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By Carol & Richard Eustice, About.com Guides to Arthritis since 1997

Fibromyalgia Trigger Points

Wednesday July 20, 2005
Fibromyalgia trigger points are specific places on the body (18 specific points at 9 bilateral locations) that are exceptionally sensitive to the touch in people with fibromyalgia upon examination by a doctor. Fibromyalgia trigger points exist at these nine bilateral muscle locations:

  • Low cervical region: (front neck area) at anterior aspect of the interspaces between the transverse processes of C5-C7.
  • Second rib: (front chest area) at second costochondral junctions.
  • Occiput: (back of the neck) at suboccipital muscle insertions.
  • Trapezius muscle: (back shoulder area) at midpoint of the upper border.
  • Supraspinatus muscle: (shoulder blade area) above the medial border of the scapular spine.
  • Lateral epicondyle: (elbow area) 2 cm distal to the lateral epicondyle.
  • Gluteal: (rear end) at upper outer quadrant of the buttocks.
  • Greater trochanter: (rear hip) posterior to the greater trochanteric prominence.
  • Knee: (knee area) at the medial fat pad proximal to the joint line.
  • See: Fibromyalgia Trigger Points

Fibromyalgia trigger points are also called tender points. According to AAFP, fibromyalgia trigger points is an incorrect term since referred pain differentiates trigger points from tender points.

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