As a consequence, no medical specialty is concerned with promoting funded research into the muscular causes of pain, and medical students and physical therapists rarely receive adequate primary training in how to recognize and treat myofascial trigger points.” (2) Muscle tissue is the “primary target of the wear and tear of daily activities, but it is the bones, joints, bursae and nerves on which physicians usually concentrate their attention.” (3) Diagnosis and treatment of acute single-muscle myofascial pain syndromes can be easier if the problem is dealt with right away. (Stockard found that 82% of graduates lacked “basic competency in musculoskeletal medicine” according to his study ( ) “Muscle is an orphan organ. Myofascial trigger points are a frequently overlooked and misunderstood source of musculoskeletal aches and pains, Why? Because most medical doctors are unqualified to care properly for most common pain and injury problems, and this has been proven by other doctors. The daily clinical practice of massage therapists, physical therapists and physicians indicate that most of our common aches and pains – and many other strang physical complaints- are actually caused by trigger points. Muscle pain is an important problem, and is the reason for many peoples pain in their bodies. Many people suffer from aches and pains, a common medical complaint, resulting in different diagnosis and treatment. This small area of contracted muscle blocks off its own blood supply, which irritates the local nociceptors (nerve cell endings that initiate the sensation of pain), a vicious cycle called an “energy crisis”. The theory of the formation of trigger points is discussed as being a small sustained contractile activity in the muscle fibers. Of course, this trigger point (TrP) does not involve any actual knots. A common name for these “muscle knots” is Myofascial Trigger Points, and you may have heard this term from your massage therapist. These hard spots in the muscle are usually sensitive when pressure is applied and can be hyper-irritable. Many people suffer from “muscle knots” that can produce pain locally or in a referral pattern to another spot on the body away from the actual site of the “muscle knot”.
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