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Myofascial trigger points (MTrPs), also known as trigger points, are described as hyperirritable spots in the skeletal muscle. They are associated with palpable nodules in taut bands of muscle fibers. [1] They are a topic of ongoing controversy, as there is limited data to inform a scientific understanding of the phenomenon.
"The Mother of MYOFASCIAL - TRIGGER POINT Knowledge" Travell, Janet G. (2003). "A Daughter's Recollection by Virginia P. Wilson". Texas Heart Institute Journal. 30 (1): 8– 12. Guide to the Janet G. Travell Papers, 1910-1997, Special Collections Research Center, Estelle and Melvin Gelman Library, the George Washington University
The relief of myofascial trigger points has been more highly researched than relief of connective tissues, muscle fascia, muscle tension, and scar tissue; however, the American Physical Therapy Association claims that there potentially may be some benefits of dry needling on these ailments according to some available evidence. [4]
The painful point can be felt as a tumor or band in the muscle, and a twitch response can be elicited on stimulation of the trigger point. Palpation of the trigger point reproduces the patient's complaint of pain, and the pain radiates in a distribution typical of the specific muscle harboring the trigger point.
Myofascial release (MFR, self-myofascial release) is an alternative medicine therapy claimed to be useful for treating skeletal muscle immobility and pain by relaxing contracted muscles, improving blood and lymphatic circulation and stimulating the stretch reflex in muscles.
The sartorius muscle (/ s ɑːr ˈ t ɔːr i ə s /) is the longest muscle in the human body. [2] It is a long, thin, superficial muscle that runs down the length of the thigh in the anterior compartment .
The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially.
Tender points: [1] While medical doctors use eleven of eighteen tender points as a diagnostic criteria for fibromyalgia, Sarno states that he uses six main tender points to diagnose TMS: two tender points in the upper trapezius muscles, two in the lumbar paraspinal muscles and two in the lateral upper buttocks. He states that these are found in ...