Much confusion exists about the treatment of trigger points. Some of this confusion has come about because of the way things are labeled. As an example... The diagnosis of fibromyalgia using criteria established by the American College of Rheumatology lists the “presence of at least 11 of 18 tender points” as an important criterion. Tender points used for the diagnosis of fibromyalgia are not the same as trigger points (TPs).

However, trigger points occur in abundance in patients with fibromyalgia.Trigger points are tender, hard knots occurring in the belly of a muscle. The affected muscle fibers are in a state of sustained physiologic contraction due to what is termed by many as “altered energy states”. Trigger points, when pressure is applied, often cause pain not only in the affected muscle but also in other more distant areas. Trigger points are created by injury or excess muscle strain. The underlying cause of trigger points is abnormal muscle physiology, not an abnormality of central pain processing which is the purported cause of fibromyalgia tender points.Trigger points are often described as being primary (active), latent, or “satellite”. The primary trigger point is the one that hurts when pressed. Primary TPs develop after injury or strain to the muscle. Latent TPs, on the other hand, are activated by the primary trigger point and refer pain to new areas. Typically these will hurt in an area distant from the primary TP. An example would be the pain associated with a stiff neck. The neck pain can be felt all the way into the back of the head or down between the shoulder blades. The pain that is felt in the back of the head and down between the middle of the shoulder blades is due to activation of latent trigger points.The only protection is to keep the mass of U-235 below a certain "critical" size. Scientists had to calculate this size—they could not experiment in a laboratory to find it out. The bomb had to be made in two parts. Each part would be below the critical size, but the two parts when brought together would be above the critical size. So the "trigger" would be some mechanism to unite the two parts.

The reaction, once it starts, runs through the entire load in about one millionth of a second. It explodes long before any but a small fraction of the material (about three-tenths of one per cent) is fission. Before the test bomb gave the answer, there was some question whether the two parts could be brought together fast enough to produce any more than a small "pop" before the first atoms blew the container to pieces. For long after the war, most details of the atomic bomb have been kept secret. But the United States government has disclosed enough to show that the newest weapons have almost unlimited powers of destruction, and that their best use should be to discourage all nations from lotion pump making war.

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