“The Pain from Someplace Else”

Myofascial Pain and Trigger Point Therapy

3 Hours Continuing Education

Carolyn McMakin, M.A.,D.C.

Private Practice
Portland, Oregon


Physical examination:

The examination for trigger points should be performed in conjunction with a general medical and neuromusculoskeltal examination.

Patient Mobility and Posture:

Watch the patient's spontaneous posture and movements. People with active trigger points move carefully to avoid stretching the affected muscles. Does the patient use their arms and hands bilaterally? Do they turn the whole body instead of their head? Do they perform spontaneous stretching movements? Is their posture unbalanced and asymmetrical?

Neuromuscular Functions:

Cutaneous Signs:

Trigger Point examination and palpation:


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