Abdominal wall trigger point case study
1joseph.e.muscolino@gmail.com
Journal of Bodywork and Movement Therapies
|April 9, 2013
Summary
Myofascial trigger points (TrPs) can cause musculoskeletal and visceral pain. Delayed diagnosis of myofascial pain syndrome may lead to extensive testing and ineffective treatments for patients.
Area of Science:
- Pain Medicine
- Musculoskeletal Disorders
- Gastroenterology
Background:
- Myofascial trigger points (TrPs) are implicated in musculoskeletal and visceral pain.
- Recognition of TrPs as a pain source varies among healthcare professionals.
- Undiagnosed myofascial pain syndrome can result in extensive diagnostic procedures and symptomatic treatments.
Observation:
- A case review of a patient with severe anterior abdominal pain and a history of Crohn's disease is presented.
- The patient underwent a prolonged and complex medical evaluation.
- A diagnosis of myofascial pain syndrome was eventually established.
Findings:
- Myofascial trigger points can manifest as severe abdominal pain, mimicking other gastrointestinal conditions.
- A history of chronic illness like Crohn's disease may complicate the diagnostic process for myofascial pain syndrome.
- Delayed diagnosis of myofascial pain syndrome can lead to unnecessary medical interventions.
Implications:
- Accurate identification of myofascial trigger points is crucial for effective pain management.
- Increased awareness among physicians and therapists regarding myofascial pain syndrome is warranted.
- This case highlights the importance of considering myofascial pain syndrome in patients with chronic or unexplained pain, even with comorbid conditions.
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