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

Is a Good Night's Sleep at the Top of Your Wishlist?

Ashwagandha Helps Hormones - Aids Arthritis

Why You Should Be Eating More Porcini Mushrooms

A Breathalyzer for Disease?

How Bacopa Can Help Improve Your Cognitive Function

Black Tea Is Great for Your Gut

Magnesium Reduces Diabetes and Helps Keep You Young

Lavender Aromatherapy Can Ease Pre-Op Anxiety

Mint: Learn More About This Refreshing and Invigorating Herb

Give Your Health a Much-Needed Boost With Geranium

Print Page
Email Article

The Difference Between Fibromyalgia Tender Points and Myofascial Trigger Points

  [ 10 votes ]   [ Discuss This Article ]
By Celeste Cooper • • November 16, 2016

The Difference Between Fibromyalgia Tender Points and Myofascial Trigger Points
Reprinted with the kind permission of Cort Johnson and Health Rising.

Trigger points?  Tender points?  What are they and why do we care?  We care because knowing the difference can affect your diagnosis and treatment.
What are Tender Points?
Tender points are specific areas of tenderness, which have been mapped out on the “Tender Point Model.” The tender point model became part of the American College of Rheumatology criteria in 1990 after its development for a fibromyalgia study.
Characteristics of Tender Points 
  • The examiner cannot feel them.

  • They cause local pain when pressed.

  • They are no longer restricted to points on the tender point model. 

  • Though often found around joints, they are not related to joint disease or joint pain.

  • They do not cause deep pain.

  • They are not related to muscle pain.

  • Tenderness is due to an upset in the central nervous system, called centralization. 

Those who treat and study fibromyalgia question the tender point model because: 
  • Some of us may not have 11 of the 18 required for diagnosis. 

  • Tenderness is not limited to locations on the tender point model.

  • Other associated symptoms have been found to occur in fibromyalgia.  

The characteristics of a tender point and a trigger point are very different.
Characteristics of a Trigger Point (TrP): 
  • They are knotted up pieces of dysfunctional muscle fiber.

  • They can usually be felt by the examiner. 

  • They radiate pain in a specific consistent pattern dependent on the trigger point location.

  • They cause weakness of the muscle involved. 

  • They can cause joint and muscle immobility.

  • They can be seen with ultrasound.

  • They can have a visible twitch response.

  • They are pain generators from the peripheral nervous system. 

The Debate
Healthcare providers that specialize in myofascial pain syndrome understand how to assess and treat trigger points, while rheumatologists understand how to assess for tenderness and other symptoms related to fibromyalgia.  The debate arises because myofascial pain syndrome can mimic many things and is also present in some of the conditions known to frequent fibromyalgia, such as interstitial cystitis (now known as painful bladder syndrome), pelvic pain, headache, restless leg syndrome, TMJ, IBS, and other conditions known to have both a peripheral and central nervous system component. Dr. Robert Bennett and his team of investigators suggest in the Alternative Diagnostic Criteria that fibromyalgia is usually accompanied by at least one other pain disorder. When peripheral pain is generated by trigger points, it can enhance hypersensitivity found in fibromyalgia.
The Prognosis 
Having someone skilled in assessing the difference between a tender point and a trigger point is very important because the treatments are very different. While research is underway for better treatments for the pain and tenderness, sleep disruption, fatigue, and cognitive decline found in fibromyalgia, treatments vary. However, there are successful treatments for myofascial trigger points. If you are gently massaging your tender muscles and find a lump or knot that radiates pain when you press on it, you have found a trigger point. Discuss this with your doctor and see if you can get a referral to someone who specializes in myofascial medicine. 

Post a Comment

Featured Products From the ProHealth Store
Energy NADH™ 12.5mg Ultra EPA  - Fish Oil Mitochondria Ignite™ with NT Factor®

Article Comments

Be the first to comment on this article!

Post a Comment

Optimized Curcumin Longvida with Omega-3

Featured Products

Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid

Natural Remedies

Restoring Gut Health: How to Create a Firewall Against Toxins Entering the Gut Wall Restoring Gut Health: How to Create a Firewall Against Toxins Entering the Gut Wall
Bone Broth Benefits for Digestion, Arthritis and Cellulite Bone Broth Benefits for Digestion, Arthritis and Cellulite
Health Benefits Are Brewing in Green Tea Health Benefits Are Brewing in Green Tea
Vitamin E: Super Antioxidant We Only Thought We Knew Vitamin E: Super Antioxidant We Only Thought We Knew
Running on Empty? Fuel Up with NADH Running on Empty? Fuel Up with NADH

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

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
Credit Card Processing
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

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

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map