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Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points (key/satellite, primary/secondary), disease, psychological distress (via systemic inflammation), homeostatic imbalances, direct trauma to the region, collision trauma (such as a car crash which stresses many muscles and causes instant trigger points ...
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]
[2] [3] This produces a signal which travels back to the spinal cord and synapses (without interneurons) at the level of L3 or L4 in the spinal cord, completely independent of higher centres. [4] From there, an alpha motor neuron conducts an efferent impulse back to the quadriceps femoris muscle , triggering contraction. [ 3 ]
The thickness of the fascia can give problems when any inflammation present in the leg has little room to expand into. Blood vessels and nerves can also be affected by the pressure caused by any swelling in the leg. If the pressure becomes great enough, blood flow to the muscle can be blocked, leading to a condition known as compartment ...
Globally, about 40% of people have low back pain at some point in their lives, [7] with estimates as high as 80% of people in the developed world. [27] Approximately 9 to 12% of people (632 million) have low back pain at any given point in time, which was calculated to 7460 per 100,000 globally in 2020. [26]
Sciatica is pain going down the leg from the lower back. [1] This pain may go down the back, outside, or front of the leg. [3] Onset is often sudden following activities such as heavy lifting, though gradual onset may also occur. [5] The pain is often described as shooting. [1] Typically, symptoms are only on one side of the body. [3]
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
A 2015 review concluded that the technique is ineffective for lower back pain, and the quality of research testing its effectiveness is poor. [12] Trigger point techniques claim to address myofascial trigger points, though the explanation of how this works is controversial. [9] [13] [14]