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纤维肌痛、肌筋膜疼痛、压痛点和触发点：拆分还是合并？

Fibromyalgia, myofascial pain, tender points and trigger points: splitting or lumping?

出版信息

Arthritis Res Ther. 2011 Jun 30;13(3):117. doi: 10.1186/ar3357.

DOI:10.1186/ar3357
PMID:21722339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3218900/
Abstract

Myofascial trigger points (MTPs) have long been a contentious issue in relation to fibromyalgia, and poorly defined pain complaints in general. Can MTPs be reproducibly identified? Do MTPs have valid objective findings, such as spontaneous electromyographic activity, muscle microdialysis evidence for an inflammatory milieu or visualization with newer ultrasound techniques? Is fibromyalgia a syndrome of multiple MTPs, or is focal muscle tenderness a manifestation of central sensitization? These issues are discussed with relevance to a recent paper reporting that manual palpation of active MTPs elicits the spontaneous pain experienced by fibromyalgia patients.

摘要

肌筋膜触发点（MTP）一直是纤维肌痛和一般定义不明确的疼痛投诉的一个有争议的问题。MTP 可以被重复识别吗？MTP 是否有可靠的客观发现，如自发性肌电图活动、肌肉微透析炎症环境的证据或使用较新的超声技术进行可视化？纤维肌痛是多个 MTP 的综合征，还是局部肌肉压痛是中枢敏化的表现？本文讨论了最近一篇报道的相关问题，该报道称，主动 MTP 的手动触诊会引发纤维肌痛患者所经历的自发性疼痛。

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J Pain. 2010 Jul;11(7):644-51. doi: 10.1016/j.jpain.2009.10.006. Epub 2009 Nov 14.
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