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Myofascial Pain Syndrome / Trigger Points (TrP’s)
Regional pain syndrome – common soft tissue condition that causes chronic pain (probably affects everyone at some stage)
Latent trigger points – cause stiffness and dysfunction without local pain
Active trigger points – painful
Aetiology:
Pathophysiology:
Trigger point is a focus of hyperirritability in a tissue
Clinical features:
Symptoms:
Aching pain in deep tissues at a distance from trigger point; occasionally have numbness/parathesia rather than pain
Physical findings:
Localised spot of tenderness; muscle usually restricted in range of motion and reduced strength; cam feel taut band (rope like structure) in muscle that can be ‘snapped’ or rolled under finger
Involvement of the foot:
Management:
Muscle stretching
TrP injection
Therapeutic ultrasound
Need to deal with what activated the trigger points
Types of trigger oints:
http://www.nielasher.com/blogs/video-blog/71233797-trigger-point-classification-what-are-the-different-types-of-trigger-points
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