Address all correspondence and request for reprints to: Jan Dommerholt Bethesda Physiocare, Inc. 7830 Old Georgetown Road, Suite C-15 Bethesda, MD 20814-2440 [email protected] Abstract: This article provides a best evidence-informed review of the current scientific understanding of myofascial trigger points with regard to their etiology, pathophysiology, and clinical implication...

OBJECTIVES The purpose of this study was to determine whether the physical properties and vascular environment of active myofascial trigger points associated with acute spontaneous cervical pain, asymptomatic latent trigger points, and palpably normal muscle differ in terms of the trigger point area, pulsatility index, and resistivity index, as measured by sonoelastography and Doppler imaging. ...

OBJECTIVE To investigate the effects of trigger point injection with or without ischemic compression in treatment of myofascial trigger points in the upper trapezius muscle. METHODS SIXTY PATIENTS WITH ACTIVE MYOFASCIAL TRIGGER POINTS IN UPPER TRAPEZIUS MUSCLE WERE RANDOMLY DIVIDED INTO THREE GROUPS: group 1 (n=20) received only trigger point injections, group 2 (n=20) received trigger point ...

Persistent myalgia following whiplash is commonly considered the result of poor psychosocial status, illness behavior, or failing coping skills. However, there is much evidence that persistent myalgia may be due to neurophysiologic mechanisms involving peripheral and central sensitization. Myofascial trigger points may play a crucial role in maintaining sensitization. Recent research suggests t...

The aim of this article is to review the possible mechanisms related to the pathophysiology and treatment of myofascial trigger points with the technique of dry needling. Muscles in general and myofascial trigger points (MTrP‟s) are a major source of persistent pain (Travell 1983). Myofascial pain is often associated with MTrP‟s in muscles, tendons and fascia (Sola 1990, Simons 1999).It is char...

Myofascial pain syndrome (MPS) is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of myofascial pain is an important part of musculoskeletal rehabilitation, and regional axial and limb pain syndromes. ...