Welcome to a guide to trigger points & myofascial pain syndrome, that has been developed to enable podiatrists to better understand the assessment, diagnosis & treatment of these clinical conditions. Please click the links below to learn more.
1.0 Introduction
2.0 What is Myofascial Pain Syndrome (MPS)?
Includes a description of trigger points & the sensory, motor and autonomic phenomena that can be seen with this pathology.3.0 Aetiology of MPS
What is thought to cause MPS?4.0 Diagnosis
Appropriate questions to ask in the patient history, and how to undertake a physical examination. This includes palpation techniques and how to interpret the physical responses elicited.5.0 Guide to Areas of Referred Pain
This interactive guide allows you to click on sections of the leg (distal to the knee) where you have found a painful area and you will then be shown possible trigger points that relate to that area.6.0 Muscles distal to the knee joint
Click on each muscle for a description of their known trigger point locations, common symptoms, examination, pain referral patterns and differential diagnoses.
6.2 Peroneus Longus, Brevis and Tertius
6.9 Extensor Digitorum Brevis and Extensor Hallucis Brevis
6.10 Abductor Digiti Mini and Flexor Digitorum Brevis
7.0 Criteria for Diagnosis of Myofascial Pain Syndrome
What clinical features are appropriate to consider when diagnosing MPS? Imaging techniques used in diagnosis are also briefly discussed.8.0 Treatment
Including foot orthoses, physical therapy and trigger point injection.9.0 Conclusion
10.0 References
11.0 Acknowledgements
