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

|
|
|
|

Trending News

Mitochondria-Booster NIAGEN® Shows Promise in First Human Clinical Trial

Can Glycine + Amino Acids Be the Secret to Deep, Rejuvenating Sleep?

Lyme Disease Activists Take Fight to Washington D.C.

Exploring the association between Morgellons disease and Lyme disease: identification of Borrelia bu...

New Envita Study Shows Chronic Lyme Disease "Fools" Immune System, Resistant to Antibiotics

Safely Burn Away Body Fat

Omega-3 fatty acids boost B vitamin brain benefit

Substantial health threat: Never-before-seen tick-borne disease

Lyme Advocates Call on IDSA to Focus on Patient Care Instead of Attacking Those in Distress

Restoring cellular energy signals may treat mitochondrial diseases in humans

 
Print Page
Email Article

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

  [ 3 votes ]   [ 1 Comment ]
www.ProHealth.com • 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 > http://arthritis-research.com/content/13/3/117



Please Discuss This Article:   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
 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Save on Vitamins and Supplements

Featured Products

Vitamin D3 Extreme™ by ProHealth Vitamin D3 Extreme™ by ProHealth
50,000 IU Vitamin D3 - Prescription Strength
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%

Natural Remedies

The Curcumin Revolution: 'Golden' Ticket to Better Health The Curcumin Revolution: 'Golden' Ticket to Better Health
Coenzyme Q10 - The Energy Maker Coenzyme Q10 - The Energy Maker
Repair Damaged Mitochondria and Reduce Fatigue Up to 45% Repair Damaged Mitochondria and Reduce Fatigue Up to 45%
Eating Fat is Good… Maybe… Could Be… Sometimes Eating Fat is Good… Maybe… Could Be… Sometimes
Could a B-12 Deficiency Be Causing Your Symptoms? Could a B-12 Deficiency Be Causing Your Symptoms?

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia Diagnosis
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS Diagnosis
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE  |  PRIVACY
CONTACT US
LIBRARY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing