Diagnosis of myofascial pain is made by palpation of trigger points reproducing pain that is characterized as explicitly tender and narrowly localized, aching and lingering associated with stiffness, muscle spasm or muscle weakness as well as some degree of autonomic dysfunction. Trigger point palpation and reproduction of pain is consistently noted in the masseter, levator scapulae, quadratus lumborum, and gluteus medius muscles
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