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The term "trigger point" was coined in 1942 by Dr. Janet Travell to describe a clinical finding with the following characteristics: [citation needed]. Pain related to a discrete, irritable point in skeletal muscle or fascia, not caused by acute local trauma, inflammation, degeneration, neoplasm or infection.
Travell's research resulted in over 100 scientific articles, as well as the acclaimed 1983 co-authored book with David G. Simons: Myofascial Pain and Dysfunction. The Trigger Point Manual. She also wrote her autobiography, Office Hours: Day and Night, which sheds light on her career and life.
Dry needling for the treatment of myofascial (muscular) trigger points is based on theories similar, but not exclusive, to traditional acupuncture; both acupuncture and dry needling target the trigger points, which is a direct and palpable source of patient pain. [1]
Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure. [2]
The intrinsic muscles of the scapula include the muscles of the rotator cuff- the subscapularis, infraspinatus, teres minor and supraspinatus. [9] These muscles attach to the surface of the scapula and are responsible for the internal and external rotation of the glenohumeral joint, along with humeral abduction.
Trigger point is the phrase coined by Dr Janet Travell (1942) to describe a clinical finding with the following chacteristics: Pain related to a discrete, irritable point in skeletal muscle or fascia, not caused by acute local trauma, inflammation, degeneration, neoplasm or infection.
The greater tubercle of the humerus is the outward part the upper end of that bone, adjacent to the large rounded prominence of the humerus head. It provides attachment points for the supraspinatus, infraspinatus, and teres minor muscles, three of the four muscles of the rotator cuff, a muscle group that stabilizes the shoulder joint.
In neuroscience and neurology, a trigger zone is an area in the body, or of a cell, in which a specific type of stimulation triggers a specific type of response. The term was first used in this context around 1914 by Hugh T. Patrick, who was writing about trigeminal neuralgia , a condition in which pain fibers in the trigeminal nerve become ...