10 Key Differences Between Trigger Points and Fibromyalgia

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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)

Trigger Points vs Tender Points

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. ⤵️

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Suggestions?

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. 

  • 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

Tim Bertelsman

Dr. Tim Bertelsman is the co-founder of ChiroUp. He graduated with honors from Logan College of Chiropractic and has been practicing in Belleville, IL since 1992. He has lectured nationally on various clinical and business topics and has been published extensively. Dr. Bertelsman has served in several leadership positions and is the former president of the Illinois Chiropractic Society. He also received ICS Chiropractor of the Year in 2019.

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