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That is a significant leap forward from where the evidence base has sat for three decades

Scott Runyon November 25, 2025 Category Understanding Trigger Points and Muscle Pain Trigger points cause referred muscle pain that is often misattributed to other structures

However, when it does become manifest, it presents as a peripheral neuropathy which is also a complication of diabetes making it less likely to be diagnosed by symptoms alone

Piaggio G, Elbourne DR, Altman DG, Pocock SJ, Evans SJ: Reporting of noninferiority and equivalence randomized trials: an extension of the CONSORT statement

However, most cases present alongside systemic findings, such as malabsorption, anemia, pancytopenia, and variable neuropsychiatric problems [3]