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8 June 2026

  • 21:0721:07, 8 June 2026 DiagnosticTree/BaseOfThumbAndRadialHand (hist | edit) [58,299 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Base-of-Thumb and Radial Hand Pain", "description": "Probabilistic scoring model for pain at the base of the thumb and the radial side of the hand. The anchor is the brachialis, an arm muscle whose trigger points refer precisely to the base of the thumb with the telltale dissociation that thumb movement hurts while elbow movement does not. Other proximal radial referrers - supinator, brachioradi...")
  • 13:3713:37, 8 June 2026 DiagnosticTree/DorsalFinger (hist | edit) [44,355 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Dorsal Finger Pain", "description": "Probabilistic scoring model for dorsal finger pain. The primary referrers are local and intrinsic - extensor digitorum (to the specific finger), the first dorsal interosseous, and abductor digiti minimi - together with the scaleni, which seed satellite extensor trigger points and drive a C8 hand pattern. Four proximal shoulder-girdle and chest muscles (pector...")

6 June 2026

  • 16:3016:30, 6 June 2026 DiagnosticTree/DorsalForearm (hist | edit) [43,936 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Dorsal Forearm Pain", "description": "Probabilistic scoring model for dorsal forearm pain. Eight equal-prior sources: three triceps brachii trigger points (long head, medial head, and lateral head) that each reach the dorsal forearm by a different route, the radial wrist extensors (longus and brevis), and three proximal sources whose pain spills to the dorsal forearm - teres major, coracobrachia...")
  • 06:1206:12, 6 June 2026 DiagnosticTree/DorsalWristAndHand (hist | edit) [59,260 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Dorsal Wrist and Hand Pain", "description": "Probabilistic scoring model for dorsal wrist and hand pain. Sources span four zones: the local forearm extensor mass (extensor carpi radialis brevis - the principal referrer - and longus, extensor digitorum, extensor indicis, extensor carpi ulnaris), an intrinsic hand muscle (first dorsal interosseous), the neck (scalenus minimus), and the shoulder gi...")

5 June 2026

  • 21:4921:49, 5 June 2026 DiagnosticTree/LateralEpicondyle (hist | edit) [45,692 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Lateral Epicondyle Pain", "description": "Probabilistic scoring model for lateral epicondyle / lateral elbow pain. Seven muscles from T&S Vol.1, all primary (bold) referrers to the lateral epicondyle: Supinator, Brachioradialis, Extensor Carpi Radialis, Triceps Brachii (lateral head), Supraspinatus, the ring and little finger fibres of Extensor Digitorum, and Anconeus. Structural differential fr...")
  • 21:4721:47, 5 June 2026 DiagnosticTree/Lateral Epicondyle (hist | edit) [36,797 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Lateral Epicondyle Pain", "description": "Probabilistic scoring model for lateral epicondyle / lateral elbow pain. Seven muscles from T&S Vol.1, all primary (bold) referrers to the lateral epicondyle: Supinator, Brachioradialis, Extensor Carpi Radialis, Triceps Brachii (lateral head), Supraspinatus, the ring and little finger fibres of Extensor Digitorum, and Anconeus. Structural differential fr...")
  • 21:0821:08, 5 June 2026 DiagnosticTree/MedialEpicondyle (hist | edit) [32,159 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region_label": "Medial Epicondyle Pain", "description": "Probabilistic scoring model for medial epicondyle / medial elbow pain. Muscles from T&S Vol.1: Triceps Brachii deep medial head (TrP5, refers directly to the medial epicondyle), and four chest-wall / posterior thorax muscles whose referred pain reaches the medial epicondyle as spillover - Pectoralis Major (sternal section), Pectoralis Minor, Serratus Ante...")
  • 16:2316:23, 5 June 2026 DiagnosticTree/Olecranon (hist | edit) [25,189 bytes] Yatreyu (talk | contribs) (Created page with "== Olecranon / Posterior Elbow Pain — Diagnostic Algorithm == This algorithm uses a Bayesian scoring model to rank the two myofascial trigger point (TrP) sources of '''posterior elbow and olecranon pain''' most likely to be responsible. It is designed to be used '''after structural diagnoses have been considered''' (see red flags and broad differential on Pain:Olecranon). The two muscles in this model were selected from Travell & Simons because they are the prima...")

28 May 2026

  • 20:5220:52, 28 May 2026 Forearm & Hand (hist | edit) [2,321 bytes] Yatreyu (talk | contribs) (Created page with "<gallery> ArmRegionV1.jpg|Caption1 Example.jpg|Caption2 </gallery>")
  • 19:5419:54, 28 May 2026 DiagnosticTree/Antecubital (hist | edit) [30,236 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "region": "Antecubital", "description": "Probabilistic scoring model for antecubital (anterior elbow) pain using Bayesian likelihood ratio updating with Thurstonian pairwise tiebreakers. Muscles drawn from T&S Vol.1 Ch.30 (Biceps Brachii), Ch.31 (Brachialis), Ch.34 (Brachioradialis), Ch.36 (Supinator), Ch.22 (Infraspinatus referred), Ch.20 (Scalenes referred), Ch.29 (Coracobrachialis referred). Brachioradialis a...")
  • 08:3308:33, 28 May 2026 Concept:Postural Considerations (hist | edit) [14,406 bytes] Yatreyu (talk | contribs) (Created page with "Poor posture is one of the most powerful activators and perpetuators of myofascial trigger points (TrPs). The relationship is bidirectional: TrPs shorten muscles that distort posture, and distorted posture sustains the mechanical overload that perpetuates the TrPs. Correction of postural faults is therefore not merely adjunctive — for many patients it is the essential prerequisite for lasting treatment success. This page summarises the practical postural guidance from...")

26 May 2026

  • 21:1521:15, 26 May 2026 DiagnosticTree/FrontOfArm (hist | edit) [56,134 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "description": "Probabilistic scoring model for front-of-arm pain using Bayesian likelihood ratio updating with Thurstonian pairwise tiebreakers. Muscles drawn from T&S Vol.1 Ch.18 (Overview: Upper Back, Shoulder, and Arm) and individual chapters. Bold muscles carry higher priors (0.12); regular-weight muscles carry lower priors (0.08). Triceps TrP5 = medial head, referring to medial epicondyle and medial forearm....")
  • 21:0321:03, 26 May 2026 DiagnosticTree/AnteriorShoulder (hist | edit) [40,024 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "description": "Probabilistic scoring model for anterior shoulder pain using Bayesian likelihood ratio updating with Thurstonian pairwise tiebreakers. Muscles drawn from T&S Vol.1 Ch.18 (Overview: Upper Back, Shoulder, and Arm) and individual chapters. Bold muscles carry higher priors (0.1); regular-weight muscles carry lower priors (0.066667). Subclavius is addressed within the pectoralis major entry per T&S chap...")
  • 20:4920:49, 26 May 2026 DiagnosticTree/MidThoracicBack (hist | edit) [34,736 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "description": "Probabilistic scoring model for mid-thoracic back pain using Bayesian likelihood ratio updating with Thurstonian pairwise tiebreakers. Muscles drawn from T&S Vol.1 Ch.18 (Overview: Upper Back, Shoulder, and Arm) and relevant individual chapters. Bold muscles carry higher priors (0.096774); regular-weight muscles carry lower priors (0.064516). Multifidi and Multifidus are treated as one entry (same...")

25 May 2026

22 May 2026

  • 17:0517:05, 22 May 2026 DiagnosticTree/UpperThoracicBackPain (hist | edit) [28,411 bytes] Yatreyu (talk | contribs) (Created page with "{ "model": "bayesian_lr_scoring", "version": "1.0", "description": "Probabilistic scoring tree for upper thoracic back pain using Bayesian likelihood ratio updating with Thurstonian pairwise tiebreakers", "thresholds": { "early_exit_posterior": 0.55, "early_exit_gap": 0.18, "pairwise_trigger": 0.22 }, "muscles": { "trapezius_trp2": { "label": "Upper Trapezius", "prior": 0.18, "page": "Muscle:Trapezius", "key_trp_note":...")

21 May 2026

  • 18:3418:34, 21 May 2026 DiagnosticTree/UpperThoracic (hist | edit) [57,687 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "upper-thoracic-back-pain", "region": "Upper Thoracic Back Pain", "version": "1.0", "start": "screen-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Spinal cord compression / Myelopathy", "question": "Is there bilateral arm weakness or numbness, difficulty walking, loss of bladder or bowel control, or a sense of a band of tightness around the chest?", "rationale": "Upper thoracic cord compressi...")

10 May 2026

  • 10:5510:55, 10 May 2026 DiagnosticTree/ThroatFrontofNeck (hist | edit) [33,549 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "throat-front-neck-pain", "region": "Throat and Front-of-Neck Pain", "start": "agg-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Airway compromise / Ludwig's angina", "question": "Is there rapidly progressive swelling of the floor of the mouth, submandibular or anterior neck region, with difficulty breathing, stridor, or inability to swallow saliva?", "rationale": "Ludwig's angina and other dee...")
  • 10:3410:34, 10 May 2026 DiagnosticTree/BackofNeck (hist | edit) [47,044 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "back-of-neck-pain", "region": "Back-of-Neck Pain", "start": "agg-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Cervical myelopathy", "question": "Is there neck pain with bilateral arm or leg weakness, gait disturbance, loss of hand dexterity, or bowel/bladder dysfunction?", "rationale": "Cervical cord compression from stenosis, disc prolapse, or instability can present as posterior neck pain w...")

9 May 2026

  • 19:4019:40, 9 May 2026 DiagnosticTree/Toothache (hist | edit) [36,834 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "toothache", "region": "Toothache (Myofascial)", "start": "dental-screen-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Ludwig's angina / deep space infection", "question": "Is there rapidly progressive swelling of the floor of the mouth, submandibular or sublingual region, with fever, difficulty swallowing or breathing, trismus, and systemic illness?", "rationale": "Ludwig's angina is a life-th...")
  • 18:5618:56, 9 May 2026 DiagnosticTree/Temporal (hist | edit) [44,081 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "temporal-headache", "region": "Temporal Headache", "start": "agg-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Thunderclap headache", "question": "Did the headache reach maximum intensity within seconds to a minute — described as the worst headache of the patient's life, or like a blow to the head?", "rationale": "Subarachnoid haemorrhage presents as thunderclap headache. Any instantaneous-o...")

8 May 2026

  • 09:2209:22, 8 May 2026 DiagnosticTree/CheekJaw (hist | edit) [70,045 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "cheek-and-jaw-demo", "region": "Cheek and Jaw Pain — Multi-Option Demo", "start": "agg-1", "nodes": { "agg-1": { "type": "choice", "question": "What is the PRIMARY activity that aggravates or reproduces the cheek or jaw pain?", "clinical_rationale": "Identifying the primary aggravator at the first step routes directly to the correct muscle group, skipping 2–3 binary questions.", "options": [ { "lab...")

7 May 2026

  • 22:2622:26, 7 May 2026 DiagnosticTree/EyeEyebrow (hist | edit) [54,155 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "eye-eyebrow", "region": "Eye and Eyebrow Pain", "start": "rf-screen", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Acute angle-closure glaucoma", "question": "Is there sudden severe eye pain with blurred vision, halos around lights, nausea, or a fixed mid-dilated pupil?", "rationale": "Acute angle-closure glaucoma causes rapid irreversible vision loss — hours matter", "action": "Emergen...")
  • 22:1222:12, 7 May 2026 DiagnosticTree/FrontalHeadache (hist | edit) [27,738 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "frontal-headache", "region": "Frontal Headache", "start": "rom-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Thunderclap headache — subarachnoid haemorrhage", "question": "Did this headache reach maximum severity within seconds to minutes — described as 'the worst headache of my life'?", "rationale": "Sudden-onset severe headache is the cardinal symptom of subarachnoid haemorrhage until pr...")
  • 12:5212:52, 7 May 2026 DiagnosticTree/BackofHead (hist | edit) [60,034 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "back-of-head", "region": "Back-of-Head & Occipital Pain", "start": "rom-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Subarachnoid haemorrhage", "question": "Did the headache begin suddenly and reach maximum intensity within seconds to a couple of minutes — a 'thunderclap' headache unlike any before?", "rationale": "Sudden-onset severe headache is a subarachnoid haemorrhage until proven othe...")

1 May 2026

27 April 2026

19 April 2026

  • 17:0617:06, 19 April 2026 Concept:Trigger Point (hist | edit) [55,871 bytes] Yatreyu (talk | contribs) (Created page with "=General Overview of Myofascial Trigger Points = ---- == A. Background == === Prevalence === Myofascial trigger points (TrPs) are extremely common and become a painful part of nearly everyone's life at some time or another. '''Latent TrPs''', which often cause motor dysfunction (stiffness and restricted range of motion) without pain, are far more common than '''active TrPs''', which additionally cause pain. Among 200 unselected asymptomatic young adults, focal tender...") Tag: Visual edit: Switched
  • 12:4312:43, 19 April 2026 Concept:Hypometabolism and TrPs (hist | edit) [24,165 bytes] Yatreyu (talk | contribs) (Created page with "'''Hypometabolism''' (thyroid inadequacy) describes the condition of someone whose serum levels of thyroid hormones are in the low euthyroid range, or just below the "normal" two standard deviation limit. It is covered in depth as a perpetuating factor for myofascial trigger points (TrPs) because, when present, the results of specific therapy for myofascial pain syndrome (MPS) can be '''utterly frustrating''' until the hypometabolism is corrected — patients obtain only...")
  • 12:4312:43, 19 April 2026 Concept:Calcium and TrPs (hist | edit) [15,812 bytes] Yatreyu (talk | contribs) (Created page with "'''Calcium''' is the most abundant mineral in the human body and is essential to muscle contraction, nerve impulse transmission, and the release of acetylcholine (ACh) at the neuromuscular junction — making it directly relevant to the trigger point (TrP) mechanism. Calcium ions control the molecular machinery that initiates and terminates the actin-myosin interaction at the heart of every muscle twitch, and their dysregulation at the motor endplate is central to the hy...")
  • 12:4212:42, 19 April 2026 Concept:Iron and TrPs (hist | edit) [15,340 bytes] Yatreyu (talk | contribs) (Created page with "'''Iron''' is an essential mineral whose deficiency is estimated to be present in 9–11% of adolescent girls and women of childbearing age in the United States — making it the most prevalent micronutrient deficiency in the developed world. Iron deficiency increases the irritability of myofascial trigger points (TrPs) through multiple mechanisms: it impairs oxygen transport to muscle, disrupts oxidative phosphorylation in mitochondria, impairs thermoregulation, disturb...")
  • 12:4212:42, 19 April 2026 Concept:Vitamin C and TrPs (hist | edit) [18,709 bytes] Yatreyu (talk | contribs) (Created page with "'''Vitamin C (ascorbic acid; L-ascorbic acid)''' is a water-soluble vitamin of major clinical importance to the muscles because it can prevent much postexercise muscle soreness or stiffness, corrects the increase in capillary fragility associated with ascorbic acid deficiency, and interacts strongly with numerous other vitamins important to muscle function. It is the only reducing substance that specifically regulates dopamine beta-monooxygenase activity in chromaffin ce...")
  • 12:4212:42, 19 April 2026 Concept:Folic Acid and TrPs (hist | edit) [20,091 bytes] Yatreyu (talk | contribs) (Created page with "'''Folic acid''' (pteroylglutamic acid; folate; folacin) is a water-soluble B-complex vitamin whose insufficiency is '''the most common vitamin inadequacy''' and among those most likely to perpetuate myofascial trigger points (TrPs). Its metabolism is inseparably intertwined with that of vitamin B₁₂ — the two vitamins share critical pathways, and treatment of one without establishing the status of the other risks precipitating a deficiency of the second. This page...")
  • 12:4212:42, 19 April 2026 Concept:Vitamin B12 Cobalamin and TrPs (hist | edit) [25,510 bytes] Yatreyu (talk | contribs) (Created page with "'''Vitamin B₁₂ (cobalamin)''' is one of the most structurally complex of all vitamins and the only one whose only primary food source is bacteria. It is considered together with folic acid because their metabolism and function are intimately linked — the two independently essential enzyme cofactors share critical pathways, and deficiency of one can mask or precipitate deficiency of the other. Both are required for DNA synthesis, and inadequacy of either aggravates...")
  • 12:4112:41, 19 April 2026 Concept:Vitamin B1 Thiamine and TrPs (hist | edit) [14,925 bytes] Yatreyu (talk | contribs) (Created page with "'''Vitamin B₁ (thiamine)''' is an essential water-soluble vitamin whose primary biological role is in the oxidative metabolism of glucose. It is the vitamin most directly linked to the energy crisis at the heart of myofascial trigger point (TrP) pathophysiology. Thiamine insufficiency increases the susceptibility of muscles to TrPs that are resistant to local therapy until the serum thiamine level is raised to the mean normal level or above. Thiamine has been relative...")
  • 12:4112:41, 19 April 2026 Concept:Vitamin B6 Pyridoxine and TrPs (hist | edit) [16,094 bytes] Yatreyu (talk | contribs) (Created page with "'''Vitamin B₆ (pyridoxine)''' is considered the single most important vitamin in myofascial pain syndrome (MPS) because of its role in energy metabolism, in nerve function, and critically in the '''synthesis and/or metabolism of nearly all the neurotransmitters'''. It is also essential to the metabolism of many proteins, including several neurotransmitters. Pyridoxine deficiency is almost never found alone — it usually occurs with deficiency of other B-complex vitami...")
  • 12:2912:29, 19 April 2026 Concept:Perpetuating Factors (hist | edit) [9,518 bytes] Yatreyu (talk | contribs) (Created page with "'''Perpetuating factors''' are the systemic, structural, metabolic, and psychological conditions that keep myofascial trigger points (TrPs) active and prevent them from resolving spontaneously or with specific local treatment. Recognition and correction of perpetuating factors is, according to Travell and Simons, '''the most important single aspect''' of myofascial pain management, and the most neglected. The clinical importance of this concept is illustrated by the apo...")
  • 11:3511:35, 19 April 2026 Vertex Headache (hist | edit) [34 bytes] Yatreyu (talk | contribs) (Redirected page to Pain:Vertex Headache) Tag: New redirect
  • 11:3211:32, 19 April 2026 DiagnosticTree/Vertex (hist | edit) [20,860 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "head-neck", "region": "Head and Neck Pain \u2014 Myofascial", "start": "rom-1", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Subarachnoid Haemorrhage", "question": "Sudden-onset thunderclap headache \u2014 the worst headache of the patient\u2019s life, reaching maximal intensity within seconds to a minute; may be accompanied by neck stiffness, vomiting, photophobia, or brief loss of consciousness?",...")
  • 01:2001:20, 19 April 2026 DiagnosticTree/Chest (hist | edit) [40,421 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "chest", "region": "Chest Pain — Myofascial", "start": "rf-screen", "redflags": { "instruction": "Screen ALL THREE groups before proceeding. If ANY feature within a group is present, act on that group's action immediately — do not continue to the myofascial algorithm.", "cardiac": { "id": "rf-cardiac", "label": "Cardiac & Vascular Emergencies", "screen_question": "Are ANY of the following present?", "conditions"...")
  • 01:1401:14, 19 April 2026 Chest Pain Algorithm (hist | edit) [41,584 bytes] Yatreyu (talk | contribs) (Created page with "{ "tree_id": "chest", "region": "Chest Pain — Myofascial", "start": "rf-screen", "redflags": { "emergency": [ { "id": "rf-e1", "label": "Acute Myocardial Infarction / Cardiac Ischaemia", "question": "Is there crushing, pressure, or squeezing chest pain radiating to the left arm or jaw, with associated sweating, nausea, or shortness of breath?", "rationale": "Myofascial chest pain can closely mimic cardiac ischaemia. Ca...")
  • 00:1800:18, 19 April 2026 Torso (hist | edit) [1,148 bytes] Yatreyu (talk | contribs) (Created page with "<gallery> Example.jpg|Caption1 Example.jpg|Caption2 </gallery>")

11 April 2026

  • 18:0618:06, 11 April 2026 DiagnosticTree/EarTMJ (hist | edit) [36,587 bytes] Yatreyu (talk | contribs) (Created page with "   "tree_id": "ear-tmj",   "region": "Ear & Temporomandibular Joint Pain",   "muscles_in_differential": [     "SCM (Clavicular head)", "Masseter", "Medial Pterygoid", "Lateral Pterygoid"   ],   "start": "emergency-1",   "nodes": {     "emergency-1": {       "type": "emergency",       "question": "Is there fever, acute hearing loss, or purulent ear discharge?",       "clinical_rationale": "Acute otitis media or mastoiditis — requires urgent...") Tag: Visual edit
  • 18:0118:01, 11 April 2026 Pain:Ear and TMJ (hist | edit) [94 bytes] Yatreyu (talk | contribs) (Created page with "<nowiki><div class="diagnostic-tree-host" data-tree-page="DiagnosticTree/EarTMJ"></div></nowiki>") Tag: Visual edit originally created as "Ear & Temporomandibular Joint"
  • 17:5717:57, 11 April 2026 Data:DiagnosticTree/EarTMJ (hist | edit) [11,097 bytes] Yatreyu (talk | contribs) (Created page with "https://painwiki.com/wiki/index.php?title=Data:DiagnosticTree/EarTMJ&action=edit")
  • 17:2317:23, 11 April 2026 Head & Neck (hist | edit) [3,599 bytes] Yatreyu (talk | contribs) (Created page with "Click on the Homunculous in the area of concerning pain<imagemap> File:HeadRegion.png|750px|Head & Neck poly 213 156 317 171 396 171 501 159 564 154 538 119 455 84 382 84 319 104 240 131 215 152 705 154 945 142 1212 127 1363 175 1315 180 1221 182 1104 179 1006 167 937 167 914 159 973 132 1048 125 1108 121 1188 121 1188 127 1119 134 Vertex Pain poly 415 171 426 367 612 353 597 278 557 219 553 163 641 165 914 165 998 173 972 372 866 365 904 255 877 211 897 1...") Tag: Visual edit
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