Myofascial Trigger Points

1st Edition

Comprehensive diagnosis and treatment

Authors: Dominik Irnich
Paperback ISBN: 9780702043123
eBook ISBN: 9780702052873
Imprint: Churchill Livingstone
Published Date: 17th May 2013
Page Count: 584


Edited by Dominik Irnich, MD, this clearly written and fully illustrated multi-contributor volume offers practical, comprehensive coverage of the subject area ranging from the latest scientific research findings to practical usage of current manual therapy techniques. Including the latest information from centres of excellence throughout the world, this new book is suitable for osteopathic physicians, osteopaths, chiropractors, manual therapists, physiotherapists, acupuncturists and massage therapists as well as general physicians working in primary care, physical medicine, rehabilitation, pain management and internal medicine.

"I'm happy to say that this book is excellent and addresses all my concerns!"  Reviewed by InTouch (Physio First's journal) , Jan 2015

Key Features

  • Offers practical and clinically relevant information to all practitioners and therapists working in the field
  • Edited by an international expert in pain management and trigger point therapy
  • Abundant use of pull-out boxes, line artwork, photographs and tables facilitates ease of understanding
  • Carefully prepared by a worldwide team of clinically active and research oriented contributors to provide helpful and clinically relevant information
  • Presents the latest research findings for many aspects of trigger point therapy
  • Provides a holistic view of patient care including the importance of patient communication and psychological aspects of pain control
  • Provides a handy reference for rapid and effective diagnosis and treatment of trigger points
  • Highlights the 65 most important muscles in a comprehensive practical style which includes anatomy, symptoms, pain patterns, physical examination and strategies for effective treatment
  • Offers an ideal resource for training courses in trigger point injection, osteopathy, manual therapy and acupuncture
  • Suitable for osteopathic physicians, osteopaths, chiropractors, manual therapists, acupuncturists and massage therapists as well as general physicians working in primary care, physical medicine, rehabilitation, pain management and internal medicine

Table of Contents

Section 1 The background

1 Guide to the book

2 Terminology

3 Epidemiology

3.1 Etiology of disease

3.2 Epidemiology

4 Etiology of myofascial pain syndrome

4.1 Causative factors

4.2 Perpetuating factors of myofascial pain

4.3 Chronification of myofascial pain

5 The anatomy and physiology of the muscles

5.1 Macroscopic construction

5.2 Function

5.3 Neurophysiology

6 Pathophysiology

6.1 Historical development

6.2 Underlying theories of pathophysiology

6.3 Specific pathophysiology

6.4 The extended integrated hypothesis

7 The trigger point as expression of a functional disorder of the locomotor system

7.1 The function of the locomotor system in association with memory

7.2 Pathophysiological role of mTrP

8 Trigger points and myofascial pain - acupuncture points and meridian system

8.1 Trigger points and acupuncture points

8.2 Referred pain and meridians

8.3 Other study results

8.4 Pain and somatovisceral correspondence of trigger and acupuncture points

8.5 Summary 

9 Myofascial trigger points and fascia

9.1 Anatomy – definitions

9.2 Biomechanical function

9.3 Muscle hardening (taut bands)

9.4 Fascia as sensory organ

9.5 Association with trigger points – therapeutic considerations

10 Fibromyalgia syndrome

11 Myofascial trigger points and somatoform pain

11.1 Introduction and clinical information

11.2 Epidemiology

11.3 Etiology and pathogenesis

11.4 Differential diagnosis 

11.5 Therapy 

11.6 Health service assessment

12 Integrated holistic consideration of the muscles

12.1 Introduction </


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© Churchill Livingstone 2013
Churchill Livingstone
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About the Author

Dominik Irnich

Dominik Irnich, MD, is Head of the Interdisciplinary Pain Centre at the University of Munich and Visiting Lecturer at various Universities and Intuitions across Germany, Europe and the USA. Dr Irnich holds a Certificate of Acupuncture, a Certificate of Chinese Massage and a Certificate of Qigong (China Beijing International Acupuncture Training Centre, WHO Collaborating Centre of Traditional Chinese Medicine), a Certificate of Acupuncture (A, B) of the German Medical Acupuncture Association (DÄGfA) and a Certificate of Natural Medicine (Naturopathy) of KneippÄrztebund and is a practicing acupuncturist. Dr. Irnich is a member of faculty at different institutions: German Medical Acupuncture Association (DÄGfA), Acupuncture Course at Julius-Maximilians-University of Regensburg, KneippÄrztebund, Structural Acupuncture Course for Physicians at Harvard Medical School, Boston, USA. His fields of research include basic science research (physiology of peripheral nociception including acupuncture) and clinical research on acupuncture and pain (research methodology, clinical effectiveness). Dr Irnich has published 34 original papers, 19 chapters in different textbooks, proceedings, reviews and editorials, 43 abstracts of poster and oral presentations and has given more than 100 invited lectures.

Affiliations and Expertise

Head of the Multidisciplinary Pain Centre, Department of Anesthesiology, University of Munich, Germany


"I'm happy to say that this book is excellent and addresses all my concerns! 

The treatment section is beautifully described and takes the reader from diagnosis through to treatment and covers all areas of the body. 

To answer the question; Is this book useful to a physiotherapist in private practice I can answer with a cheery YES!"

Reviewed by: In Touch (Physio First's journal)    Date: Jan 2015