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Effects of Treatment of Myofascial Trigger Points on the Pain of Fibromyalgia

  • Maria Adele GiamberardinoEmail author
  • Giannapia Affaitati
  • Alessandra Fabrizio
  • Raffaele Costantini
Article

Abstract

Myofascial pain syndromes (MPSs) from trigger points (TrPs) and fibromyalgia syndrome (FMS) are common musculoskeletal pain conditions that frequently coexist in the same patients. In recent decades, it has become evident that these entities greatly influence each other’s clinical expression. FMS is mainly rooted in the central nervous system, while TrPs have a peripheral origin. However, the nociceptive impulses from TrPs may have significant impact on symptoms of FMS, probably by enhancing the level of central sensitization typical of this condition. Several attempts have been made to assess the effects of treatment of co-occurring TrPs in FMS. We report the outcomes of these studies showing that local extinction of TrPs in patients with fibromyalgia produces significant relief of FMS pain. Though further studies are needed, these findings suggest that assessment and treatment of concurrent TrPs in FMS should be systematically performed before any specific fibromyalgia therapy is undertaken.

Keywords

Myofascial trigger points Local injection Fibromyalgia Fibromyalgia syndrome Pain syndrome Peripheral pain generators Myofascial pain Pressure pain threshold Musculoskeletal pain Central sensitization Comorbidity Taut band Anesthetic Management Pathophysiology Tender point Antidepressants Local pain Referred pain 

Notes

Disclosures

No potential conflicts of interest relevant to this article were reported.

References

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Maria Adele Giamberardino
    • 1
    Email author
  • Giannapia Affaitati
    • 1
  • Alessandra Fabrizio
    • 1
  • Raffaele Costantini
    • 2
  1. 1.Pathophysiology of Pain Laboratory, Ce.S.I., “G. D’Annunzio” FoundationUniversity of ChietiChietiItaly
  2. 2.Institute of Surgical PathologyUniversity of ChietiChietiItaly

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