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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 ...
Full Question: I recently went to another headache and pain clinic. This was the fifth one. This doctor claims my migraines are caused by my smoking. I have had Migraines since I was 9 and didn't smoke then. I've never heard this before. What do you think? Geraldine. Answer: Dear Geraldine; First, the distinction between cause and triggers needs to be clarified. Migraine is a genetic neurological disease CAUSED by genetics and overactive neurons in the brain. Migraine TRIGGERS are physical things that bring on or “trigger” individual Migraine attacks. That said, smoking is a Migraine trigger for some people. The fact that your Migraines started occurring before you started smoking doesn’t mean that it can’t be a trigger for you now. Migraineurs often develop new triggers. To point out the obvious here – not smoking would let you determine if it’s a trigger for you now or not. What steps have you taken to identify your Migraine triggers? Keeping a Migraine diar...
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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