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...
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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