By Peter Baldry
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Additional resources for Acupuncture, Trigger Points and Musculoskeletal Pain, 3rd Edition
P A Norstedtosöner, Stockholm Hunter C 1933 Myalgia of the abdominal wall. Canadian Medical Association Journal 28: 157–161 Inman T 1858 Remarks on myalgia or muscular pain. British Medical Journal 407–408, 866–868 Kelly M 1962 Local injections for rheumatism. Medical Journal of Australia 1: 45–50 Llewellyn L J, Jones A B 1915 Fibrositis. Rebman, New York Moldofsky H 1986 Sleep and musculoskeletal pain.
They were led to believe this because of doubts concerning the significance of its physical signs, the absence of any characteristic histological appearances and the lack of any specific laboratory tests for it. Typical of this view was the one expressed by Ellman & Shaw (1950) who, during the course of discussing patients with this disorder stated: From the striking disparity between the gross nature of their symptoms and the poverty of the physical findings … it seems clear that the nature of this often very prolonged incapacity is psychiatric in the majority of cases … the patient aches in his limbs because in fact he aches in his mind.
One of these was Michael Kelly in Australia. Kelly not only adopted Kellgren’s methods of diagnosing and relieving referred pain from tender points in muscles but recorded his clinical observations in a series of valuable papers published over a period of 21 years from 1941 onwards. References to the majority of these are to be found in his last paper (Kelly 1962). MYOFASCIAL TRIGGER POINT PAIN SYNDROME The physician, however, who from the 1940s onwards has done the most to further the subject is Janet Travell (Fig.