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===遗忘===记忆(患者对自己的临床病史的描述)应该是具体的。 The patient must be asked about fibromyalgia, as well as the presence of it in the family history of diseases. Also, the patient should be asked about his physical and daily activities in the presence and in the past as a lack of exercise and sedentary life may be a pathogenic factor. Furthermore, (chronic) muscle overuse, daily stress, medications (and its overuse), sleep disturbances have to be asked and examined in details.
=== Examination === In 2018, an international Delphi panel revised the TrP diagnostic approach and proposed that at least two of the following criteria must present: a taut band, a hypersensitive spot, and [[Referred Pain|referred pain]]. Palpation should be performed by moving the fingertips forward and backwards, perpendicular to the muscle fibers. Alternatively, some muscles can be palpated using a pincer grip. Once the taut band has been identified, the hypersensitive spot should be located by gently compressing spots along the taut band. Alongside palpation, clinicians should ask the following: ‘Which of the following spots is the most painful?’, ‘Is this pain part of your usual complaints?’, ‘Does the pain refer anywhere from the spot that I am compressing?’. An affirmative reply to the first question confirms the hypersensitive spot criteria. An affirmative reply to the second question confirms the pain recognition criteria; and finally, the third question confirms the presence of referred painBarbero M, Schneebeli A, Koetsier E, Maino P. [https://journals.lww.com/co-supportiveandpalliativecare/FullText/2019/09000/Myofascial_pain_syndrome_and_trigger_points_.20.aspx Myofascial pain syndrome and trigger points: evaluation and treatment in patients with musculoskeletal pain]. Current opinion in supportive and palliative care. 2019 Sep 1;13(3):270-6..
