Stimulated by Reindorf et al and Song et al 2025.[1,2] Figure 1 from Reindorf et al 2025.[1] The red arrow is indicating a small right apical pneumothorax. According to the text of the case report, you are also supposed to be able to see the needle fragment, but they have not given us an arrow … Continue reading Punctured lungs and eyeballs 2025
Stimulated by Rees et al 2025.[1] IF – impact factorHIS – international headache societydoi – digital object identifierTCC – trigeminocervical complex – key to acronyms This narrative review in Cephalalgia (IF 4.6) caught my eye because the title describes a clinical conundrum I have wrestled with for most of my career. That is whether or … Continue reading Neck pain in migraine 2025
Stimulated by Steen et al 2025.[1] MPS – myofascial pain syndrome(s)PM&R – physical medicine and rehabilitationMSK – musculoskeletalLS – lumbosacralIF – impact factorTPI – trigger point injectionLA – local anaestheticDN – dry needlingSR – systematic reviewRCT – randomised controlled trialLTR – local twitch responseIMS – intramuscular stimulation – key to acronyms Review papers on MPS … Continue reading MPS 2025
Stimulated by Hoheisel et al 2025.[1] Top part of Figure 1 in Hoheisel et al 2025.[1] DRG – dorsal root ganglionFG – fluorogold or fluorochrome yellowc-fos – a protein from the Fos family widely used as a marker for neuronal activityc-fos-ir – c-fos immunoreactivityDH – dorsal horn (of the spinal cord)VLP – ventral posterolateral nucleus … Continue reading Muscle pain – a neuroanatomical basis
Stimulated by Kazue Mizumura and Toru Taguchi 2024.[1] Figure 12 from Mizumura and Taguchi 2024.[1] IF – impact factorGPT – generative pre-trained transformerDRG – dorsal root ganglionDOMS – delayed onset muscle sorenessLC – lengthening contractionEDL – extensor digitorum longusNGF – nerve growth factorGDNF – glial cell line derived neurotrophic factorASIC – acid sensing ion channelTRPV … Continue reading Muscle pain – the neurochemical basis
Stimulated by Jorgensen et al 2024.[1] This is a section from the BMAS TrP chart with referral patterns relevant to the topic of this blog. MSK – musculoskeletalLS – lumbosacralIF – impact factorEDX – electrodiagnostic medicineNCS – nerve conduction studiesMPS – myofascial pain syndromeFAI – femoroacetabular impingementTrPs – trigger points (myofascial is implied)GTPS – greater trochanteric … Continue reading MSK mimics of LS radiculopathy – part 2
Stimulated by Bateman et al 2024.[1] This is a section from the BMAS TrP chart with referral patterns relevant to the topic of this blog. MSK – musculoskeletalLS – lumbosacralIF – impact factorLBP – low back painDRG – dorsal root ganglionNCS – nerve conduction studiesEMG – electromyographyOA – osteoarthritisFAI – femoroacetabular impingementQL – quadratus lumborumICT … Continue reading MSK mimics of LS radiculopathy
Stimulated by Lee et al 2023.[1] Photo by Jonny Goerend on Unsplash, with the cover of SJPAIN superimposed in the bottom right. PCP – post cholecystectomy painCABG – coronary artery bypass graftAMPS – abdominal myofascial pain syndromeTPI – trigger point injectionPRF – pulsed radiofrequencyUS – ultrasoundLA – local anaestheticNRS – numerical rating scaleEA – electroacupuncture … Continue reading Post cholecystectomy pain
…in infraspinatus and other muscles. Stimulated by Lee et al 2023.[1] Possible TrP locations in the infraspinatus muscle based on the frequency of finding EPZs. Yellow indicates the presence of EPZs in 90% to 100% of individuals. Green indicates the presence of EPZs in 50% to 80% of individuals. This is based on data from … Continue reading Where to needle 2023
Inspired by Yehoshua et al 2023.[1] Needling upper trapezius or GB21 with a subject sitting up and an angle that is tangential to the upper ribcage (from BMAS Points Resource). MTrP – myofascial trigger pointTrP – trigger pointDN – dry needling (mostly MTrP or TrP needling)GP – general practice or general practitioner (whichever is contextually … Continue reading MTrP needling in GP 2023
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