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:
Myofascial pain syndrome (MPS) is a common clinical disease defined as a regional pain syndrome with characteristics of muscle pain caused by myofascial trigger points
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
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.