cervical examination for myofacial pain

[SagarNaik]

hi dear,

well, I wonder whether there is a particular protocol of cervical examination for myofasical pain syndrome alone.

just thought of sharing a bit of information to avoid the so called "confusion" between fibromyalgia and myofasical pain syndrome.

C/Features********** Fibromyalgia********** MPS
Pain****************** Diffuse**************Local
Fatigue**************** Common***********Uncommon
AM. Stiffness************Common***********Uncommon
Tender points************Present************Absent
Trigger points************Absent************ Present
Ratio****************Women>Men**********Women=Men
Prognosis***************Chronic***********Resolves with treatment

I do agree that presently researchers are realizing that FMS and MPS not only occur together, they reinforce each other as well. gosh! its like adding fuel to fire regarding the confusion between the two

whatever wish to share a golden rule - "one should not try to strengthen a muscle that has a TrP (trigger point), because the muscle is already physiologically contracted. attempts at strengthening a muscle with TrPs will only cause the TrPs to worsen and may develop satellites."

do let me know if this was of any help to you.

cheers,

thomas

Thanks for explaining the differences between the two conditions.

Only one concern:
If there is trigger point in Myofacial Pain Syndrome then will it not have tenderness too????

I would think there would be severe pain at the trigger point.

You have mentioned tenderness present in fibromayalgia which is diffuse in origin......???

I think you will get tenderness in conditions where pain can be localized means MPS as you mentioned pain is local....

Might be wrong, but this is what I think. Open for further discussion.