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Do Trigger Point Injections Effectively Treat Fibromyalgia?

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HelpDesk Answers: Do trigger point injections effectively treat fibromyalgia?


Possibly. Trigger point injections appear effective in reducing pain and increasing pressure thresholds in patients with fibromyalgia and myofascial trigger points. Consensus guidelines suggest that trigger point injections may have a role in the treatment of fibromyalgia.

Source: J Fam Pract. 2015 Jul;64(7):427-35. By Daniel White, MD and Thomas Staff, MD. University of Colorado Family Medicine Residency, Denver.

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One thought on “Do Trigger Point Injections Effectively Treat Fibromyalgia?”

  1. CCoop says:

    While myofascial pain syndrome (MPS) often coexists with fibromyalgia (FM) and many other painful conditions, it is not the same. If someone has both FM and MPS it is more difficult to manage. Trigger point injections (TPIs) treat the knotted up pieces of muscle fiber called trigger points (TrPs) not fibromyalgia. The two are distinctively different conditions with very different diagnostic criteria.

    Suggesting that TPIs treat FM is off the mark. This is why people with FM without MPS do not respond to TPIs and people with MPS who are misdiagnosed with FM do not respond to present treatments for FM. Fibromyalgia treatments, such as exercise or prolonged stretching such as with Yoga, can activate latent TrPs in MPS or create secondary TrPs making pain worse. MPS pain then bombards the CNS of the FM patient and makes FM symptoms worse.

    Knowing the difference is imperative to improvement. Having the right doctor and the right TPI treatment protocol can also make or break recovery from the state of dysfunctional muscles of MPS, which can cause loss of balance, difficulty with proprioception and according to doctors Travell and Simons a miriade of other symptoms, some which do cross over with complaints of FM patients.

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