Trigger Point Injections

摘要: Myofascial pain syndrome (MPS) as defined by Travell and Simons is characterized trigger points (TrP), limited ROM of the affected muscle(s), neurologic symptoms (autonomic, proprioceptive) (Simons DG, JG, Postgrad Med 73:66–108, 1983). The diagnosis MPS based on presence 1 or more points. Trigger (TrP) can be latent active Latent TrP are associated with stiffness restricted but no unless palpated. Active produce a referred pattern specific to that muscle spontaneously when physical findings for myofascial point (1) palpation tender nodule in taut band, (2) muscle, (3) local twitch response (LTR) snapping triggering needle, (4) (Travell J, dysfunction: manual, vol 1. Williams & Wilkins, Baltimore,