Detecting local twitch responses of
myofascial trigger points in the lower-back muscles using ultrasonography.
A myofascial "Trigger Point" (TP) is a hyperirritable point in skeletal muscle that is associated with a hypersensitive palpable nodule or "knot." Myofascial Pain Syndrome (MPS) is caused by
myofascial Trigger Points (TPs) located within taut bands of skeletal muscle fibres.
The diagnostic features for
myofascial trigger points include the following:
Central modulation of pain evoked from
myofascial trigger point. Clin J Pain.
Neurobiology of the
myofascial trigger point. Baillieres Clin Rheumatol.
Manual treatment of TMD has been shown to be clinically effective (10,11) and includes soft tissue therapy (myofascial release techniques,
myofascial trigger point pressure release), mobilization techniques, manipulation and therapeutic exercises that focus on the soft tissues in the masticatory region (10,11).
(21) This also helps to differentiate between a true case of thoracic outlet syndrome and a
myofascial trigger point referral pattern stemming from the pectoralis minor muscle, as you would not expect to see the reproduction of the patient's paraesthesia while performing Wright's test in a case that solely involved a
myofascial trigger point in the pectoralis minor muscle.
Needle stimulation of a
myofascial trigger point causes segmental antinociceptive effects.
Efficacy of ischaemic compression technique in combination with strain counterstrain technique in managing upper trapezius
myofascial trigger point pain.
Lidocaine injection versus dry needling to
myofascial trigger point. The importance of the local twitch response." Am J Phys Med Rehabil.
Usefulness of a
myofascial trigger point injection for groin pain in patients with clironic prostatitis/clironic pelvic pain syndrome: a pilot study.