//fpnotebook.com/
Myofascial Pain Syndrome
Aka: Myofascial Pain Syndrome, Myofascial Pain, Myofascial Spasm
- See Also
- Fibromyalgia
- Fibromyalgia Non-Pharmacologic Management
- Fibromyalgia Pharmacologic Management
- Chronic Pain
- Tender Points
- Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)
- Myofascial Pain Syndrome
- Eosinophilia-Myalgia Syndrome
- Temporomandibular Joint Dysfunction
- Definitions
- Myofascial Pain Syndrome (MPS)
- Localized musculoskeletal pain, typically to a few regional Trigger Points
- Contrast with Fibromyalgia which is diagnosed with multiple generalized Tender Points and constitutional symptoms
- Epidemiology
- Very common cause of Chronic Pain
- Very common syndrome in general population
- Peak onset: ages 30 to 60 years
- Symptoms
- Localized pain, limited to a few tight regions of spasm and Trigger Points
- Constitutional symptoms (Fatigue, Insomnia, Headache, gastrointestinal upset) are typically absent
- Signs
- See Trigger Point
- Trigger Points central to Myofascial Pain Syndrome
- See Chronic Pain Evaluation
- Differential Diagnosis
- See Chronic Pain Causes
- Fibromyalgia
- Management (See Chronic Pain)
- Fibromyalgia Non-Pharmacologic Management
- Fibromyalgia Pharmacologic Management
- See Stretch and Spray
- See Trigger Point Injection
- Deep Massage Therapy (20-30 pounds of force)
- Regular Exercise Program
- Aerobic Exercise
- Active and Passive Stretching
- Posture enhancing Exercises
- Medications
- NSAIDs or COX2 Inhibitors
- Tricyclic Antidepressants
- References
- Fomby (1997) Physician and Sports Med 25(2):67-75