Myofasical Pain Syndrome

Question 1

What is it?

Answer 1

characterized by clinical entity known as a “trigger point” which is a focal point of irritability found within a muscle

Question 2

active TrP

Answer 2

• tender to palpation and have a characteristic referral pattern of pain when provoked

Question 3

latent TrP

Answer 3

• palpable taut bands that are not tender to palpation but can be converted into an active trigger point

Question 4

onset

Answer 4

• hypothesized to sudden overload, overstretching, and/or repetitive/strained muscle activities

Question 5

medical interventions

Answer 5

• dry needling
• injection of analgesic, possibly combined with corticosteroid

Question 6

Manual therapy for TrP

Answer 6

• soft tissue massage and joint oscillations
• joint mob to specific restriction of biomechanical fault
• “spray and stretch”
  -TENS, cold, hot, hydrotherapy, sound agents

Question 7

What type of exercise should you do for TrP

Answer 7

• strength, power, and endurance
• active assit, active, resistive
• task specific performance training

Question 8

types of TrP release

Answer 8

• trigger point compression (ischemic compression)
• trigger point pressure release/myofascial release
• manual techniques like occipital release
• spray and stretch