Myofascial Pain Syndrome


Myofascial Pain Syndrome, Myofascial Pain, Myofascial Spasm

  • Definitions
  1. Myofascial Pain Syndrome (MPS)
    1. Localized musculoskeletal pain, typically to a few regional Trigger Points
    2. Contrast with Fibromyalgia which is diagnosed with multiple generalized Tender Points and constitutional symptoms
  • Epidemiology
  1. Very common cause of Chronic Pain
  2. Very common syndrome in general population
  3. Peak onset: ages 30 to 60 years
  • Symptoms
  1. Localized pain, limited to a few tight regions of spasm and Trigger Points
  2. Constitutional symptoms (Fatigue, Insomnia, Headache, gastrointestinal upset) are typically absent
  • Signs
  1. See Trigger Point
    1. Trigger Points central to Myofascial Pain Syndrome
  2. See Chronic Pain Evaluation
  • Differential Diagnosis
  • Management (See Chronic Pain)
  • References
  1. Fomby (1997) Physician and Sports Med 25(2):67-75