Myofascial Pain Flashcards Preview

OMM II > Myofascial Pain > Flashcards

Flashcards in Myofascial Pain Deck (36):
1

True or false: MFP are not common, but when found are often diagnose quickly

False--extremely common, and usually go undiagnosed for years

2

What is the definition of myofascial pain?

Pain caused by an area of hypersensitivity in a muscle and its fascia

3

MFP are often confused with what?

Visceral problems

4

What, generally, are myofascial trigger points?

Taut band in the muscle, which refers pain to a distant location when compressed

5

What happens to muscle fibers with contraction knots?

Knotted area pulls on the remainder of the muscle fiber, causing excessive stretching

6

What two muscles often refer pain?

Trap and SCM

7

What causes TrPs?

-Acute overload
-Overwork
-chilling of muscle
-Nerve injuries

8

What is meant by the term satellite TrPs?

Central TrP induce neurogenically by the activity of a key trigger point

occurs in the referral patterns of the key trigger points

9

What is a latent TrP?

Clinically quiescent with respect to spontaneous pain

Painful only when palpated

10

What are active TrPs?

TrPs that cause pain and TTP at rest or with motion that stretches or loads the muscle

Causes shortening of the muscle, as well as fatigue and decreased strength

11

What is the sequence of events that cause the development of TrPs?

taut bands of muscles, leads to latent TrPs, which are turned actie through stressors

12

True or false: active TrPs refer pain in a predictive pattern

True

13

Serratus posterior superior TrP can mimic what spinal level radiculopathy?

C8

14

The referral pattern of the gluteus minimus TrP mimics what spinal level radiculopathy?

L5 or S1 pain

15

SCM pain can cause what?

Frontal/occipital HAs
TMJ pain

16

What is the referral patterns of trap?

Temporalis muscle and posterior scalene

17

What are the 4 exam findings of TrPs?

1.palpable band/taut muscle
2. Spot TTP
3. Elicited referred pain OR RROM
4. Pain recognition

18

True or false: latent TrPs do not refer pain

False--also refer, but usually require more pressure to do so

19

What should always be done when assessing TrPs?

Neurological exam

20

What is the "spectrum of tone"?

Normal to jones pt to latent TrP, to active TrP

21

What is the role of OMT with TrPs?

Can usually treat acute pain, but chronic pain may need injections

22

What is the diagnosis if not all 4 criteria are met from TrP Dx?

Latent TrP

23

What else should be treated with TrPs?

Areas that the area affects

24

What are the additional treatments that may be utilized with TrPs besides OMT?

1. Compression
2. Spray and stretch
3. Needling of the TrP with lidocaine infiltration

25

Should you use injections, ischemic compression or spray and stretch with latent TrPs?

No

26

What is ischemic compression?

Compress for a while to develop ischemia (massage)

27

How is a spray and stretch performed?

Place muscle on stretch, and direct spray at 4 inches until entire muscle is covered

28

What are the indications for treating TrPs with injections?

Active TrPs that is:
-Refractory to other treatments OR
-Severe pain/LOF

29

What is the use of steroids with TrP?

No additional benefit, and are myotoxic

30

What is the local twitch response?

Involuntary muscle movement when the trigger point is hit with an injection needle

31

Trigger points should be followed up with what?

Home exercise programs

32

True or false: Needling without a home stretching program can be highly ineffective

True

33

How much stretching should be used with TrP injections?

Mild

34

When should strengthening of the muscle be utilized with TrPs?

Only after treatment

35

Do active myofascial TrPs cause pain and TTP only with motion, or with rest as well?

Both rest and motion

36

What happens to the muscles surrounding an active TrP?

Shortening of the muscle, as well as fatigue and decreased strength