Myofacial/Muscle Pain

What is myofascial pain?

This is a chronic pain condition that involves connective tissue which is an area that covers muscles, which is called fascia.  Individuals will experience pain both at the affected site and referred pain to unrelated parts of the body.  People may have tender spots that can be experienced with pressure.

This condition can involve one or multiple muscles. Myofascial pain syndrome leads to localized pain within the muscle tissue.

The exact pathophysiology of myofascial pain is not clear.  However, it can be experienced in individuals with poor posture or injury.   It is commonly observed in individuals that are under stress and depression.

Potential symptoms that you may experience with this condition:

  • Muscle pain
  • Fatigue and exercise intolerance
  • Muscle spasms
  • Difficulty to sleep due to muscle pain
  • Poor sleep

Treatment Options for this condition:

  1. Physical therapy:
    1. Muscle stretching and strengthening
    2. Core strengthening
    3. Local ultrasound therapy
    4. Massage therapy
    5. Heat therapy
  2. Cognitive behavioral therapy (CBT)
  3. Regular Exercise regimen
  4. Yoga
  5. Medications:
    1. Anti-inflammatory therapy
    2. Nerve pain medications: Neurontin, Lyrica, Amitriptyline, Nortriptyline
    3. Medications for anxiety and depression
    4. Muscle relaxants
  6. Interventions:
    1. Trigger point injections
    2. Acupuncture
    3. TENS unit therapy