Myofascial Pain Due to Trigger Points
Myofascial pain syndrome is characterized by muscle pain, spasms and tenderness. It affects the connective tissue fascia and the muscles it envelops. The pain is usually asymmetrical and can affect a single muscle or groups of muscles. Areas unrelated to the affected muscle may also become painful, a process called referred pain.
Myofascial pain syndrome usually develops in muscles that have been injured or overstressed by repetitive movements during sports or certain kinds of jobs. These muscles develop tight and tender areas called trigger points that when pressed cause pain throughout the muscle or referred pain in other parts of the body. Trigger points and myofascial pain syndrome are also common in those who lead stressful and anxious lives. Left untreated it can disrupt sleep and routine activities and could possibly lead to fibromyalgia a more serious musculoskeletal condition causing widespread pain.
When you present with the above symptoms, a complete history and physical examination is performed. Your doctor will carefully palpate the affected region to identify trigger points. Tests are performed to rule out other causes of muscle pain.
Myofascial pain syndrome is usually treated by physical therapy, medications and trigger point injections. Your doctor may recommend a combination of treatments for better symptom relief. Medications include over-the-counter pain relievers or stronger prescription drugs. Some respond well to medications that treat anxiety and depression. Your physical therapy program may include stretching, massage, heat application, ultrasound and posture training. These activities help ease muscle tension, promote circulation and strengthen the muscles around trigger points. The trigger points may be injected with an anesthetic or steroid to alleviate pain. Some find relief with acupuncture or dry needling, procedures where needles are inserted into the trigger points or other regions of the body.
Lifestyle remedies such as getting enough rest, exercising, eating a healthy diet and practicing relaxation techniques go a long way in helping you manage your symptoms.