ABSTRACT

The origin of local or referred soft tissue pain, presenting as alterations in tissue consistency and sensitivity, has long been recognized by numerous authors. Various names have been used for this condition: “cellulitis” and “panniculalgia,” for the skin and subcutaneous edema; “fibrositis,” “myogelosis,” “tendomyosis,” “myofascial pain,” “hartspann,” “trigger points,” etc., for the taut muscular bands. The distribution and mechanism for soft tissue pain reproduction are different from those of the segmental vertebral celluloperiosteomyalgic syndrome of Maigne that is described in the preceding chapter. But there is no doubt that much of the pain of myalgic cords resulting in this syndrome and disappears with vertebral treatment has been attributed by other authors to different causes.