteoarthritis?
Osteoarthritis is a very common problem. Most people know someone who is dealing with arthritis of at least one joint. Spine, hips, knees, and hands are the most common places for osteoarthritis to cause symptoms. However, any joint can be affected and a common question I hear when a patient presents with shoulder pain is: Do I have arthritis?
First, a bit of anatomy -- the shoulder is composed of two separate joints:
(1) the acromioclavicular joint where the collarbone meets the shoulder bone (2) the glenohumeral joint where the ball of the humerus articulates with the shoulder blade (scapula). Both joints can be affected by osteoarthritis. It is relatively uncommon for osteoarthritis to develop in the glenohumeral joint without a history of trauma or previous injury. We'll discuss that in a minute. First, let's review the acromioclavicular joint.
Causes of Shoulder Pain Besides Arthritis The glenohumeral joint is the most mobile j...
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