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 ...
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...
A year ago, I was walking my two dogs at the beach when one lurched in one direction and other decided to swing around behind me to catch up to the other. The result was one heck of a sore shoulder! For nearly 2 weeks I had trouble moving my shoulder without pain and I had many people telling me I had torn the rotator cuff and I was doomed for surgery.
Unlike myself, I let it sit and I took time off and then went back to doing yoga and activities that I normally do and just favored it, when it would speak to me. A year later, I found myself suffering elbow pain when I would massage my clients and physical weakening to the point I gave up many poses in yoga due to no strength and continued limited range of motion. Finally, a month ago I was looking at my shoulders in a mirror and I could see a structural change to my left shoulder, which is my dominant arm. Movement had become so impinged that I was compensating in ways that were not healthy lo...
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