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Myofascial Pain Syndrome

Multiple contributing factors are linked to the development of Myofascial pain syndrome including trauma, postural imbalances, psychological stressors, sleep deprivation, chronic disease states, vitamin insufficiencies, and spinal degenerative conditions.

Myofascial pain syndrome is a chronic pain disorder. In MPS, pressure on sensitive points in muscles (tender or trigger points) cause pain in seemingly related area of the muscle. Usually this is not considered as referred pain. But in some cases, it termed as ‘referred’ if associated with other conditions. Although trigger points are differentiated from tender points, there are some suggestions that both are part of one clinical spectrum. The major reported difference is that trigger points produce pain in a referred pattern, whereas tender points generate pain at the site of palpation.

Myofascial pain syndrome also may occur after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension.

While nearly everyone has experienced muscle tension pain, the discomfort associated with Myofascial pain syndrome persists or worsens. Treatment options for Myofascial pain syndrome include Ayurveda therapy for trigger point manipulations and trigger point injections. Pain medications and relaxation techniques also can help.

Sensitive areas of tight muscle fibers can form in the muscles after injuries or overuse. These sensitive areas are called trigger points. A trigger point in a muscle can cause strain and pain throughout the muscle. When this pain persists and worsens, it call be called Myofascial pain syndrome.

Myofascial pain syndrome is caused by a stimulus, such as pressure, that sets off trigger and tender points in muscles. Factors that may increase the risk of muscle trigger points include:

Muscle injury: An acute muscle injury or continual muscle stress may lead to the development of trigger/tender points. For example, a spot within or near a strained muscle may become a sensitive point. Repetitive motions and poor posture also may increase your risk.

Stress and anxiety:  People who frequently experience stress and anxiety may be more likely to develop lesions in the muscles. One theory holds that these people may be more likely to clench their muscles, a form of repeated strain that leaves muscles susceptible to trigger and or tender points.

Other complications are:

Sleep problems: Signs and symptoms of MPS may make it difficult to sleep at night. You may have trouble finding a comfortable sleep position. And if you move at night, you might hit a trigger point and awaken.

Physical Examination:

  • During the physical exam, practitioner may apply gentle finger pressure to the painful area, to identify for tender or trigger point. Certain ways of pressing on the point can elicit specific responses. For instance, patient may experience a muscle twitch.
  • Muscle pain has many possible causes. You may have been recommended other tests and procedures to rule out other causes of muscle pain.

Treatment for MPS typically includes medications, trigger or tender point release techniques, Ayurveda intervention and physiotherapy application.

  • Stretching. A well trained and experienced practitioner may lead you through gentle stretching exercises to help ease the pain in your affected muscle. If you feel trigger point pain when stretching, the provider may use heat modalities on affected area.
  • Posture training. Improving the posture can help relieve Myofascial pain, particularly in your neck. Exercises that strengthen the muscles surrounding your trigger point will help you avoid overworking any one muscle.
  • Massage. An Ayurveda therapist may massage your affected muscle with warm medicated oil and herbal medicines to help relieve your pain. The therapist may use long hand strokes along your muscle or place pressure on specific areas of your muscle to release tension.
  • Exercise. Gentle exercise can help you cope better with pain. When your pain allows, get moving. Ask the provider about appropriate exercises.
  • Relax. If you're stressed and tense, you may experience more pain. Find ways to relax. Meditating, writing and reading or talking with friends can all be helpful.
  • Take care of your body. Eat a healthy diet full of fruits and vegetables. Get enough sleep so that you wake rested. Take care of your body so that you can put your energy toward coping with your pain.

Having a chronic pain condition such as Myofascial Pain Syndrome can be frustrating. But, no worries, we are successfully treating this condition at our clinic.