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Muscle Trigger Points and Pressure Pain Sensitivity Maps of the Feet in Women with Fibromyalgia Syndrome.

  [ 9 votes ]   [ 2 Comments ]
By Tornero-Caballero MC, et al. • • April 11, 2017

To investigate the presence of trigger points (TrPs) in feet musculature and topographical pressure sensitivity maps of the feet as well as the relationship between TrPs, pressure pain maps, and clinical variables in women with fibromyalgia (FMS).
Fifty-one FMS women and 24 comparable healthy women participated. TrPs within the flexor hallucis brevis, adductor hallucis, dorsal interossei, extensor digitorum brevis, and quadratus plantae, as well as external and internal gastrocnemius, were explored. Pressure pain thresholds (PPTs) were assessed in a blind manner over seven locations on each foot. Topographical pressure sensitivity maps of the plantar region were generated using the averaged PPT of each location.
The prevalence rate of foot pain was 63% (n = 32). The number of active TrPs for each FMS woman with foot pain was 5 ± 1.5 without any latent TrPs. Women with FMS without foot pain and healthy controls had only latent TrPs (2.2 ± 0.8 and 1.5 ± 1.3, respectively). Active TrPs in the flexor hallucis brevis and adductor hallucis muscles were the most prevalent. Topographical pressure pain sensitivity maps revealed that FMS women with foot pain had lower PPT than FMS women without pain and healthy controls, and higher PPT on the calcaneus bone (P < 0.001).
The presence of foot pain in women with FMS is high. The referred pain elicited by active TrPs in the foot muscles reproduced the symptoms in these patients. FMS women suffering foot pain showed higher pressure hypersensitivity in the plantar region than those FMS women without pain.
Full text available here.
Source: Tornero-Caballero MC, Salom-Moreno J, Cigarán-Méndez M, Morales-Cabezas M, Madeleine P, Fernández-de-Las-Peñas C. Muscle Trigger Points and Pressure Pain Sensitivity Maps of the Feet in Women with Fibromyalgia Syndrome. Pain Med. 2016 Oct;17(10):1923-1932. Epub 2016 Jun 1.

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Article Comments Post a Comment

Very helpful
Posted by: lindamalvarez
May 3, 2017
Thank you for this article. I was diagnosed with CFS and fibro in 1995. The foot pain has been increasing steadily for the past ten years. The doctor thought it must be diabetic neuropathy but all my tests came back ok. I finally saw a podiatrist who thought it might be related to the fibro. This article describes my pain and supports the podiatrist's dx. But now what do I do?
Reply Reply

Posted by: Brendalou
May 13, 2017
What does everyone use to help with the pain , there are some days I can walk miles others I can't walk 10 feet . I don't talk anything on a reg base I need to find just one magic pill lol I no just need to lol at my question I try not let this get to me I am a very active person . With snowshoeing , hiking Quading. Kayaking ..but the are some days boy just can't move .. So if anyone could help I truly thank u
Reply Reply
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