When I read articles or hear people talk about fibromyalgia, I often see the terms tender points and trigger points used interchangeably. Sometimes even medical professionals will mix them up. The fact is, tender points and trigger points are two very different things. If you have fibromyalgia, you probably know that tender points are used in diagnosing FM. But then what are trigger points?
To learn what each is and how to differentiate between them, read: The Difference Between Tender Points and Trigger Points
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 ...
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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