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In the animal model, the enzyme acetylcholin esterase, and its inhibition, plays a role in the development of myofascial trigger points and the associated myofascial pain syndrome. By injecting a mouse muscle with acetylcholin esterase inhibitors and electrical stimulation, the muscle develops myofascial trigger points. [36] [37]
Myofascial pain syndrome (MPS), also known as chronic myofascial pain (CMP), is a syndrome characterized by chronic pain in multiple myofascial trigger points ("knots") and fascial (connective tissue) constrictions. It can appear in any body part.
In the treatment of trigger points for persons with myofascial pain syndrome, dry needling is an invasive procedure in which a filiform needle is inserted into the skin and muscle directly at a myofascial trigger point. A myofascial trigger point consists of multiple, hyperirritable contraction knots related to the production and maintenance of ...
Her personal interest led her to investigate, explain and expound on the phenomenon of myofascial pain syndrome, secondary to trigger points, first written about in the 1920s by Dr Dudley J. Morton. [5] She drew attention to the role of "Morton's Toe" and its responsibility for causing physical pain throughout the body.
The differential diagnosis of a positive Carnett's test includes hernias, nerve entrapment syndrome, irritation of intercostal nerve roots, thoracic disk herniations, [7] anterior cutaneous nerve entrapment, slipping rib syndrome, myofascial pain, trigger points and rectus sheath hematomas.
In recent years, the prognosis for CP/CPPS has improved with the advent of multimodal treatment, phytotherapy, protocols aimed at quieting the pelvic nerves through myofascial trigger point release, anxiety control and chronic pain therapy. [85] [86] [87]
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. [1]
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