What is the current scientific consensus on myofascial trigger points?

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Discussion Overview

The discussion revolves around the scientific consensus regarding myofascial trigger points and myofascial pain syndrome (MPS). Participants explore definitions, experiences, and the validity of existing theories and treatments related to trigger points, as well as the perspectives of both the general population and experts in the field.

Discussion Character

  • Debate/contested
  • Exploratory
  • Technical explanation

Main Points Raised

  • Some participants seek clarification on what constitutes a myofascial trigger point and the mainstream consensus surrounding it.
  • One participant references a Mayo Clinic article that describes myofascial pain syndrome as a chronic pain disorder linked to trigger points, suggesting treatment options like physical therapy and trigger point injections.
  • Another participant cites a critical evaluation of the trigger point phenomenon, arguing that the concept lacks scientific basis and questioning the validity of treatments derived from the myofascial pain syndrome theory.
  • A review from 2015 is mentioned, which concludes that the idea of myofascial pain caused by trigger points is an invention without scientific support.
  • Participants express the need for specific questions and evidence-based discussions, with one urging others to share links to scientific readings.

Areas of Agreement / Disagreement

Participants do not appear to reach a consensus; instead, multiple competing views remain regarding the validity of myofascial trigger points and the effectiveness of related treatments.

Contextual Notes

Some claims rely on specific studies and articles, which may have limitations in their assumptions or definitions. The discussion reflects a range of perspectives on the scientific support for myofascial trigger points and related pain syndromes.

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?
 
Biology news on Phys.org
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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