3.2: T2 Fairgame TrPs -- Headaches Flashcards
What are referred pain patterns of Upper Trapezius TrPs?
Upper fibres: pain and tenderness in posterior and later aspect of upper neck, temporal region and angle of jaw
What are referred pain patterns of Sternocleidomastoid TrPs?
- Sternal head: pain in occiput, radiating anteriorly to eyebrow, cheek, and throat (eye and sinus)
- Clavicular head: frontal headache, earache, mastoid pain (dizziness and spatial awareness)
What are referred pain patterns of Suboccipitals TrPs?
horizontal band from lateral aspects of occipital bone to spenoid bone
What are referred pain patterns of Splenius Capitis/Cervicis TrPs?
Splenius Capitis:
- 3-5 cm zone of pain in centre of vertex (upper surface) of skull
Splenius Cervicis:
- upper: occipital diffuse pain, radiating via temporal region toward ipsilateral eye
- lower: ipsilateral pain in nape of neck
What are referred pain patterns of Multifidus TrPs?
- localized and anteriorly to abdomen
- S1 leads to coccydynia (pain in the coccyx or tailbone area, usually brought on by sitting too abruptly)
What are referred pain patterns of Semispinalis (upper and lower) TrPs?
several areas along the fibres, all radiating superiorly into head and skull and toward frontal region
What are referred pain patterns of Occipitofrontalis TrPs?
Occipitalis:
- pain in lateral and anterior scalp
- diffuse into back of head and into orbit (eye socket)
Frontalis:
- localized pain with some referrral upward and over forehead on same side
What are referred pain patterns of Temporalis TrPs?
- upper incisors (front teeth) and supraorbital ridge
- maxillary teeth and mid-temple pain
- TMJ and mid-temple pain
- localized (posteriorly and superiorly)
What are referred pain patterns of Supraspinatus TrPs?
Belly:
- deep ache in regimental badge area (4-6 cm)
- ellipse leads to zone of pain in lateral epicondyle/radial head
- diffuse pain into lateral forearm
Insertion:
- localized zone of pain (5-8 cm) over deltoid