216:(FM) as their presentation is similar. However, fibromyalgia is typically associated with fatigue, depression and cognitive dysfunction. The anatomic distribution and characteristic of the pain also differ. While the fibromyalgia pain is generalized, bilateral and typically involving muscles above and below the waist, the MPS pain affects a particular region of the body such as the mandible or the shoulders. The MTrPs found in MPS present overt palpable nodular structures within the muscle, while aside from tenderness, the trigger points in FM are indistinguishable from surrounding tissue.
179:
The causes of MPS are not fully documented or understood. At least one study rules out trigger points: "The theory of myofascial pain syndrome (MPS) caused by trigger points (TrPs) ... has been refuted. This is not to deny the existence of the clinical phenomena themselves, for which scientifically
159:
Generally speaking, the muscular pain is steady, aching, and deep. Depending on the case and location the intensity can range from mild discomfort to excruciating and "lightning-like". Knots may be visible or felt beneath the skin. The pain does not resolve on its own, even after typical first-aid
106:(connective tissue) constrictions. It can appear in any body part. Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle,
267:
for the treatment of myofascial pain syndrome in the lower back appeared to be a useful adjunct to standard therapies, but that clear recommendations could not be made because the published studies were small and of low quality.
275:
may provide relief in the early stages of treatment. Gentle, sustained stretching exercises within a comfortable range of motion have been shown to lessen symptoms. Regular, non-intense activity is also encouraged.
814:
794:
171:
A physical exam usually reveals palpable trigger points in affected muscles and taut bands corresponding to the contracted muscles. The trigger points are exquisitely tender spots on the taut bands.
411:"A comparison of the clinical manifestation and pathophysiology of myofascial pain syndrome and fibromyalgia: implications for differential diagnosis and management"
554:
Fricton JR, Kroening R, Haley D, Siegert R (December 1985). "Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients".
671:
Furlan AD, van Tulder MW, Cherkin DC, Tsukayama H, Lao L, Koes BW, Berman BM (January 2005). Furlan AD (ed.). "Acupuncture and dry-needling for low back pain".
304:
589:
de las Peñas CF, Campo MS, Carnero JF, Page JC (Jan 2005). "Manual therapies in myofascial trigger point treatment: a systematic review".
117:
The cause is believed to be muscle tension or spasms within the affected musculature. Diagnosis is based on the symptoms and possible
250:. Once the trigger points are gone, muscle strengthening exercise can begin, supporting long-term health of the local muscle system.
238:
Massage therapy using trigger-point release techniques may be effective in short-term pain relief. Physical therapy involving gentle
364:
628:
Harris RE, Clauw DJ (October 2002). "The use of complementary medical therapies in the management of myofascial pain disorders".
911:
762:
410:
886:
383:
901:
17:
881:
490:(3). Rheumatology (Oxford). 2015 Mar;54(3):392-9. doi: 10.1093/rheumatology/keu471. Epub 2014 Dec 3.: 392–399.
180:
sound and logically plausible explanations based on known neurophysiological phenomena can be advanced." Some
891:
111:
185:
830:
99:
256:, which involves gentle fascia manipulation and massage, may improve or remediate the condition.
859:
137:
58:
906:
63:
8:
818:
653:
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168:(EMG) has been used to identify abnormal motor neuron activity in the affected region.
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46:
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491:
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338:
181:
165:
125:
496:
479:
835:
243:
201:
118:
41:
Chronic myofascial pain, myofascial pain and dysfunction syndrome (MPDS or MFPDS)
454:
602:
342:
133:
803:
641:
896:
875:
107:
727:
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Difficulty differentiating FM trigger points from myofascial trigger points
213:
189:
129:
95:
51:
575:
532:
854:
714:
Borg-Stein J, Simons DG (March 2002). "Focused review: myofascial pain".
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Bennett R (June 2007). "Myofascial pain syndromes and their evaluation".
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272:
239:
114:
following approximately 5 seconds of sustained trigger point pressure.
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and emotional disturbance might also instigate or contribute to MPS.
161:
67:
219:
However, there are some challenges distinguishing these syndromes:
91:
807:
453:
Tantanatip A, Chang KV (July 2022). "Myofascial Pain
Syndrome.".
695:
670:
609:
798:
103:
755:
Fibromyalgia & Chronic
Myofascial Pain: A Survival Manual
519:
Gerwin R (2005). "Differential
Diagnosis of Trigger Points".
408:
588:
553:
409:
Bourgaize S, Newton G, Kumbhare D, Srbely J (April 2018).
200:
Diagnosis is generally based on the symptoms and possible
757:(2nd ed.). Oakland, CA: New Harbinger Publications.
212:
Myofascial pain syndrome (MPS) is commonly confused with
480:"A critical evaluation of the trigger point phenomenon"
229:
MPS may become generalized over time thus mimicking FM
776:
418:
The
Journal of the Canadian Chiropractic Association
331:
Best
Practice & Research. Clinical Rheumatology
752:
701:
615:
477:
381:
873:
716:Archives of Physical Medicine and Rehabilitation
713:
556:Oral Surgery, Oral Medicine, and Oral Pathology
459:. Treasure Island (FL): StatPearls Publishing.
452:
242:and exercise may be useful for recovering full
207:
478:Quintner JL, Bove GM, Cohen ML (March 2015).
305:"Myofascial Pain Syndrome - Dental Disorders"
155:Trigger points that activate the pain (MTrPs)
299:
297:
295:
293:
291:
289:
673:The Cochrane Database of Systematic Reviews
627:
404:
402:
400:
322:
707:
591:Journal of Bodywork and Movement Therapies
495:
446:
429:
286:
664:
397:
371:. American Society of Anesthesiologists.
226:Poor reliability in detecting taut bands
328:
124:Treatment may include pain medication,
14:
874:
518:
582:
143:
136:. It is a relatively common cause of
384:"Myofascial pain syndrome: Symptoms"
826:– Myalgia and myositis, unspecified
24:
753:Starlanyl DJ, Copeland ME (2001).
309:Merck Manuals Professional Edition
25:
923:
772:
630:Current Pain and Headache Reports
382:Mayo Clinic Staff (3 Dec 2009).
621:
521:Journal of Musculoskeletal Pain
681:10.1002/14651858.CD001351.pub2
547:
512:
471:
375:
357:
13:
1:
912:Urologic pelvic pain syndrome
702:Starlanyl & Copeland 2001
616:Starlanyl & Copeland 2001
456:StatPearls [Internet]
279:
164:such as ice, heat, and rest.
568:10.1016/0030-4220(85)90364-0
233:
208:Comparison with fibromyalgia
195:
7:
887:Syndromes of unknown causes
497:10.1093/rheumatology/keu471
10:
928:
746:
603:10.1016/j.jbmt.2003.11.001
365:"Myofascial Pain Syndrome"
343:10.1016/j.berh.2007.02.014
148:Primary symptoms include:
845:
780:
642:10.1007/s11916-002-0078-6
186:connective tissue disease
174:
100:myofascial trigger points
57:
45:
37:
32:
76:Myofascial pain syndrome
33:Myofascial pain syndrome
728:10.1053/apmr.2002.32155
271:Posture evaluation and
112:limited range of motion
84:chronic myofascial pain
902:Chronic pain syndromes
722:(3 Suppl 1): S40–S47.
138:temporomandibular pain
59:Differential diagnosis
882:Soft tissue disorders
533:10.1300/J094v12n03_04
152:Localized muscle pain
369:Made for this Moment
64:Giant cell arteritis
892:Disorders of fascia
132:, and occasionally
846:External resources
254:Myofascial release
248:motor coordination
144:Signs and symptoms
869:
868:
764:978-1-57224-238-8
261:systematic review
188:, can cause MPS.
182:systemic diseases
94:characterized by
82:), also known as
73:
72:
27:Medical condition
16:(Redirected from
919:
810:(excl. myositis)
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166:Electromyography
126:physical therapy
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675:(1): CD001351.
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263:concluded that
244:range of motion
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28:
23:
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18:Myofascial pain
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5:
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781:Classification
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773:External links
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704:, p. 230.
694:
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636:(5): 370–374.
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618:, p. 221.
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562:(6): 615–623.
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337:(3): 427–445.
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134:benzodiazepine
102:("knots") and
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907:Rheumatology
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597:(1): 27–34.
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484:Rheumatology
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424:(1): 26–41.
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387:. Retrieved
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312:. Retrieved
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265:dry needling
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214:fibromyalgia
211:
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190:Poor posture
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170:
158:
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130:mouth guards
123:
116:
98:in multiple
96:chronic pain
87:
83:
79:
75:
74:
52:Rheumatology
855:MedlinePlus
527:(3): 23–8.
38:Other names
876:Categories
280:References
273:ergonomics
240:stretching
184:, such as
234:Treatment
196:Diagnosis
162:self-care
68:arthritis
47:Specialty
736:11973695
689:15674876
658:41632904
650:12357980
541:71224028
506:25477053
465:29763057
440:30270926
351:17602992
92:syndrome
90:), is a
860:DS01042
836:D009209
808:Myalgia
747:Sources
576:3865133
431:6160895
104:fascial
761:
734:
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438:
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314:27 May
175:Causes
110:, and
824:729.1
804:M79.1
654:S2CID
537:S2CID
414:(PDF)
389:8 May
897:Pain
831:MeSH
819:9-CM
759:ISBN
732:PMID
685:PMID
646:PMID
572:PMID
502:PMID
461:PMID
436:PMID
391:2011
347:PMID
316:2019
246:and
815:ICD
795:ICD
724:doi
677:doi
638:doi
599:doi
564:doi
529:doi
492:doi
426:PMC
339:doi
88:CMP
80:MPS
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