Show Summary Details
Page of

Myofascial pain syndrome: a bogus construct 

Myofascial pain syndrome: a bogus construct
Myofascial pain syndrome: a bogus construct

John Quintner

and Milton Cohen

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 30 July 2021

Patients present complaining of pain felt within soft tissues, usually voluntary muscles, in which regions of tenderness and firmness can be detected. Palpation of these regions, termed ‘trigger points’, is reported to reproduce the pain of which they complain. The face validity of this assertion is compelling and has generated a widely but uncritically accepted clinical model, that of ‘myofascial pain’ (MP). Allied to this is a therapeutic industry that claims success for treatment directed to ‘trigger points’. This chapter does not seek to deny the phenomena of muscle pain and tenderness in the absence of an obvious or discernible source of local nociception. Rather, an examination of the tenets of MP syndrome as an explanation for those phenomena finds that it lacks both scientifically valid evidence and logically consistent argument. A replacement for the bogus construct of MPS is necessary, to advance knowledge and enhance patient care.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.