Through three outstanding editions, Travell, Simons & Donnelly’s Myofascial Pain and Dysfunction: The Trigger Point Manual has set the standard in the field of myofascial pain, dysfunction, and therapeutic modalities. In the 4th Edition, lead editor Joseph M. Donnelly brings this groundbreaking reference fully up to date with the latest research on trigger points. In a single, full-color text, both students and clinicians will benefit from an intuitive format, integrated learning aids, new digital resources, instructive photographs, and iconic pain referral pattern images.
1. Section 1: Introduction to Myofascial Pain and Dysfunction - p. 1 2. 1 Pain Sciences and Myofascial Pain - p. 2 3. 2 The Contributions of Muscles and Fascia to Myofascial Pain Syndrome - p. 31 4. 3 Trigger Point Neurophysiology - p. 43 5. 4 Perpetuating Factors for Myofascial Pain Syndrome - p. 60 6. 5 Biopsychosocial Considerations - p. 76 7. Section 2: Head and Neck Pain - p. 91 8. 6 Trapezius Muscle - p. 93 9. 7 Sternocleidomastoid Muscle - p. 107 10. 8 Masseter Muscle - p. 117 11. 9 Temporalis Muscle - p. 127 12. 10 Medial Pterygoid Muscle - p. 134 13. 11 Lateral Pterygoid Muscle - p. 141 14. 12 Digastric Muscle and Anterior Neck Muscles - p. 149 15. 13 Cutaneous I: Facial Muscles - p. 163 16. 14 Cutaneous II: Occipitofrontalis - p. 171 17. 15 Splenius Capitis and Splenius Cervicis Muscles - p. 176 18. 16 Posterior Cervical Muscles: Semispinalis Capitis, Longissimus Capitis, Semispinalis Cervicis, Multifidus, and Rotatores - p. 183 19. 17 Suboccipital Muscles - p. 193 20. 18 Clinical Considerations of Head and Neck Pain - p. 202 21. Section 3: Upper Back, Shoulder, and Arm Pain - p. 214 22. 19 Levator Scapulae Muscle - p. 216 23. 20 Scalene Muscles - p. 225 24. 21 Supraspinatus Muscle - p. 240 25. 22 Infraspinatus Muscle - p. 249 26. 23 Teres Minor Muscle - p. 260 27. 24 Latissimus Dorsi Muscle - p. 266 28. 25 Teres Major Muscle - p. 274 29. 26 Subscapularis Muscle - p. 279 30. 27 Rhomboid Minor and Major Muscles - p. 289 31. 28 Deltoid Muscle - p. 297 32. 29 Coracobrachialis Muscle - p. 307 33. 30 Biceps Brachii Muscle - p. 314 34. 31 Brachialis Muscle - p. 323 35. 32 Triceps Brachii and Anconeus Muscles - p. 328 36. 33 Clinical Considerations of Upper Back Shoulder and Arm Pain - p. 340 37. Section 4: Forearm, Wrist, and Hand Pain - p. 350 38. 34 Wrist Extensor and Brachioradialis Muscles - p. 352 39. 35 Extensor Digitorum and Extensor Indicis Muscles - p. 367 40. 36 Supinator Muscle - p. 377 41. 37 Palmaris Longus Muscle - p. 385 42. 38 Wrist and Finger Flexors in the Forearm - p. 392 43. 39 Adductor and Opponens Pollicis Muscles - p. 404 44. 40 Interosseous, Lumbrical, and Abductor Digiti Minimi Muscles - p. 412 45. 41 Clinical Considerations of Elbow, Wrist, and Hand Pain - p. 421 46. Section 5: Trunk and Pelvis Pain - p. 433 47. 42 Pectoralis Major and Subclavius Muscles - p. 435 48. 43 Sternalis Muscle - p. 449 49. 44 Pectoralis Minor Muscle - p. 454 50. 45 Intercostal and Diaphragm Muscles - p. 463 51. 46 Serratus Anterior Muscle - p. 482 52. 47 Serratus Posterior Superior and Inferior Muscles - p. 490 53. 48 Thoracolumbar Paraspinal Muscles - p. 499 54. 49 Abdominal Muscles - p. 513 55. 50 Quadratus Lumborum Muscle - p. 528 56. 51 Psoas Major, Psoas Minor, and Iliacus Muscles - p. 545 57. 52 Pelvic Floor Muscles - p. 556 58. 53 Clinical Considerations of Trunk and Pelvic Pain - p. 575 59. Section 6: Hip, Thigh, and Knee Pain - p. 589 60. 54 Gluteus Maximus Muscle - p. 591 61. 55 Gluteus Medius Muscle - p. 603 62. 56 Gluteus Minimus and Tensor Fasciae Latae Muscles - p. 614 63. 57 Piriformis, Obturator Internus, Gemelli, Obturator Externus, and Quadratus Femoris Muscles - p. 626 64. 58 Quadriceps Femoris and Sartorius Muscles - p. 641 65. 59 Adductor Longus, Adductor Brevis, Adductor Magnus, Pectineus, and Gracilis Muscles - p. 658 66. 60 Hamstring Muscles: Semitendinosus, Semimembranosus, and Biceps Femoris - p. 672 67. 61 Popliteus Muscle - p. 684 68. 62 Clinical Considerations of Hip, Thigh, and Knee Pain - p. 693 69. Section 7: Leg, Ankle, and Foot Pain - p. 704 70. 63 Tibialis Anterior Muscle - p. 706 71. 64 Fibularis Longus, Brevis, and Tertius Muscles - p. 715 72. 65 Gastrocnemius Muscle - p. 728 73. 66 Soleus and Plantaris Muscles - p. 739 74. 67 Tibialis Posterior Muscle - p. 752 75. 68 Long Toe Extensor Muscles: Extensor Digitorum Longus and Extensor Hallucis Longus - p. 761 76. 69 Long Toe Flexor Muscles: Flexor Digitorum Longus and Flexor Hallucis Longus - p. 768 77. 70 Intrinsic Muscles of the Foot - p. 776 78. 71 Clinical Considerations of Leg, Ankle, and Foot Pain - p. 790 79. Section 8: Treatment Considerations for Myofascial Pain and Dysfunction - p. 799 80. 72 Trigger Point Injection and Dry Needling - p. 800 81. 73 Manual Therapy - p. 878 82. 74 Therapeutic Exercise - p. 889 83. 75 Biophysical Agents - p. 896 84. 76 Posture - p. 913 85. 77 Footwear - p. 938 86. Index - p. 945
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Through three outstanding editions, Travell, Simons & Donnelly’s Myofascial Pain and Dysfunction: The Trigger Point Manual has set the standard in the field of myofascial pain, dysfunction, and therapeutic modalities. In the 4th Edition, lead editor Joseph M. Donnelly brings this groundbreaking reference fully up to date with the latest research on trigger points. In a single, full-color text, both students and clinicians will benefit from an intuitive format, integrated learning aids, new digital resources, instructive photographs, and iconic pain referral pattern images.
1. Section 1: Introduction to Myofascial Pain and Dysfunction - p. 1 2. 1 Pain Sciences and Myofascial Pain - p. 2 3. 2 The Contributions of Muscles and Fascia to Myofascial Pain Syndrome - p. 31 4. 3 Trigger Point Neurophysiology - p. 43 5. 4 Perpetuating Factors for Myofascial Pain Syndrome - p. 60 6. 5 Biopsychosocial Considerations - p. 76 7. Section 2: Head and Neck Pain - p. 91 8. 6 Trapezius Muscle - p. 93 9. 7 Sternocleidomastoid Muscle - p. 107 10. 8 Masseter Muscle - p. 117 11. 9 Temporalis Muscle - p. 127 12. 10 Medial Pterygoid Muscle - p. 134 13. 11 Lateral Pterygoid Muscle - p. 141 14. 12 Digastric Muscle and Anterior Neck Muscles - p. 149 15. 13 Cutaneous I: Facial Muscles - p. 163 16. 14 Cutaneous II: Occipitofrontalis - p. 171 17. 15 Splenius Capitis and Splenius Cervicis Muscles - p. 176 18. 16 Posterior Cervical Muscles: Semispinalis Capitis, Longissimus Capitis, Semispinalis Cervicis, Multifidus, and Rotatores - p. 183 19. 17 Suboccipital Muscles - p. 193 20. 18 Clinical Considerations of Head and Neck Pain - p. 202 21. Section 3: Upper Back, Shoulder, and Arm Pain - p. 214 22. 19 Levator Scapulae Muscle - p. 216 23. 20 Scalene Muscles - p. 225 24. 21 Supraspinatus Muscle - p. 240 25. 22 Infraspinatus Muscle - p. 249 26. 23 Teres Minor Muscle - p. 260 27. 24 Latissimus Dorsi Muscle - p. 266 28. 25 Teres Major Muscle - p. 274 29. 26 Subscapularis Muscle - p. 279 30. 27 Rhomboid Minor and Major Muscles - p. 289 31. 28 Deltoid Muscle - p. 297 32. 29 Coracobrachialis Muscle - p. 307 33. 30 Biceps Brachii Muscle - p. 314 34. 31 Brachialis Muscle - p. 323 35. 32 Triceps Brachii and Anconeus Muscles - p. 328 36. 33 Clinical Considerations of Upper Back Shoulder and Arm Pain - p. 340 37. Section 4: Forearm, Wrist, and Hand Pain - p. 350 38. 34 Wrist Extensor and Brachioradialis Muscles - p. 352 39. 35 Extensor Digitorum and Extensor Indicis Muscles - p. 367 40. 36 Supinator Muscle - p. 377 41. 37 Palmaris Longus Muscle - p. 385 42. 38 Wrist and Finger Flexors in the Forearm - p. 392 43. 39 Adductor and Opponens Pollicis Muscles - p. 404 44. 40 Interosseous, Lumbrical, and Abductor Digiti Minimi Muscles - p. 412 45. 41 Clinical Considerations of Elbow, Wrist, and Hand Pain - p. 421 46. Section 5: Trunk and Pelvis Pain - p. 433 47. 42 Pectoralis Major and Subclavius Muscles - p. 435 48. 43 Sternalis Muscle - p. 449 49. 44 Pectoralis Minor Muscle - p. 454 50. 45 Intercostal and Diaphragm Muscles - p. 463 51. 46 Serratus Anterior Muscle - p. 482 52. 47 Serratus Posterior Superior and Inferior Muscles - p. 490 53. 48 Thoracolumbar Paraspinal Muscles - p. 499 54. 49 Abdominal Muscles - p. 513 55. 50 Quadratus Lumborum Muscle - p. 528 56. 51 Psoas Major, Psoas Minor, and Iliacus Muscles - p. 545 57. 52 Pelvic Floor Muscles - p. 556 58. 53 Clinical Considerations of Trunk and Pelvic Pain - p. 575 59. Section 6: Hip, Thigh, and Knee Pain - p. 589 60. 54 Gluteus Maximus Muscle - p. 591 61. 55 Gluteus Medius Muscle - p. 603 62. 56 Gluteus Minimus and Tensor Fasciae Latae Muscles - p. 614 63. 57 Piriformis, Obturator Internus, Gemelli, Obturator Externus, and Quadratus Femoris Muscles - p. 626 64. 58 Quadriceps Femoris and Sartorius Muscles - p. 641 65. 59 Adductor Longus, Adductor Brevis, Adductor Magnus, Pectineus, and Gracilis Muscles - p. 658 66. 60 Hamstring Muscles: Semitendinosus, Semimembranosus, and Biceps Femoris - p. 672 67. 61 Popliteus Muscle - p. 684 68. 62 Clinical Considerations of Hip, Thigh, and Knee Pain - p. 693 69. Section 7: Leg, Ankle, and Foot Pain - p. 704 70. 63 Tibialis Anterior Muscle - p. 706 71. 64 Fibularis Longus, Brevis, and Tertius Muscles - p. 715 72. 65 Gastrocnemius Muscle - p. 728 73. 66 Soleus and Plantaris Muscles - p. 739 74. 67 Tibialis Posterior Muscle - p. 752 75. 68 Long Toe Extensor Muscles: Extensor Digitorum Longus and Extensor Hallucis Longus - p. 761 76. 69 Long Toe Flexor Muscles: Flexor Digitorum Longus and Flexor Hallucis Longus - p. 768 77. 70 Intrinsic Muscles of the Foot - p. 776 78. 71 Clinical Considerations of Leg, Ankle, and Foot Pain - p. 790 79. Section 8: Treatment Considerations for Myofascial Pain and Dysfunction - p. 799 80. 72 Trigger Point Injection and Dry Needling - p. 800 81. 73 Manual Therapy - p. 878 82. 74 Therapeutic Exercise - p. 889 83. 75 Biophysical Agents - p. 896 84. 76 Posture - p. 913 85. 77 Footwear - p. 938 86. Index - p. 945
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