Symptoms
Sleep-disrupting myofascial pain
Trigger points often produce position-dependent pain that wakes patients at night.
Overview
Trigger points often produce position-dependent pain that wakes patients at night. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Address sleep position and mattress; treat the most reproducible muscular drivers.
Red flags — when to refer
Night pain unrelated to position, fever, weight loss — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction