(844) GO-CHIRO info@chiroup.com

Reading time: 4 minutes

As any evidence-based chiropractor can attest, muscular tenderness is likely the most common objective finding in clinical practice. Estimates suggest that potentially more than 9 of 10 musculoskeletal presentations will harbor myofascial trigger points, aka myofascial pain syndrome. (1) However, a small percentage of our patients experience palpatory tenderness that is not limited to isolated taut bands of muscle contracture. Widespread pain and tenderness can suggest fibromyalgia.

While myofascial pain syndrome and fibromyalgia frequently co-exist, these divergent diagnoses require significantly different management approaches.

How Do We Know?

The ChiroUp advisory team embarked on a deep dive into the essential best practices that you need to manage the most common causes of muscular symptoms successfully. Earlier this week, ChiroUp released protocol #102, a best practice synopsis of Myofascial Pain Syndrome, and in preceding months, our team of advisors also defined protocols for Fibromyalgia and Chronic Pain.

How a ChiroUp protocol is created

Clinical research team collects relevant best practice references (3 DC’s)


Author curates references & writes synopsis (1 DC)

Content creators write and record all associated assets (2 DC’s)


Advisory board & content experts review and enhance protocol (12 DC’s + DC, MD, & PhD experts)


Clinical research team updates protocols via weekly literature review (3 DC’s)

Compiling these three recent best-practice synopses required thousands of research paper reviews, hundreds of hours, and many dedicated experts. Fortunately for you, we’ve summarized the key findings in the following video and clinical infographic.

Trigger Points vs Tender Points

Watch the docs outline the current best-practices for differentiating & managing muscle pain.

Download our newest infographic that summarizes ten key clinical differentiators between fibromyalgia and myofascial pain syndrome.

Want to Learn More?

You can review ChiroUp’s complete protocols for Myofascial Pain Syndrome, Fibromyalgia, or Chronic Pain in our Condition Reference library.

Seriously – go check them out! These new protocols have dozens of additional best practice recommendations, supported by up-to-date references. And don’t forget you can create the associated patient condition reports for your patients with a couple of clicks. ⤵️


Did you know that receiving this weekly blog is not the same as being a ChiroUp subscriber?

It’s kind of like the difference between receiving the Mayo Clinic newsletter and being a Mayo Clinic Provider- two very different things.

If you like our blog, you’ll love our service.


ChiroUp is our profession’s premier knowledge-transfer resource – but only because you and more than 1000 like-minded chiropractors share your real-world best practices.  We welcome your feedback and suggestions for improvement on these or any other protocols. Scroll to the bottom of the page to leave us a comment. 

  1. Urits I, Charipova K, Gress K, Schaaf AL, Gupta S, Kiernan HC, Choi PE, Jung JW, Cornett E, Kaye AD, Viswanath O. Treatment and management of myofascial pain syndrome. Best Practice & Research Clinical Anaesthesiology. 2020 Aug 8. Link

Rate the Blog

5 / 5. Vote count: 9

No votes so far! Be the first to rate this post.

We are sorry that this post was not useful for you!

Let us improve this post!

Tell us how we can improve this post?