Myofascial pain syndrome is a chronic pain disorder. In this condition, pressure on sensitive points in your muscles trigger points causes pain in the muscle and sometimes in seemingly unrelated parts of your body. This is called referred pain.
It is caused by tension, fatigue, or spasm in the masticatory muscles medial or internal and lateral or external pterygoids, temporalis, and masseter. Symptoms include bruxism, pain, and tenderness in and around the masticatory apparatus or referred to other locations in the head and neck, and, often, abnormalities of jaw mobility. Diagnosis is based on history and physical examination.
Myofascial pain syndrome MPSalso known as chronic myofascial pain CMPis a syndrome characterized by chronic pain in multiple myofascial trigger points "knots" and fascial connective tissue constrictions. It can appear in any body part. Symptoms of a myofascial trigger points include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred painand limited range of motion following approximately 5 seconds of sustained trigger point pressure.
Regardless, these sore spots are as common as pimples, often alarmingly fierce, and they seem to grow like weeds around injuries. They may be a major factor in back and neck pain, as a cause, a complication, or a bit of both. Trigger point therapy mostly consists of rubbing and pressing on trigger points — which can feel like an amazing relief. Dry needling is a popular and dubious method of stabbing trigger points into submission with acupuncture needles.
While only a 3 out of 10 on the numerical pain scale, his pain seems to persist once it occurs and limits his ability to play tennis, volleyball, or weight lift at the gym. His pain rarely radiates down his arm and typically remains confined to his neck, trapezoid, and periscapular regions see photo below. A trial of massage therapy helped temporarily, but the pain seems to return once he resumes his recreational activities.
Myofascial pain syndrome is thought to be a form of muscle pain that may result from a single trauma to a muscle or from repetitive minor trauma over time. At the Virginia Spine Institute, an experienced physician will help to determine whether painful regions are indicative of myofascial pain syndrome. When trigger points are present and active, they can lead to discomfort in nearby muscles.
How are they diagnosed? ANSWER: Both of the conditions you mention are chronic pain disorders, meaning they cause pain that lasts for long periods of time and can be difficult to manage. Myofascial pain syndrome involves mainly muscular pain; whereas, fibromyalgia includes more widespread body pain, along with other symptoms, such as headachesbowel problems, fatigue and mood changes.
Most people have muscle pain from time to time. But chronic myofascial pain is a kind of ongoing or longer-lasting pain that can affect the connective tissue fascia of a muscle or group of muscles. With myofascial pain, there are areas called trigger points. Trigger points are usually in fascia or in a tight muscle.
The muscle pain present in both fibromyalgia FM and myofascial pain syndrome MPS is why these two conditions are sometimes mistaken for one another or erroneously lumped together as one condition. While FM and MPS do resemble each other, they can be easily distinguished through a careful medical history and physical exam—and a correct diagnosis is a key to moving forward with an effective treatment plan. Comparing these disorders from start what causes them to finish how they are treated can help you navigate a potential misdiagnosis or dual diagnosis.
Myofascial pain syndrome MPS refers to pain and presumed inflammation in the body's soft tissues or muscles. Myofascial pain is a chronic, painful condition that affects the fascia connective tissue that covers the muscles. Myofascial pain syndrome might involve either a single muscle or a muscle group.