Myofascial Pain Syndrome
What is Myofascial Pain Syndrome?
Muscle ache with associated spasms and localized taut band within the
muscles mostly of the back. Pressure on the taut band could elicit
pain and are called trigger points with pain sometimes radiating to
contiguous part of the body. There is associated weakness and shortening
of the muscles affected. A very common cause of pain especially among
women aged 30-60.
Many causes include repetitive injury of the muscles, especially in
muscles not properly trained to withstand the repetitive stress, trauma
from falls and motor vehicle accidents, stressful and tense
environments, poor posture leading strain on muscles and ligaments.
Sometimes, no definitive cause could be found.
What are the treatment options?
The treatment includes intensive physical therapy with aerobic
exercises, deep massage, aquatherapy, muscle stretching especially
vapocoolant spray/stretch, heat (moist), ultrasound, electrical
stimulations and sometimes proper posture training and re-training in
proper use of the muscles to prevent future re-injury. Other treatment
options include trigger point injections/needling with local
anesthetics, medications mostly antidepressant, muscle relaxants,
anti-inflammatory and morphine derivatives and sometimes in severe cases
immunomodulators like kineret, enbrel(most commonly used in Rheumatoid
arthritis but are found to help in severe cases).