What Are Fibromyalgia Trigger Points?

fibromyalgia trigger points

Fibromyalgia trigger points, also known as fibromyalgia knots, are hard and rope-like knots that usually develop in the muscles. They can occur anywhere in the body from the neck to shoulder to arms to back to legs. Fibromyalgia trigger points can aggravate fibromyalgia pain and symptoms significantly.

Identification of Fibromyalgia Trigger Points

Trigger points are like hard lumps in one’s muscle. They are often painful especially with pressure exerted directly on the knots. Without pressure exerted directly on the knots, they can cause referred pain in the surrounding muscles. Most patients get knots on their legs, arms and knees, although it can appear almost anywhere. They can also come in groups or in most cases, as a single knot only.

Trigger points should not be confused with tender points, they are not the same. Trigger points are key symptom of Myofascial Pain Syndrome (MPS), a common condition which co-exists in fibromyalgia patients. Tender points, on the other hand, are unique to fibromyalgia and exhibit different characteristics.

Cause of Fibromyalgia Trigger Points

Fibromyalgia trigger points are often a result of lactic acid buildup in the muscles. Another cause could be a dysfunctional healing response common in fibromyalgia patients. Some medical experts found that the dysfunction of the connective tissues in fibromyalgia is what causes the knots. This is also known as the fascia inflammation and can lead to overall sensitization or pain in the body.

Treatment and Prevention of Fibromyalgia Trigger points

There are various approaches to treating fibromyalgia trigger points:

  • Gentle massage and heat compress can help to soothe and release the fibromyalgia knots. Massotherapy can also help.
  • Certain muscle relaxers like Zanaflex and Soma help to alleviate tension and pain.
  • Lyrica, a pain medication developed specifically for Massotherapy, can help to alleviate the discomfort associated with trigger points. Unfortunately, this medication cannot fix the knots.
  • Over the counter medications made of enzymes are capable of digesting proteins that cause pain and inflammation. The enzymes proved to be effective, especially for those who are sensitive to other medications.

Although there has been no proven cure for fibromyalgia knots, there are steps for prevention. Drinking lots of water can help to flush out toxins that trigger the symptoms. Taking fiber supplements can also help in flushing out the harmful toxins. Regular exercises help in keeping the lymph system moving and prevent overall pain.


  • I have had Fibromyalgia for 20 years and I can definitely tell when I am going through something stressful because when I tense up my mind and and body want to shut down. I hurt So bad that I can’t hardly get out of bed. Does this happen to anyone else? I have a really bad knot on my upper back that the doc. Just shrug and go it is muscles, but when I have a hard time breathing and use my inhaler believe it or not the pain easies up.it doesn’t go away but it does seem to help.

  • Just diagnosed with RA. Been living with Fibro for over 15 years. Now…..double the pain! I just want to let those others suffering from either condition, or possibly both, you are in my prayers. No meds have really helped me substantially, but trying to keep your spirit lifted through the pain, has. This I pray for all of you as well. Hoping you find relief….by whatever means.

  • I have fibro,ra n oa plus 5hynated disks n buldin disks also have spurs in my knees n severe bad diabetic i hurt all over cant cook or clean cauae i have such severe pain in neck n arms n back n knees i wanna end it sumtimes but keep on cause of my kids n grandkids i stay in bed all the time except to go to dr n get food i cant walk have to use electric cart i miss goin shoppin in stires but they dont have a cart so my husband who has ms does everything n we have 2 sm kids together n i e been fightin with ssi since 2005 just git denied again n am goin to appeal it cause i e gotten worse n they put me on oxycontin glad i could vent to peps who have these diseases n the worse part is i cant eat have no appetite so force to eat thanku

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