Myofascial pain syndrome Flashcards
Quadratus lumborum pattern?
Hip pain, xray and MRI is normal
may mimic sacroilitis or piriformis problems
2 superficial and 2 deep trigger points, hip and buttocks
Activation of Quadratus lumborum?
simultaneous bending over and reaching to ones side to pull or lift
trauma
Quadratus lumborum mistaken for?
lumbar radicular pain or piriformis syndrome
Quadratus lumborum OMT?
Muscle energy to the 11th and 12th ribs
Gluteus minimus pattern?
from the posterior part of gluteus minimis muscle and radiates down the leg, mimic sciatic pain
pain is often attributed to sciatica
the more anterior the trigger point the more lateral the refferal zone
Activation of Gluteus minimus?
acute or repetitive overload, SI joint dysfunction, nerve root irritation
OMT for Gluteus minimus?
Hip treatment dirrect
Iliopsoas pattern?
is pain on the low back and front thigh on same side, following the muscle
aggrevtaed but weight bearing activites and relieved by recumbency
Iliopsoas activation?
prolonged sitting with the hips flexed
OMT of Iliopsoas?
correct somatic dysfunction of thoracic, lumbar, or sacral areas and avoid proloinged sitting
evaluate the hip and innominate somatic dysfunction
Scalene pattern?
refer down the arm, pain over the scalene
common source of back, shoulder, and arm pain
often confused with cervical radiculopathy
myofascial pain or secondary sensory and motor disturbance due to neurovascular entrapment
Activation Scalene?
pulling, lifting, tugging with the arm or overuse of these muscles in respiration
OMT Scalene?
Cervical kneading, cervical stretching, scalene ligamentous articular strain, scalene strech, cervical restrictor muscle energy, cervical sidebending or rotational
Trapezius pattern?
from the back of the neck radiating up to the temporalis muscle and side cheeck (TMJ area)
muscle most often found to have trigger points
frequently overlooked source of temporal and cervicogenic headache
Activation of Scalene?
commonly results from the stress of sustained elevation of the shoulder and trauma
OMT for Scalene?
similar to the scalenes
trapezius tension release exercise
Cervical kneading, cervical stretching, scalene ligamentous articular strain, scalene strech, cervical restrictor muscle energy, cervical sidebending or rotational
General charcteristic pattern?
may look like the muscle itself
Active trigger points?
produce a clinical complaint which the patient recognizes when the trigger point is digitally compressed
refer pain at rest, with activity or with palpation
Latent trigger points?
can produce other effects characteristic of a trigger point including increased muscle tension and muscle shortening
produce pain only when probed with more steady pressure
Activate trigger point directly?
active overload overwork repetitive injury trauma rediculopathy
Indirectly activate trigger point?
other existing trigger points
visceral disease
somatic dysfunctions
emotional distress
Differ from fibromyalgia?
males equal to females
local or regional pain
trigger points
decent response to treatment
Modalities for trigger point release?
manual therapies including OMT
spray and strech
trigger point injection (and stretch)
other modalities such as ultrasound
Spray and stretch?
spray is the distraction, stretch is action
no require precise localization of the trigger point that is needed for injection
it is not as invasive as injections
make sure patient is supported in a comfortable position, home stretch
