What is the current scientific consensus on myofascial trigger points?

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SUMMARY

The current scientific consensus on myofascial trigger points (TrPs) is that the concept lacks robust scientific support, as highlighted by a 2015 review in the journal Rheumatology. This review critiques the Myofascial Pain Syndrome (MPS) model, asserting that the theories surrounding TrPs are flawed and not substantiated by evidence. The Mayo Clinic describes myofascial pain syndrome as a chronic pain disorder characterized by sensitive muscle points causing referred pain, yet treatment efficacy remains debated among experts. The discussion emphasizes the need for critical evaluation of existing literature on the topic.

PREREQUISITES
  • Understanding of Myofascial Pain Syndrome (MPS)
  • Familiarity with scientific literature evaluation
  • Knowledge of pain management techniques
  • Awareness of the role of trigger points in muscle pain
NEXT STEPS
  • Research the article "A critical evaluation of the trigger point phenomenon" for insights on MPS.
  • Examine the Mayo Clinic's overview on myofascial pain syndrome for treatment options.
  • Investigate neuroscientific explanations for muscle pain and trigger points.
  • Explore alternative pain management strategies beyond traditional MPS treatments.
USEFUL FOR

Healthcare professionals, pain management specialists, physical therapists, and researchers interested in the scientific evaluation of myofascial pain and trigger points.

Awwtumn
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Poster has been reminded to always post links to the mainstream scientific reading they have been doing when starting threads in the technical PF forums
What is your thought and experience about it?

What the mainstream consensus about it by general populations and by experts?
 
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What's a myofascial trigger point?
 
Awwtumn said:
What is your thought and experience about it?

What the mainstream consensus about it by general populations and by experts?
Please check your PMs. We require that you post links to the mainstream scientific reading you have been doing while trying to answer your question. With a simple Google search I found many such links, including one from the Mayo Clinic.

Please post your links, and ask *specific* questions about the reading you have been doing. That would be a much better start to this discussion. Thank you.
 
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Even the Mayo clinic views were being refuted. For example:

https://academic.oup.com/rheumatology/article/54/3/392/1796114

"Introduction
The phenomena of muscle pain and tenderness in the absence of obvious disease are well recognized but poorly understood. Myofascial pain syndrome (MPS) is a popular explanatory model, which posits a local (muscle) origin of nociception called the trigger point (TrP) and advocates local treatment, primarily direct manipulation of TrPs using manual pressure or needles, the latter with and without injectate [ 1 , 2 ]. These forms of treatment are being practised worldwide by physicians, physical therapists, chiropractors and various unlicensed and unregulated practitioners [ 3 ].But does the evidence support these concepts? Are the hypotheses generated by MPS theory scientifically sound? And are treatments based on this theoretical model beneficial?This article will show that the theory is flawed both in reasoning and in science. In seeking a resolution, two testable hypotheses are identified that point the way to neuroscientific explanations for the observed clinical phenomena."

Here is Mayo clinic article about the so called "Myofascial Pain Syndrome":

https://www.mayoclinic.org/diseases-conditions/myofascial-pain-syndrome/symptoms-causes/syc-20375444

"Overview
Myofascial pain syndrome is a chronic pain disorder. In this condition, pressure on sensitive points in your muscles (trigger points) causes pain in the muscle and sometimes in seemingly unrelated parts of your body. This is called referred pain.This syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension.While nearly everyone has experienced muscle tension pain, the discomfort associated with myofascial pain syndrome persists or worsens. Treatment options include physical therapy and trigger point injections. Pain medications and relaxation techniques also can help."My questions are:

What you make of refuting paper "A critical evaluation of the trigger point phenomenon" above?

I don't have any trigger points problem so guys, don't worry about getting sued. I heard many threads here got locked immediatley for fear of the website owners gettin sued by improper diagnosis. I'm not seeking any diagnostic but just researching the phenomenon.
 
"A review from 2015 in the journal Rheumatology, official journal of the British Society for Rheumatology, came to the conclusion that the concept of myofascial pain caused by trigger points was nothing but an invention without any scientific basis." @Awwtumn
 
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As child, before I got my first X-ray, I used to fantasize that I might have a mirror image anatomy - my heart on the right, my appendix on the right. Why not? (Caveat: I'm not talking about sci-fi molecular-level mirroring. We're not talking starvation because I couldn't process certain proteins, etc.) I'm simpy tlakng about, when a normal zygote divides, it technically has two options which way to form. Oen would expcet a 50:50 split. But we all have our heart on the left and our...

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