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State, Not Scar · source record · paper

Biochemicals Associated With Pain and Inflammation are Elevated in Sites Near to and Remote From Active Myofascial Trigger Points

Shah, J. P.; Danoff, J. V.; Desai, M. J.; Parikh, S.; Nakamura, L. Y.; Phillips, T. M.; Gerber, L. H. · 2008

AI-verified citationSRC-SHAH-2008
identifier / locator
Archives of Physical Medicine and Rehabilitation 89(1): 16–23. DOI: 10.1016/j.apmr.2007.10.018
verification note
Confirmed via Crossref (2026-08-22 batch). Note the title's own qualifier: mediators were elevated both near to and remote from active trigger points.
reliability notes
  • NIH group, peer-reviewed, but small (the critical report's audit gives nine volunteers in this study); an earlier 2005 companion study exists in the same lineage.

Evidence drawn from this source

Supports· moderateVASO-E006

Acidic, mediator-rich biochemical milieu at active trigger points

what the source states
Microdialysis-style sampling found biochemicals associated with pain and inflammation — including bradykinin, substance P, and CGRP, in a more acidic milieu — elevated at active myofascial trigger points, in sites both near to and remote from the points, relative to comparison conditions.
what we infer
Something is there and it is chemically angry — exactly the milieu chronic local ischemia would produce, though guarding-induced compression would produce it too. Note the title's own qualifier: the elevation was not purely local.
limitations
  • Small study (the critical report's audit gives nine volunteers); localization vs systemic effects hard to separate.
Shah, J. P. (2008)AI-verified citationVASO-C005