Good quality summaries of most important scientific papers about trigger points
Last week I published two new articles about the controversial science of trigger points, for a total of three articles and ~16,000 words on this topic:
- a heavily referenced review of the evidence that a trigger point is a “tiny cramp”
- a summary of the academic controversy about trigger point science
- the story of my own doubts and how they’ve changed over the years (this is the “main” article on this theme; it was around before but has been revised heavily)
Most of the attention was focused on the announcement, which included the highlights of my current views in about a dozen bullet points. Relatively few people have actually read the new articles, understandable given their length and density. I published these because I had to: because it’s critical to establish and maintain my credibility as an author on this topic. In that spirit, there’s one more thing I want to highlight: the insane amount of work I put into the referencing.
PainScience.com is known for good footnotes, but I really raised the bar this time, because I personally wanted to understand. (I always do, of course, but even more this time!) So I busted my ass reading and painstakingly reviewing and summarizing a lot of key science. These bibliography pages could stand alone as a series of blog posts about the science of trigger points. So, here they are, featured for their own sake. It’s not all of the relevant science, not by a long shot, but these are the highlights, the most important and/or the ones I put the most work into grokking:
- “Microscopic features and transient contraction of palpable bands in canine muscle”
- “Referred pain of peripheral nerve origin: an alternative to the "myofascial pain" construct”
- “[Morphologic study of trigger points]”
- “Endplate potentials are common to midfiber myofacial trigger points”
- “An expansion of Simons' integrated hypothesis of trigger point formation”
- “Identification and quantification of myofascial taut bands with magnetic resonance elastography”
- “Ability of magnetic resonance elastography to assess taut bands”
- “Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points”
- “A systematic, critical review of manual palpation for identifying myofascial trigger points: evidence and clinical significance”
- “Assessment of myofascial trigger points (MTrPs): a new application of ultrasound imaging and vibration sonoelastography”
- “Induction of muscle cramps by nociceptive stimulation of latent myofascial trigger points”
- “Magnetic resonance elastography: a review”
- “Myofascial trigger points: spontaneous electrical activity and its consequences for pain induction and propagation”
- “Accelerated muscle fatigability of latent myofascial trigger points in humans”
- “A critical evaluation of the trigger point phenomenon”
- “Evaluation of myofascial trigger points using infrared thermography: a critical review of the literature”
- “Reliability of different methodologies of infrared image analysis of myofascial trigger points in the upper trapezius muscle”
- “Two-dimensional ultrasound and ultrasound elastography imaging of trigger points in women with myofascial pain syndrome treated by acupuncture and electroacupuncture: a double-blinded randomized controlled pilot study”