Semin Neurol 2016; 36(05): 469-473
DOI: 10.1055/s-0036-1586262
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Myofascial Trigger Point Pain Syndromes

Robert D. Gerwin
1  Department of Neurology, Johns Hopkins University School of Medicine, Bethesda, Maryland
› Author Affiliations
Further Information

Publication History

Publication Date:
23 September 2016 (online)


Myofascial pain syndromes caused by trigger points (TrPs) in muscle are a common cause of local and generalized pain. Trigger points are hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress. Stress TrPs have characteristic electromyographic features, and can be visualized with ultrasound and magnetic resonance elastography. Trigger point needling or injection can be effective in inactivating TrP, but correcting triggers is also critical.