Are tender points and trigger points the same thing?
A safe and easy way to differentiate between the two is by pain patterns. Remember, the pain of fibromyalgia syndrome is widespread, hence the tender points will also be widespread. Trigger point pain is found in a condition known as myofascial pain syndrome which may be highly localized or regional. An active trigger point will also refer pain when deeply palpated, while a tender point is more likely to just cause more pain at the local site. Also, the prognosis for trigger points is more favorable than tender points. Q: Do muscle spasms occur in Fibromyalgia Syndrome? A: When examining muscles of the FMS patient they often feel tight and like a rope that is twisted and knotted. These shortened muscles and twisted fascia biomechanically compromise blood supply to the area. Remember that fascia has a tensile strength of 2000 pounds per square inch; it’s no wonder noncompliant muscles feel so tight when they are palpated. Without a copious blood supply muscles can not relax enough to re
