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Tender points/fibromyalgia vs. trigger points/myofascial pain syndrome: a need for clarity in terminology and differential diagnosis.

Authors
  • Schneider, M J
Type
Published Article
Journal
Journal of manipulative and physiological therapeutics
Publication Date
Jan 01, 1995
Volume
18
Issue
6
Pages
398–406
Identifiers
PMID: 7595112
Source
Medline
License
Unknown

Abstract

FM and MPS are two different clinical conditions that require different treatment plans. FM is a systemic disease process, apparently caused by dysfunction of the limbic system and/or neuroendocrine axis. It often requires a multidisciplinary treatment approach including psychotherapy, low dose antidepressant medication and a moderate exercise program. MPS is a condition that arises from the referred pain and muscle dysfunction caused by TrPs, which often respond to manual treatment methods such as ischemic compression and various specific stretching techniques. Both of these conditions are seen routinely in chiropractic offices; therefore, it is important for field practitioners to understand these distinctions.

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