Hideto Akama, MD
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Akama H.; Management of Fibromyalgia. Ann Intern Med. 2000;132:1005. doi: 10.7326/0003-4819-132-12-200006200-00020
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Published: Ann Intern Med. 2000;132(12):1005.
TO THE EDITOR:
Leventhal (1) states in the abstract of his paper that trigger-point injections of analgesics may be helpful in the management of pain associated with fibromyalgia. In the Conclusion section of the paper, however, he mentions “tender point injections.” “Tender points” and “trigger points” are distinct clinical entities (2, 3), although the two phenomena may coexist in the same patient and overlap syndromes can occur (2). “Tender points” are areas of tenderness occurring in muscle, muscle–tendon junctions, bursa, or fat pads. Tender points are considered characteristic of fibromyalgia, especially when they occur in a widespread manner (2). On the other hand, “trigger points” are defined as areas of muscle that are painful to palpation and are characterized by the presence of taut bands and the generation of a referral pattern of pain. They typically occur in a more restricted regional pattern and are indicative of the myofascial pain syndrome (2).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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