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Myofascial Pain
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Myofascial Pain
Amin Azhari MD, Physiatrist
Family Medicine Department
Mashhad University of Medical Sciences
azharia@mums.ac.ir
dr.aminazhari@gmail.com
Reference
Page: 695 - 6
إشزنلقخعدیاتIntroduction
Myofascial pain
- Considered a regional pain syndrome
- Caused by myofascial trigger points
Trigger points are
- Discrete, focal, hyperirritable spots
located in a taut band of skeletal muscle
- The spots are painful on compression and
can produce referred pain
إشزنلقخعدیاتDiagnosis
Diagnosis
Frequently, this is a diagnosis of exclusion, and
Other pathology should be investigated
- Bone abnormalities
- Nerve deficits
- Inflammatory disorders
Comorbidities
- Depression
- Anxiety
- Central sensitization from a previous or
coexisting injury
إشزنلقخعدیاتTreatment
Treatment
Eliminating factors perpetuating muscular overuse
Encouraging activity
More integrative approaches
- Lifestyle issues (Sleep disturbance, mood disorders, dietary
intake, stress reduction)
- Aerobic and specific exercises
- Biomechanical approaches
Modalities
- Manual therapies
- Dry needling
- Trigger point injections
Judicious use of analgesic medicines
- Acetaminophen and NSAIDs are good medication choices
for periodic use.
Chronic pain conditions: Pain that lasts more than 3 to 6 months.
Note: The ill effects of long-term immobilization and lack of
exercise with resultant deconditioning can result in a state that is worse than the original myofascial pain problem.