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Myofascial Pain and Fibromyalgia Syndromes: A Clinical Guide to Diagnosis and Management
This book is a clear and comprehensive review of current knowledge concerning the myofascial trigger point pain syndrome and fibromyalgia. It covers the pathogenesis, pathophysiology, clinical manifestations and differential diagnosis of these two closely associated muscle pain disorders. A guide to specific treatment involving trigger points is outlined in detail and supported with clear illustrations.
Features:
* Gives a clear basis for an understanding of these specific forms of pain and their development, by reviewing and summarising a wealth of available research which is otherwise scattered in a wide variety of journals and books
* Offers straightforward steps to an accurate differential diagnosis in relation to these syndromes
* Provides a guide to treatment of pain in specific parts of the body, especially in common and chronic conditions
* Offers clear and practical steps to treatment which can be applied straight into practice
* Addresses areas of growing interest and illuminates the debates about myofascial pain and fibromyalgia.
* Written by a renowned figure in this field and supported with contributions from key international figures
* Two of the world's leading authorities on fibromyalgia, Professor Yunus in the USA and Dr Inanici in Turkey, have provided a comprehensive review of current concepts concerning all the various aspects of this commonly occurring, complex, controversial and disabling disorder.
| Author: |
Peter Baldry & Professor Muhammad Yunus |
| ISBN: |
0443070032 |
| Publisher: |
Churchill Livingstone |
| Binding: |
Hardcover |
| Year Published: |
May-01 |
| Back Cover: |
In recent years there has been considerable and growing Interest across a variety of health, care professions, especially those involved with hands-on pain management, in two closely related disorders – myofascial trigger point pain syndrome and fibromyalgia syndrome. This book reviews their pathogenesis, pathophysiolgy, clinical manifestations, differential diagnosis and management.
Key features:
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| Contents: |
Contributors
Foreword
Preface
Acknowledgements
PART 1 Myofascial trigger point pain syndromes - pathophysiology and management
1. The evolution of current concepts
* Terminological confusion
* John Kellgren's observations
* Myofascial trigger point pain syndromes
* Fibromyalgia
2. Relevant neurophysiological mechanisms
* Original beliefs
* Current concepts
* Skin nociceptors
* Muscle nociceptors
* Transmission of nociceptive information to the brain
* Pathways for centripetal transmission of nociceptive information
* Brainstem's reticular formation
* Pain-modulating mechanisms
* Endogenous pain-suppressing substances
* Myofascial trigger point painsuppressing techniques
3. The emotional aspects of pain
* Emotional reactions to pain
* Anxiety-induced MTrP pain
* Pain-induced behaviour
* Assessing the emotional component of organic pain
* Psychogenic pain
* Trauma-induced MTrP pain erroneously diagnosed as emotional in origin
* Psychological effects of compensationseeking on pain
* Myofascial trigger point pain
* Morphology of skeletal muscle
* Physiological mechanisms involved in voluntary muscle contraction
* Pathophysiology of myofascial trigger points
* Perpetuation of myofascial trigger point pain
* Myofascial trigger point pain referral
* The search for myofascial trigger points
* Diagnosis of the MTrP pain syndrome
5. Nociceptive nerve pain, neuropathic pain and myofascial trigger point pain
* Pathophysiology of neuropathic pain
* Clinical manifestations of pain of neural origin
* Some diagnostic pitfalls
* Management of pain of neural origin
6. Concomitant complex regional pain and myofascial trigger point pain syndromes
* Terminology
* Aetiological factors common to CRPS type I (RSD) and the MTrP pain syndrome
* Pain-producing mechanisms common to both the MTrP pain syndrome and CRPS type I (RSD)
* Complex regional pain syndrome type I (RSD)
7. Methods of treating myofascial trigger point pain
* Deactivating myofascial trigger points
* Clinical trials
PART 2 Regional myofascial trigger point pain syndromes
8. The neck
* Cervical myofascial trigger point pain syndrome
* Cervical whiplash injuries
* Cervical spondylosis
* Cervical disc prolapse
9. The shoulder
* Primary referral of MTrP pain to the shoulder region
* Secondary development of MTrP pain
* Rotator cuff tendinitis
* Associated disorders
* Adhesive capsulitis
10. The arm
* Cervical radiculopathic and MTrP brachial pain - differential diagnosis
* Brachial pain from TrPs in neck, shoulder girdle and chest wall muscles
* Pain from TrPs in the upper arm muscles
* Pain from TrPs in the forearm's supinator, brachioradialis and hand extensor muscles
* Lateral epicondylitis (syn: tennis elbow)
* Pain from TrPs in the forearm's hand and finger flexor muscles
* Pain from TrPs in the palmaris longus and pronator teres muscles
* Medial epicondylitis
* Cubital tunnel syndrome
* Carpal tunnel syndrome
* Tenosynovitis of the wrist
* Pain from MTrPs around the thumb
* First carpornetacarpal joint osteoarthritis
* MTrP pain in the fingers
* Osteoarthritic small joints of the hand
* Management of the brachial MTrP pain syndrome
* Repetitive strain injury
* Sympathetically mediated brachial pain
11. The head and face
* Myofascial trigger point cephalalgia
* Migraine
* Tension-type headaches
* Temporo-facial pain
* Intra-articular temporomandibular joint pain
* Extra-articular temporomandibular pain
12. The lower back
* Lumbar MTrP pain syndrome
* Acute, recurrent and chronic lumbar MTrP pain
* Lumbar facet joint pain
* Lumbar facet joint syndrome
* Lumbar disc herniation pain
* Lumbar spondylosis
* Degenerative spondylolisthesis
* Lateral canal stenosis
* Neurogenic claudication
13. The lower limb
* Pain from MTrPs in the anterior, lateral and medial aspects of the thigh
* Pain from trigger points in the posterior thigh muscles
* Pain from MTrPs in the anterior compartment of the leg
* Pain from MTrPs in the lateral compartment of the leg
* Pam from MTrPs in the superficial posterior compartment of the leg
* Pain from MTrPs in the deep posterior compartment of the leg
* Pain from MTrPs in the foot
* Dorsal surface of the foot
* Plantar surface of the foot
* Heel and sole of foot pain
14. The chest wall
* Anterior chest wall MTrP pain syndrome
* Differential diagnosis
* Methods of investigating anterior chest wall pain
* Posterior chest wall MTrP pain syndrome
15. The anterior abdominal wall and pelvic floor
* Incidence
* Views concerning pathogenesis
* Anterior abdominal wall MTrP pain syndrome
* Pelvic MTrP pain
PART 3 The fibromyalgia syndrome
16. Clinical characteristics and biopathophysiological mechanisms of fibromyalgia syndrome
* Muhammad B. Yunus and Fatma Inanici
* Clinical characteristics
* Biopathophysiological mechanisms of FMS
* Disability and quality of life in FMS 368 Central sensitivity syndromes
* Summary
17. Management of fibromyalgia syndrome
* Fatma Inanicz and Muhammad B. Yunus
* Patient education and reassurance
* Addressing aggravating factors
* Non-pharmacological interventions
* Pharmacological management
* Tender point injections
* Prognosis
* Summary
Index |
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