You should be familiar with these TrPs and their pain patterns. Trigger point pain is very specific. If you suspect TrPs, ask the patient about bodywide achiness and the sleep disruption of FMS, as well as inquiring about the presence of other TrPs. TrP causes pain when walking, when turning in bed, when getting up from a chair, or when coughing or sneezing. It is often the cause of failed surgical back syndrome.
Patients get a deep lightning bolt pain from the quadratus lumborum to the front of the thigh.
Pain may extend to the groin, testes, scrotum, or down the leg like sciatica. The quadratus lumborum TrP can cause a heaviness in the hips, a cramping of the calves, and burning sensations in the legs and feet. This can cause satellite TrPs to develop in those areas. Subscapularis, infraspinatus, supraspinatus, upper trapezius, and levator scapulae TrPs often cause pain when the arms are raised overhead. The subscapularis TrP not only causes a toothache pain in the shoulder, it also refers pain to the wrists.