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Myofascial trigger points in persistent posttraumatic shoulder pain.

M D Reynolds

    Southern Medical Journal
    |October 1, 1984
    PubMed
    Summary
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    Persistent shoulder pain after injury can stem from myofascial trigger points. Recognizing and treating these trigger points can effectively relieve chronic pain and disability.

    Area of Science:

    • Orthopedics
    • Pain Medicine
    • Physical Therapy

    Background:

    • Persistent shoulder pain and disability post-injury present diagnostic and therapeutic challenges.
    • Myofascial trigger points are frequently implicated in these challenging cases.

    Observation:

    • Three cases illustrate posttraumatic myofascial trigger point disorders lasting 8-33 months.
    • Trigger points manifest as tender foci, palpable nodules, and referred pain upon stimulation.
    • Palpation may elicit twitch responses.

    Findings:

    • Failure to identify myofascial trigger points can lead to misdiagnoses (articular, neurologic, emotional).
    • Pathophysiologic theories support trigger points in persistent and spreading post-injury pain.
    • Specific treatment targeting myofascial trigger points offers relief.

    Related Experiment Videos

    Implications:

    • Accurate diagnosis of myofascial trigger points is crucial for effective shoulder injury management.
    • Treatment of trigger points can resolve chronic pain and restore function.
    • Understanding trigger point pathophysiology aids in managing posttraumatic pain.