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 ...
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...
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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