Health Library Logo

Health Library

Myofascial Pain Syndrome

Overview

Myofascial pain syndrome is a persistent pain problem. It affects the muscles and the thin tissue layer that surrounds and supports them, called fascia. Tiny, sensitive spots within these muscles and fascia are called trigger points. Pressure on these trigger points can cause pain, and sometimes that pain is felt in a different part of the body. This is called referred pain. Common places where the pain is felt include the shoulders, back, head (tension headaches), and face.

This type of pain often develops after a muscle is repeatedly strained or overworked. Repetitive movements, like those used in certain jobs or hobbies, can be a factor. Stress, poor posture, and weak muscles can also contribute to muscle tension and trigger points. In some cases, the exact cause of myofascial pain is unclear. While most people have experienced muscle tension aches, the pain associated with myofascial pain syndrome doesn't go away on its own.

Fortunately, there are treatments available. These can include:

  • Exercise: Strengthening the affected muscles can help prevent future pain and improve overall muscle health.
  • Massage: Massage therapy can help release tension in the muscles and trigger points.
  • Physical therapy: A physical therapist can develop a personalized treatment plan to address the specific causes of your pain and improve flexibility. This might include stretching and strengthening exercises, as well as other techniques to improve posture.
  • Trigger point injections: In some cases, a doctor might inject a medicine directly into the trigger points to reduce pain and inflammation.
  • Pain medication: Over-the-counter or prescription pain relievers can help manage the discomfort.
  • Relaxation techniques: Stress management techniques, such as meditation or deep breathing exercises, can help reduce muscle tension and lessen pain.

It's important to note that if you're experiencing persistent muscle pain, it's crucial to consult a healthcare professional for a proper diagnosis and personalized treatment plan.

Symptoms

Myofascial pain syndrome can cause some uncomfortable symptoms. One common symptom is a deep, persistent ache in a muscle. This pain often doesn't improve or may even worsen over time. You might also feel a tight, sensitive spot, or "knot," in the muscle. The pain can make it hard to sleep. Sometimes, people with this condition also feel generally unwell, or have a feeling of malaise. Fatigue, or tiredness, is another possible symptom.

Many people experience muscle pain occasionally. However, if your muscle pain doesn't get better with rest, simple massages, or other self-care techniques, it's important to see a doctor or other healthcare provider. They can properly diagnose the problem and recommend the best course of treatment.

When to see a doctor

Muscle aches are common. Many people experience them occasionally. If your muscle pain persists even after resting, getting a massage, or trying other home remedies, it's a good idea to see a doctor. Don't ignore persistent muscle pain; a healthcare professional can help determine the cause and recommend the best course of action.

Causes

Myofascial pain syndrome is a condition where people experience pain in their muscles. Scientists don't know exactly what causes it. But it's thought that tight spots in the muscles, called trigger points, are involved. These trigger points are often formed when muscles are used too much, especially if the movements aren't done correctly. Injuries to the muscles and stress can also contribute to the development of trigger points.

Risk factors

Myofascial pain syndrome happens when tight muscles create "trigger points." These trigger points can cause pain. Several things can increase your risk of developing these trigger points:

  • Muscle injuries and overuse: If you injure a muscle, or if you repeatedly use a muscle in a way that puts stress on it, you can create trigger points. For example, a strained muscle might develop a trigger point in or near the area of the strain. Repetitive motions and bad posture can also put muscles under too much stress, leading to trigger points. This is like overusing a tool until it gets worn out, causing a specific spot to hurt.

  • Stress and anxiety: People who are often stressed or anxious might be more prone to trigger points. One idea is that stress can cause people to tense up their muscles, which is like repeatedly squeezing them. This constant squeezing can create trigger points. It's like squeezing a rubber band repeatedly until it gets a sore spot.

Complications

Myofascial pain syndrome can cause several problems. One common issue is trouble sleeping. The pain and tightness from myofascial pain syndrome can make it difficult to find a comfortable position. Even small movements during sleep might trigger a "tender spot" (called a trigger point) and wake you up.

Another potential complication is fibromyalgia. Some studies show a link between myofascial pain syndrome and the development of fibromyalgia in some individuals. Fibromyalgia is a chronic condition characterized by widespread pain. Scientists believe that over time, the brains of people with fibromyalgia become more sensitive to pain signals. Some researchers think myofascial pain syndrome might be a contributing factor, perhaps triggering this increased sensitivity in the brain.

Diagnosis

Muscle pain can have various reasons. To figure out what's causing your muscle pain, your doctor will likely use additional tests and examinations to eliminate other potential problems.

Treatment

Myofascial pain syndrome (MPS) is a condition that causes muscle pain. Treatment typically involves a combination of approaches, and it's important to work with your doctor to find what works best for you. There's no single cure, and you might need to try different things before finding relief.

Medications:

  • Over-the-counter pain relievers: Many people find relief with common pain medications like ibuprofen (Advil, Motrin) or naproxen (Aleve). These come in pills, but also as creams or patches you put directly on the affected area. Your doctor might prescribe stronger pain relievers if needed.
  • Muscle relaxants: Sometimes, anxiety and sleep problems can worsen MPS pain. Some medications, like clonazepam (Klonopin), are muscle relaxants that can help with these issues, but they can also cause drowsiness and are habit-forming. It's crucial to discuss any potential side effects with your doctor.

Physical Therapy:

Physical therapy plays a key role in managing MPS. A physical therapist can create a personalized treatment plan based on your specific needs. This plan might include:

  • Gentle stretching: The therapist will guide you through stretches to loosen tight muscles and ease pain. If a trigger point is particularly painful during stretching, a numbing spray can be applied to the area.
  • Trigger point injections: Injecting numbing medicine or a steroid directly into the trigger points (the tight, painful spots in the muscle) can provide significant pain relief. Sometimes, a medicine called botulinum toxin type A (Botox) is also used.
  • Dry needling: In some cases, gently inserting a needle into the trigger point can help release muscle tension. This is a technique similar to acupuncture.
  • Transcutaneous electrical nerve stimulation (TENS): This therapy uses small electrical currents delivered through electrodes placed on the skin. While it can provide pain relief, the exact mechanism isn't fully understood, and more research is needed.
  • Ultrasound: Ultrasound therapy uses sound waves to increase blood flow and warmth to the affected muscles, potentially reducing pain.
  • Extracorporeal shock wave therapy: This treatment uses sound waves to target the painful area, and some studies suggest it can be helpful for MPS pain relief.

Important Note: It's vital to discuss all treatment options with your healthcare provider. They can help you determine the best course of action, considering your individual symptoms and medical history. You might need to try several different approaches before finding the one that works best for you.

footer.address

footer.talkToAugust

footer.disclaimer

footer.madeInIndia