Myofascial Trigger Point Referral Patterns

Question 1

Suboccipital Muscles (headache ghost)

Answer 1

Feels like deep head pain that radiates from the occiput to the temple

Question 2

Suboccipital Symptoms

Answer 2

Pain which seems to penetrate deep inside, hard to localize
Tension Headaches
Common TP source of post- traumatic headache

Question 3

Sternocleidomatoid muscle (amazingly Complex)

Answer 3

Sternal Divison: refers pain to the vertex, to the occiput, across the cheek , over the eye, to the throat & to the sternum
Clavicular Division - Across the forehead (bilateral frontal headache), and into and behind the ear

Question 4

Sternocleidomastoid Symptoms

Answer 4

“sore throat” “swollen glands” , visual disturbance, tearing and inability to raise upper eyelid
Misdiagnosed for Facial neuralgia
Aches and can cause “Tinnitus, dizziness & Nausea”

Question 5

Trapezius (Upper Fibre)

Answer 5

refers up the posterior lateral neck over and around the ear to the temple region and into the angle of the mandible

Question 6

Trapezius (Middle Fibre)

Answer 6

Refers locally to the middle trapezius muscle fibres

Question 7

Trapezius (Lower Fibres)

Answer 7

refers to pain over the entire upper trapezius muscle and may extend down over the middle and lower fibres as well

Question 8

Trapezius Muscle (The Coat Hanger)

Answer 8

Most Common MTP observed in the body !!
Upper fibers are associated with temporal headaches
Activatin of these TP may be caused by trauma (ie whiplash)
carrying a heavy bag, heavy winter coats

Question 9

Splenius Wapitis (Ache inside the skull)

Answer 9

Concentrates at the vertex of the head
Symptom : Stiff neck, limited rotation of the head and neck due to pain
Activated by postural stresses, overload extension or rotation of head & neck

Question 10

Splenic Cervicis (Aches inside the skull)

Answer 10

Concentrates at the Anke of the neck & behind the eye (inside the skull)
Symptom : Stiff neck, limited rotation of the head and neck due to pain
Activated by postural stresses, overload extension or rotation of head & neck

Question 11

Levator Scapulae (Stiff neck)