Trigger Points: Diagnosis and Management (peer-reviewed journal article)

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	Trigger Points: Diagnosis and Management (peer-reviewed journal article)

Lexica

9-10-2008 4:35 PM

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tags:

pain, trigger-points

Lexica says:

When I first started learning about trigger points, it was one of those lightbulb moments where you find yourself saying "OHHHHHH! That makes a LOT of things make sense now."

Who knew that a tennis ball could be one of the most effective pain relief tools available? Hurts a lot while you're doing it, but feels SO good afterwards.

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<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/2d902224-4bb3-4f48-a7a5-683c27e09881/D7154F98-3E88-4B59-8192-8DEFB11FC07A/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="http://www.aafp.org/afp/20020215/653.html" href="http://www.aafp.org/afp/20020215/653.html" style="font-size: 11px;">www.aafp.org</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><div align="center"><img src="http://content8.clipmarks.com/blog_cache/www.aafp.org/img/46CFF0D6-53DF-4553-AFEF-D1AD4136EE3A" alt="American Family Physician" /></div></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><P class="title"> <B>Trigger Points: Diagnosis and Management</B> </P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html">Trigger points are discrete, focal, hyperirritable
				  spots located in a taut band of skeletal muscle. They produce pain locally and
				  in a referred pattern and often accompany chronic musculoskeletal disorders.</blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html">may also manifest as
				  tension headache, tinnitus, temporomandibular joint pain, decreased range of
				  motion in the legs, and low back pain. Palpation of a hypersensitive bundle or
				  nodule of muscle fiber of harder than normal consistency is the physical
				  finding typically associated with a trigger point. Palpation of the trigger
				  point will elicit pain directly over the affected area and/or cause radiation
				  of pain toward a zone of reference and a local twitch response.</blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><div align="center"><img src="http://content9.clipmarks.com/blog_cache/www.aafp.org/img/D99C422E-7C6A-455F-BE04-E8A884A3C8A2" alt="Figure 1" /></div></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><table background="undefined" bgcolor=""><tr><TD><IMG width="170" vspace="10" height="205" border="0" alt="Figure 2a" src="http://www.aafp.org/afp/20020215/653_f2a.gif" /><BR /><SPAN class="a10">A.
						Peripheral</SPAN></TD></tr></table></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><table background="undefined" bgcolor=""><tr><TD><IMG width="110" vspace="10" height="208" border="0" alt="Figure 2b" src="http://www.aafp.org/afp/20020215/653_f2b.gif" /><BR /><SPAN class="a10">B. Mostly
						central</SPAN></TD></tr></table></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><table background="undefined" bgcolor=""><tr><TD><IMG width="114" vspace="10" height="208" border="0" alt="Figure 2c" src="http://www.aafp.org/afp/20020215/653_f2c.gif" /><BR /><SPAN class="a10">C. Local</SPAN></TD></tr></table></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html">Examples of the
				three directions in which trigger points <I class="s23">(Xs)</I> may refer pain
				<I class="s23">(red)</I>. <I class="s23">(A)</I> Peripheral projection of pain</blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><I class="s23">(B)</I>
				Mostly central projection of pain</blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://www.aafp.org/afp/20020215/653.html"><I class="s23">(C)</I> Local pain</blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/D7154F98-3E88-4B59-8192-8DEFB11FC07A/blog/" title="blog or email this clip"><img src="http://content6.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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