By Peter Baldry
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Additional info for Acupuncture, Trigger Points and Musculoskeletal Pain, 3rd Edition
Ralph Stockman, the then Professor of Medicine at Glasgow University, seemed to provide him with the pathological confirmation he required when, on examining microscopically some nodules removed from the muscles of patients affected by this disorder, he reported the presence of ‘inflammatory hyperplasia … confined to white fibrous tissue’ (Stockman 1904). Although Stockman’s findings have never subsequently been confirmed, their publication at that particular time helped to ensure that Gowers’ term fibrositis became widely adopted.
Williams and Wilkins, Baltimore Wyke B 1987 The neurology of low back pain. In: Jayson M I V (ed) The lumbar spine and back pain, 3rd edn. Churchill Livingstone, Edinburgh, p. qxd 11*10*04 10:15 Page 37 37 Chapter 5 Evolution of knowledge concerning muscle pain syndromes for which it is employed INTRODUCTION CHAPTER CONTENTS Introduction 37 Some 19th and early 20th century observations concerning a muscle pain disorder initially called muscular rheumatism and subsequently fibrositis 37–40 The introduction of a variety of other names for the disorder during the first half of the 20th century 40–41 Observations during the 1950s that led to the recognition of the disorder – myofascial trigger point pain syndrome.
By that time two British physicians, Balfour (1815) and Scudamore (1827) had put forward the idea that the pain of muscular rheumatism occurs as the result of inflammation developing in the fibrous connective tissue in muscle. This concept differed from the one held by 19th-century German and Scandinavian physicians who believed that the pain develops as the result of an inflammatory process in the muscle itself. Nevertheless, it was one that was to persist throughout England and France for the rest of that century and in 1904 caused Sir William Gowers to recommend that the disorder hitherto known as muscular rheumatism should be called fibrositis.
Acupuncture, Trigger Points and Musculoskeletal Pain, 3rd Edition by Peter Baldry