A correct diagnosis is key to moving forward with an effective treatment plan.

Scientists, however, have explored many plausible theories.

A trigger point represents a taut band of muscle.

Doctor Discussion Guide Woman

Julie Bang / Verywell

Trigger points typically form after the tissue is injured and, for some reason, doesn’t heal properly.

Experts don’t know why damage that heals normally in most people causes trigger points in others.

Tender Points in Fibromyalgia

FM is diagnosed primarily on a person’s report of widespread pain.

In addition, the tender points of FM do not refer pain like the trigger points of MPS do.

Likewise, athyroid-stimulating hormone (TSH) testmay be ordered to rule out thyroid disease.

Both test results should be normal in FM.

As with MPS, there is no imaging test or scan to make or confirm a diagnosis of FM.

Get our printable guide for your next doctor’s appointment to help you ask the right questions.

MPS Therapies

The primary treatment of MPS is atrigger-point injection, sometimes called dry needling.

The doctor may also inject a pain-relieving medication, such as lidocaine.

Physical Therapy

A special kind of therapy called spray-and-stretch is common for treating MPS.

A physical therapist guides you through stretching exercises while spraying a numbing substance on your muscle.

The therapist may also use certain massage techniques to loosen your muscles and trigger points.

In addition, a therapist can work with you on factors such aspoor posturethat may contribute to MPS.

The anticonvulsant Lyrica (pregabalin) may also be considered in the treatment of fibromyalgia.

Yoga, cognitive-behavioral therapy, and biofeedback may also provide benefits for those with FM.

Proper diagnosis is necessary to receive the right treatment.

For people with FM, a treatment plan may include antidepressants, physical therapy, and an exercise routine.

2018;62(1):26-41.

Eller-Smith OC, Nicol AL, Christianson JA.Potential mechanisms underlying centralized pain and emerging therapeutic interventions.Frontiers in cellular neuroscience.

2012;2012:426130. doi:10.1155/2012/426130

Chandola HC, Chakraborty A.Fibromyalgia and myofascial pain syndrome-a dilemma.Indian journal of anaesthesia.

2009;53(5):575-81.

2018;20(1):53-62.

Arnold LM, Clauw DJ, McCarberg BH.Improving the recognition and diagnosis of fibromyalgia.Mayo Clinic proceedings.

2013;2(1):21-36. doi:10.1007/s40122-013-0006-y

Goldenberg DL.

Using Multidisciplinary Care to Treat Fibromyalgia.J.

2009;70(5):e13-.

doi:10.4088/jcp.7073cc6c

Kia S, Choy E.Update on treatment guideline in fibromyalgia syndrome with focus on pharmacology.Biomedicines.

2017;5(2).

2013;2(1):21-36.