TY - JOUR
T1 - Fibromyalgia, myofascial pain, tender points and trigger points
T2 - Splitting or lumping?
AU - Bennett, Robert M.
AU - Goldenberg, Don L.
PY - 2011/6/30
Y1 - 2011/6/30
N2 - Myofascial trigger points (MTPs) have long been a contentious issue in relation to fibromyalgia, and poorly defined pain complaints in general. Can MTPs be reproducibly identified? Do MTPs have valid objective findings, such as spontaneous electromyographic activity, muscle microdialysis evidence for an inflammatory milieu or visualization with newer ultrasound techniques? Is fibromyalgia a syndrome of multiple MTPs, or is focal muscle tenderness a manifestation of central sensitization? These issues are discussed with relevance to a recent paper reporting that manual palpation of active MTPs elicits the spontaneous pain experienced by fibromyalgia patients.
AB - Myofascial trigger points (MTPs) have long been a contentious issue in relation to fibromyalgia, and poorly defined pain complaints in general. Can MTPs be reproducibly identified? Do MTPs have valid objective findings, such as spontaneous electromyographic activity, muscle microdialysis evidence for an inflammatory milieu or visualization with newer ultrasound techniques? Is fibromyalgia a syndrome of multiple MTPs, or is focal muscle tenderness a manifestation of central sensitization? These issues are discussed with relevance to a recent paper reporting that manual palpation of active MTPs elicits the spontaneous pain experienced by fibromyalgia patients.
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U2 - 10.1186/ar3357
DO - 10.1186/ar3357
M3 - Editorial
C2 - 21722339
AN - SCOPUS:79959726884
SN - 1478-6354
VL - 13
JO - Arthritis Research and Therapy
JF - Arthritis Research and Therapy
IS - 3
M1 - 117
ER -