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Strategically Streamlined National Pain Care Policy Act Resurfaces in Congress With Bipartisan Sponsorship

even in patients with other identifiable pain problems. This article will briefly review the features of trigger points and the myofascial pain syndrome and the differences between myofascial pain and fibromyalgia; and then it will explore old and new theories of the conditions’ pathophysiology, current and future treatments, and some controversies on this subject. Trigger points are spots along a taut band of muscle, identified by their location(s), their hyperirritability, and the local and referred pain they produce. The term “trigger point” first was used in 1940 by Arthur Steindler, MD, an orthopaedic surgeon and professor of orthopaedics at the University of Iowa.1 A systematic study of trigger points and the myofascial pain syndrome later was developed by Janet G. Travell, MD, 2 and colleagues. Travell was the White House physician during the Kennedy and Johnson administrations. Her work allowed identification of trigger points over the entire human body, as well as their typical patterns of pain. Textbooks, 3 charts,4,5 and websites6 are available to the clinician for easy identification of common trigger points.