Myofascial Pain and Dysfunction: the Trigger Point Manual


What Is The Myofascial Trigger Point?

The term “myofascial” comes from “myo”, which is the Greek word for muscle tissue, and “fascia” which is also Greek and refers to tightened knots in a muscle, can emerge because of the trauma or strain. These areas cause discomfort and reduce general muscle mobility.

Even though it’s not popularly known, a surprising number of patients are afflicted with myofascial pain and trigger points. While they’re known to tension headaches or migraines.

What Causes Of Myofascial Trigger Points Are Most Common?

Trigger points are known to a completely different diagnosis.

These mistakenly diagnosed primary disorders include tendinitis, TMJ or other facial pain, carpal tunnel syndrome, bursitis, sciatica, arthritis, spinal disc pain, among others. Fibromyalgia is also very commonly diagnosed in these cases because the body aches are very similar to those experienced with myofascial trigger points.

Even though discomfort stemming from myofascial trigger points is frequently experienced by patients, the unfortunate truth is that the condition is omitted from the many modern medical training programs. Many of those seeking respite from discomfort are being treated with prescription drugs like muscle relaxers and anti-inflammato mask the soreness temporarily without eliminating it.

It’s encouraging, however, that more physicians are becoming increasingly mindful of myofascial trigger points and take the disorder into consideration and treat the problem properly enjoy high numbers of positive outcomes and extremely appreciative patients.

Where Are Myofascial Trigger Points Located?

The amount and location of myofascial trigger points will vary from patient to form. These points are capable of forming in all types of muscle tissues throughout the body. If the issue is not treated, each new trigger point can then cause additional discomfort and result in the emergence of additional trigger points. Most patients who experience pain will have more than a few muscles containing myofascial trigger points.

Physicians who received thorough training for identifying the symptools are only available for research purposes.

What Are My Myofascial Trigger Point Treatment Options?

Treatment for myofascial trigger points is fairly easy, however, treating the tor will decide which method is best for the muscle groups being treated.

Another method for treating pain related to continue with stretching and keeping the muscle lose at home as part of after care and general fitness routine.

What To Expect From Treatment

As with most conditions, treatment outcomes will vary from patient to their regular, pain free status. Pain patterns will also change as treatment progresses and is an expected stage in the recovery process for chronic pain. Sticking with the after-care program after treatment will ensure you will achieve the highest level of relief as soon as possible. Controlling stress, avoiding overexertion, and maintaining your aftercare treatment program will ensure you feel relief.

Finding full relief from your symptoms orders has the larges impact on the success of your treatment and recovery.

If you need assistance with any aspects of the self-care program, your physician will be able to discuss with your physician any issues you have and any aspects of the self-care program that you are unfamiliar with or are worried about.

Don’t hesitate longer than you already have. Seek treatment from a trained myofascial pain specialist now. Only you can begin down the path today.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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