ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Fight Back! Win the War Being Waged Against Your Immune System

10 Fibro-Friendly Foods with a Bonus: Beautiful Skin

The role of microbiota and intestinal permeability in the pathophysiology of autoimmune and neuroimm...

Studies Show that Magnesium L-threonate Improves Brain Plasticity, Leading to Direct and Significant...

Clary Sage Oil May Be Pricey, but Its Benefits Are Priceless

Component of red wine, grapes can help to reduce inflammation, study finds

Poly MVA: A Novel Therapy for Increasing Energy, Repairing DNA, and Promoting Overall Health

Acupressure reduced fatigue in breast cancer survivors

Omega-3 fatty acid stops known trigger of lupus

What’s Fenugreek Good For?

Print Page
Email Article

How do myofascial pain syndrome & trigger points relate to fibromyalgia? Experts debate

  [ 3 votes ]   [ 1 Comment ] • July 6, 2011

Leading rheumatologists Dr. Robert M Bennett and Dr. Don L Goldenberg have published a research-based “point-counterpoint” debate on how fibromyalgia and myofascial trigger points may be related. (“Fibromyalgia, myofascial pain, tender points and trigger points: Splitting or lumping? - Arthritis Research & Therapy, Jun 30, 2011)

“Myofascial trigger points (MTPs) have long been a contentious issue in relation to fibromyalgia, and poorly defined pain complaints in general,” the two experts explain – and the occasion for their debate is “a recent paper reporting that manual palpation of active MTPs elicits the spontaneous pain experienced by fibromyalgia patients.”

Issues this paper raised for them are:

1. Can MTPs be reproducibly identified?

2. Do MTPs have valid objective findings, such as spontaneous electromyographic activity, muscle microdialysis evidence for an inflammatory milieu or visualization with newer ultrasound techniques?

3. Is fibromyalgia a syndrome of multiple MTPs, or is focal muscle tenderness a manifestation of central sensitization?

The gist of Dr. Bennett’s argument is that:
“Currently FM is envisaged to be a pain syndrome related to dysfunctional central pain processing; however, increasingly evident is that peripheral pain generators such as painful joints and MTPs now need to be incorporated into this model.”

And the gist of Dr. Goldenberg’s response is that:
“There is no convincing evidence that the MTP can be clinically or pathophysiologically distinguished from a FM tender point….. MTPs will eventually be discounted as discrete pathologic abnormalities in the muscle….Identifying and treating any peripheral pain is a noble pursuit in the management of central pain disorders, such as FM. However, it is unlikely that the MTP is a specific peripheral pain phenomenon.”

To read the free full text of their point-by-point debate, click HERE >

Post a Comment

Featured Products From the ProHealth Store
Ultra EPA  - Fish Oil Optimized Curcumin Longvida® Energy NADH™ 12.5mg

Looking for Vitamins, Herbs and Supplements?
Search the ProHealth Store for Hundreds of Natural Health Products

Article Comments Post a Comment

Trigger points
Posted by: KerryK
Jul 6, 2011
Trying to prove trigger points as being a condition of the muscles is like trying to prove the existence of God. So far, that notion is only an article of faith. I personally believe Travel and Simon did humanity a great injustice by promulgating muscles as the culprit. My belief is that all this debate over trigger points will be resolved by looking at the skin as the culprit, with any muscle spasms and tightness as a response to the noxious pain in the skin. See recent research on Trpv1 ion channels, mast cells, and keratinocytes as they relate to pain.
Reply Reply
Natural Pain Relief Supplements

Featured Products

Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium

Natural Remedies

Bone Broth Benefits for Digestion, Arthritis and Cellulite Bone Broth Benefits for Digestion, Arthritis and Cellulite
Soothe, Heal and Regulate Your Digestive System with Nutrient-Rich Aloe Vera Soothe, Heal and Regulate Your Digestive System with Nutrient-Rich Aloe Vera
Vitamin K-2 – A Key Player in Cardiovascular and Bone Health Vitamin K-2 – A Key Player in Cardiovascular and Bone Health
Breaking Through the Mental Fog Breaking Through the Mental Fog
Complete and Natural Menopause Relief Complete and Natural Menopause Relief

ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
Credit Card Processing
Be the first to know about new products, special discounts and the latest health news. *New subscribers only

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2016 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map