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 Trastorno no infamatorio, que se maniestapor dolor localizado y rigidez; Cuya

caracteristica principal es la presencia depuntos gatillo

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Dolormio$ascial

anda

palpa7leen el

musculoa$ectado

8n puntogatillo

9Trigger)oint:

)atroncaracteristico de dolor

re$erido

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SINTOMAS• Dolor en las zonas de irradiacion

•

Disturbios propioceptivos- Perdida del equilibrio

- Perdida coordinacion motora

- Tinitus

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• Rigidez y debilidad muscular

• enomenos autonomicos- !asoconstriccion localizada

- Sudoracion

-

Activacion pilomotora- "pi#ora

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<=<)&T>!<&

radiquinina,

serotonina

?ecrosis,

isquemia

&umento consumo de* por aumento tonomuscular

uptura de reticulo

sarcoplasmico,aumento de Ca@@,aumento

meta7olismo local

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&CTE= )EC<)<T&?TE=

>os mas comuneslos de origentraumatico

&normalidadesposturales

actoresmecanicos

relacionados conanormalidadesesqueleticas

)uede producir

&lteracionesmusculares

actorespsicologicos,

periodosprolongados destress-Depresion

Decienciasnutricionales

Vitamina /1Tiamina3, /*

1Co7alamina3, C

actores de tipoendocrinologico1Tiroides3, =onpredisponentesEduardo Vázquez-Delgado , Jordi

Cascos-omero , Cosme !ay-Escoda" #yo$ascial pain associated

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D<&!?=T<C

DIA$NOSTI%O

&>!,#ET ,=

EA &#E? ;<=<C,

B<=T ,<& C><?<C&

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Escoda" #yo$ascial pain associated

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TRATAMI"NTO• O&'"TI!O

- Restaurar la longitud normal dereposo de la (bra muscular

- "liminar puntos gatillo palpablesdentro de las bandas (brosas

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• Tratamientoindividualizado

• Iniciar con

tratamientos noinvasivos

• Terapia (sica

) Medios (sicos

*%alor)rio+- ,ltrasonido

• Tecnicas de rala-acion

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• AIN"S

• Rela-antes musculares

•

Antidepresivos

• Si NO me-ora el paciente en un

periodo de . semanas/ se debentener en cuenta procedimientosinvasivos/ en particularin(ltraciones