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Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points (key/satellite, primary/secondary), disease, psychological distress (via systemic inflammation), homeostatic imbalances, direct trauma to the region, collision trauma (such as a car crash which stresses many muscles and causes instant trigger points ...
Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure. [2]
Globally, about 40% of people have low back pain at some point in their lives, [7] with estimates as high as 80% of people in the developed world. [27] Approximately 9 to 12% of people (632 million) have low back pain at any given point in time, which was calculated to 7460 per 100,000 globally in 2020. [26]
Ischemic compression is commonly applied to trigger points, in what is known as trigger point therapy, where enough sustained pressure is applied to a trigger point with a tolerable amount of pain, and as discomfort is reduced, additional pressure is gradually given.
In neuroscience and neurology, a trigger zone is an area in the body, or of a cell, in which a specific type of stimulation triggers a specific type of response.. The term was first used in this context around 1914 by Hugh T. Patrick, who was writing about trigeminal neuralgia, a condition in which pain fibers in the trigeminal nerve become hypersensitive. [1]
Three more recent reviews reached similar conclusions: little evidence supporting the use of trigger point dry needling to treat upper shoulder pain and dysfunction, [5] evidence not robust enough to draw a clear conclusion about safety and efficacy, [6] and that dry needling for the treatment of myofascial pain syndrome in the lower back ...
Bertolotti's syndrome is a commonly missed cause of back pain which occurs due to lumbosacral transitional vertebrae (LSTV). It is a congenital condition but is not usually symptomatic until one's later twenties or early thirties. [1] However, there are a few cases of Bertolotti's that become symptomatic at a much earlier age.
Myofascial Pain and Dysfunction: The Trigger Point Manual; Office Hours: Day and Night, The Autobiography of Janet Travell, M.D. Dr. Janet G. Travell, M.D.: "The Mother of MYOFASCIAL - TRIGGER POINT Knowledge" Travell, Janet G. (2003). "A Daughter's Recollection by Virginia P. Wilson". Texas Heart Institute Journal. 30 (1): 8– 12.
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