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“The body typically responds to this added tension with muscular inflammation or noticeable knots or stiffness within these muscles of the low back.” Your upper back can be at risk, too, says ...
Common locations include upper back, shoulders, and abdomen. [4] It is possible to have several lipomas. [3] The cause is generally unclear. [1] Risk factors include family history, obesity, and lack of exercise. [1] [3] Diagnosis is typically based on a physical exam. [1] Occasionally medical imaging or tissue biopsy is used to confirm the ...
[clarification needed] Accordingly, a formal acceptance of myofascial "knots" as an identifiable source of pain is more common among bodyworkers, physical therapists, chiropractors, and osteopathic practitioners. Nonetheless, the concept of trigger points provides a framework which may be used to help address certain musculoskeletal pain.
Type I (Madelung's collar/horse collar): neck, upper back, shoulder girdle, and upper arms. Type II (pseudoathletic type): shoulder girdle, deltoid region, upper arms, and thorax. Type III (gynecoid type): lower body, especially the thighs and medial side of the knees. Type IV (abdominal type): abdomen.
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Generally speaking, the muscular pain is steady, aching, and deep. Depending on the case and location the intensity can range from mild discomfort to excruciating and "lightning-like". Knots may be visible or felt beneath the skin. The pain does not resolve on its own, even after typical first-aid self-care such as ice, heat, and rest. [4]
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...