Contribution of the local and referred pain from active myofascial trigger points in fibromyalgia syndrome

  title={Contribution of the local and referred pain from active myofascial trigger points in fibromyalgia syndrome},
  author={Hong-you Ge and Hongling Nie and Pascal Madeleine and Bente Danneskiold-Sams{\o}e and Thomas Graven-Nielsen and Lars Arendt-Nielsen},

Figures and Tables from this paper

Multiple Active Myofascial Trigger Points Reproduce the Overall Spontaneous Pain Pattern in Women With Fibromyalgia and Are Related to Widespread Mechanical Hypersensitivity
It is suggested that nociceptive inputs from active MTrPs may contribute to central sensitization in FMS.
Characteristics of referred muscle pain to the head from active trigger points in women with myofascial temporomandibular pain and fibromyalgia syndrome
The referred pain elicited from active TrPs shared similar patterns as usual pain symptoms in women with myofascial temporomandibular disorder or FMS, but that distinct differences in TrP prevalence and location of the referred pain areas could be observed.
Reproduction of overall spontaneous pain pattern by manual stimulation of active myofascial trigger points in fibromyalgia patients
The overall spontaneous FM pain pattern can be reproduced by mechanical stimulation of active MTPs located in different muscles, suggesting that fibromyalgia pain is largely composed of pain arising from muscle pain and spasm.
Therapeutic effects of dry needling in patients with upper trapezius myofascial trigger points
The results of this study showed that one session of DN targeting active MTrPs appears to reduce hyperactivity of the sympathetic nervous system and irritability of the motor endplate.
Spotting the pain in Fibromyalgia syndrome – Widespread effects of local pain therapy
  • C. Geber
  • Medicine, Psychology
    European journal of pain
  • 2011
Myofascial Trigger Points in Neck and Shoulder Muscles and Widespread Pressure Pain Hypersensitivtiy in Patients With Postmastectomy Pain: Evidence of Peripheral and Central Sensitization
Bilateral widespread pressure pain hypersensitivity in patients with postmastectomy pain was revealed and the local and referred pain elicited by active TrPs reproduced neck and shoulder/axillary complaints in these patients.
Latent Myofascial Trigger Points
The contribution of central sensitization associated with latent MTPs and the MTP network to the spatial propagation of pain and motor dysfunctions is discussed and the potential mechanisms underlying the sensory-motor Dysfunctions associated with Latent Myofascial pain syndrome are highlighted.
Incidence of trapezius myofascial trigger points in patients with the possible carpal tunnel syndrome
It was found that all of 36 hands with normal electrodiagnostic findings had myofascial trigger points in their upper trapezius muscle, implying the significant correlation between occurrence of CTS and MTP.
Spatial pain propagation over time following painful glutamate activation of latent myofascial trigger points in humans.
Benefits of dry needling of myofascial trigger points on autonomic function and photoelectric plethysmography in patients with fibromyalgia syndrome
This trial showed that application of dry needling therapy and TENS reduced pain attributable to MTrPs in patients with FMS, with greater improvements reported in the dry needled group across all dimensions of pain.


The fibromyalgia and myofascial pain syndromes: a preliminary study of tender points and trigger points in persons with fibromyalgia, myofascial pain syndrome and no disease.
The data suggest that attention to definition and reliability are required to advance the knowledge of these common syndromes and that problems with reliability were identified for taut bands, muscle twitch, and active trigger points.
Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points.
Myofascial pain syndromes and their evaluation.
  • R. Bennett
  • Medicine
    Best practice & research. Clinical rheumatology
  • 2007
A Review of Myofascial Pain and Fibromyalgia – Factors that Promote Their Persistence
  • R. Gerwin
  • Medicine
    Acupuncture in medicine : journal of the British Medical Acupuncture Society
  • 2005
Chronic myalgia may not improve until the underlying precipitating or perpetuating factor(s) are themselves managed, and sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition.
Interrater reliability in myofascial trigger point examination
Muscle Pain: Sensory Implications and Interaction With Motor Control
An important part of the pain manifestations (eg, tenderness and referred pain) related to chronic musculoskeletal disorders may be due to peripheral and central sensitization, which play a role in the transition from acute to chronic pain.
Hyperexcitability in fibromyalgia.
There is a state of central hyperexcitability in the nociceptive system in FM that can be revealed by excitation of intramuscular nocICEptors in a muscle with no spontaneous pain.
Evoked pain measures in fibromyalgia.