Myofacial Pain and Fibromyalgia Syndromes

A Clinical Guide to Diagnosis and Management

By: Baldry

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Hardcover | 23 April 2001

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Hardcover
432 Pages

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25.1 x 19.4 x 3.0

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This book is a clear and comprehensive review of current knowledge concerning the myofascial trigger point pain syndrome and fibromyalgia. It covers the pathogenesis, pathophysiology, clinical manifestations and differential diagnosis of these two closely associated muscle pain disorders. A guideto specific treatment involving trigger points is outlined in detail and supported with clear illustrations.

Gives a clear basis for an understanding of these specific forms of pain and their development, by reviewing and summarising a wealth of available research which is otherwise scattered in a wide variety of journals and books

Offers straightforward steps to an accurate differential diagnosis in relation to these syndromes

Provides a guide to treatment of pain in specific parts of the body, especially in common and chronic conditions

Offers clear and practical steps to treatment which can be applied straight into practice

Addresses areas of growing interest and illuminates the debates about myofascial pain and fibromyalgia.

Written by a renowned figure in this field and supported with contributions from key international figures

Two of the worlds leading authorities on fibromyalgia, Professor Yunus in the USA and Dr Inanici in Turkey, have provided a comprehensive review of current concepts concerning all the various aspects of this commonly occurring, complex, controversial and disabling disorder.

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Non-Fiction Medicine Clinical & Internal Medicine Diseases & Disorders Family & Health Fitness & Diet Massage Other Branches of Medicine Dentistry Medical Diagnosis Anaesthetics Pain & Pain Management

Surgery Orthopaedics & Fractures Rheumatology Complementary Medicine

Contributors	p. xi
Foreword	p. xiii
Preface	p. xv
Acknowledgments	p. xvii
Myofascial trigger point pain syndromes - pathophysiology and management	p. 1
The evolution of current concepts	p. 3
Terminological confusion	p. 3
John Kellgren's observations	p. 7
Myofascial trigger point pain syndromes	p. 11
Fibromyalgia	p. 13
Relevant neurophysiological mechanisms	p. 17
Original beliefs	p. 17
Current concepts	p. 19
Skin nociceptors	p. 20
Muscle nociceptors	p. 21
Transmission of nociceptive information to the brain	p. 27
Pathways for centripetal transmission of nociceptive information	p. 28
Brainstem's reticular formation	p. 29
Pain-modulating mechanisms	p. 30
Endogeneous pain-suppressing substances	p. 33
Myofascial trigger point pain-suppressing techniques	p. 35
The emotional aspects of pain	p. 45
Emotional reactions to pain	p. 45
Anxiety-induced MTrP pain	p. 47
Pain-induced behaviour	p. 47
Assessing the emotional component of organic pain	p. 48
Psychogenic pain	p. 48
Trauma-induced MTrP pain erroneously diagnosed as emotional in origin	p. 50
Psychological effects of compensation-seeking on pain	p. 51
Myofascial trigger point pain	p. 57
Morphology of skeletal muscle	p. 58
Physiological mechanisms involved in voluntary muscle contraction	p. 58
Pathophysiology of myofascial trigger points	p. 60
Perpetuation of myofascial trigger point pain	p. 69
Myofascial trigger point pain referral	p. 71
The search for myofascial trigger points	p. 72
Diagnosis of the MTrP pain syndrome	p. 73
Nociceptive nerve pain, neuropathic pain and myofascial trigger point pain	p. 81
Pathophysiology of neuropathic pain	p. 81
Clinical manifestations of pain of neural origin	p. 84
Some diagnostic pitfalls	p. 85
Management of pain of neural origin	p. 87
Concomitant complex regional pain and myofascial trigger point pain syndromes	p. 95
Terminology	p. 96
Aetiological factors common to CRPS type 1 (RSD) and the MTrP pain syndrome	p. 96
Pain-producing mechanisms common to both the MTrP pain syndrome and CRPS type 1 (RSD)	p. 97
Complex regional pain syndrome type 1 (RSD)	p. 97
Methods of treating myofascial trigger point pain	p. 103
Deactivating myofascial trigger points	p. 104
Clinical trials	p. 116
Regional myofascial trigger point pain syndromes	p. 119
The neck	p. 121
Cervical myofascial trigger point pain syndrome	p. 121
Cervical whiplash injuries	p. 134
Cervical spondylosis	p. 145
Cervical disc prolapse	p. 147
The shoulder	p. 151
Primary referral of MTrP pain to the shoulder region	p. 151
Secondary development of MTrP pain	p. 164
Rotator cuff tendinitis	p. 164
Associated disorders	p. 167
Adhesive capsulitis	p. 168
The arm	p. 173
Cervical radiculopathic and MTrP brachial pain - differential diagnosis	p. 174
Brachial pain from TrPs in neck, shoulder girdle and chest wall muscles	p. 174
Pain from TrPs in the upper arm muscles	p. 175
Pain from TrPs in the forearm's supinator, brachioradialis and hand extensor muscles	p. 178
Lateral epicondylitis (syn: tennis elbow)	p. 183
Pain from TrPs in the forearm's hand and finger flexor muscles	p. 184
Pain from TrPs in the palmaris longus and pronator teres muscles	p. 185
Medial epicondylitis	p. 188
Cubital tunnel syndrome	p. 189
Carpal tunnel syndrome	p. 190
Tenosynovitis of the wrist	p. 191
Pain from MTrPs around the thumb	p. 191
First carpometacarpal joint osteoarthritis	p. 191
MTrP pain in the fingers	p. 192
Osteoarthritic small joints of the hand	p. 193
Management of the brachial MTrP pain syndrome	p. 193
Repetitive strain injury	p. 193
Sympathetically mediated brachial pain	p. 197
The head and face	p. 201
Myofascial trigger point cephalalgia	p. 201
Migraine	p. 204
Tension-type headaches	p. 212
Temporo-facial pain	p. 214
Intra-articular temporomandibular joint pain	p. 221
Extra-articular temporomandibular pain	p. 222
The lower back	p. 227
Lumbar MTrP pain syndrome	p. 229
Acute, recurrent and chronic lumbar MTrP pain	p. 242
Lumbar facet joint pain	p. 246
Lumbar facet joint syndrome	p. 247
Lumbar disc herniation pain	p. 249
Lumbar spondylosis	p. 254
Degenerative spondylolisthesis	p. 255
Lateral canal stenosis	p. 255
Neurogenic claudication	p. 256
The lower limb	p. 263
Pain from MTrPs in the anterior, lateral and medial aspects of the thigh	p. 264
Pain from trigger points in the posterior thigh muscles	p. 269
Pain from MTrPs in the anterior compartment of the leg	p. 277
Pain from MTrPs in the lateral compartment of the leg	p. 281
Pain from MTrPs in the superficial posterior compartment of the leg	p. 283
Pain from MTrPs in the deep posterior compartment of the leg	p. 287
Pain from MTrPs in the foot	p. 291
Dorsal surface of the foot	p. 291
Plantar surface of the foot	p. 292
Heel and sole of foot pain	p. 297
The chest wall	p. 303
Anterior chest wall MTrP pain syndrome	p. 303
Differential diagnosis	p. 309
Methods of investigating anterior chest wall pain	p. 315
Posterior chest wall MTrP pain syndrome	p. 317
The anterior abdominal wall and pelvic floor	p. 329
Incidence	p. 330
Views concerning pathogenesis	p. 330
Anterior abdominal wall MTrP pain syndrome	p. 331
Pelvic MTrP pain	p. 338
The fibromyalgia syndrome	p. 349
Clinical characteristics and biopathophysiological mechanisms of fibromyalgia syndrome	p. 351
Clinical characteristics	p. 351
Biopathophysiological mechanisms of FMS	p. 354
Disability and quality of life in FMS	p. 368
Central sensitivity syndromes	p. 369
Summary	p. 371
Management of fibromyalgia syndrome	p. 379
Patient education and reassurance	p. 379
Addressing aggravating factors	p. 380
Non-pharmacological interventions	p. 382
Pharmacological management	p. 385
Tender point injections	p. 392
Prognosis	p. 393
Summary	p. 393
Index	p. 399
Table of Contents provided by Rittenhouse. All Rights Reserved.

Myofacial Pain and Fibromyalgia Syndromes

A Clinical Guide to Diagnosis and Management

At a Glance

Hardcover

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