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Related Concept Videos

Layers of Connective Tissue Proper01:21

Layers of Connective Tissue Proper

Fascia, a thin layer of fibrous connective tissue, is distributed throughout the body. It demarcates and forms a supportive covering over skeletal muscles, bones, blood vessels, and organs. There are three main types of facia— superficial fascia, deep fascia, and subserous fascia. These are all present at different depths in the body. Fascia reduces the friction and permits muscles, joints, and organs to easily slide against each other, facilitating movement of the body and preventing tearing...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Overview of Muscle Tissues01:25

Overview of Muscle Tissues

The human body has three types of muscle tissue: skeletal, smooth, and cardiac. Each class has unique properties that enable them to perform specific functions. However, all muscle tissues share certain properties, including elasticity, contractility, and excitability. 
Elasticity
Elasticity is the ability of muscles to stretch and return to their original shape. This property is partly due to elastic fibers — macromolecules that run through the muscles. These fibers are firm and resilient,...
Overview of Skeletal Muscle01:15

Overview of Skeletal Muscle

Skeletal muscles are composed of a bundle of muscle fibers and are attached to bones through tendons. Each skeletal muscle fiber is a single muscle cell. The sarcolemma, the plasma membrane of a skeletal muscle cell, consists of a lipid bilayer and glycocalyx that supports muscle fibers. The sarcolemma extends into the muscle cells to form tubular structures called transverse or T-tubules. Each side of the T-tubules consists of a membrane-bound structure called the sarcoplasmic reticulum,...
Myasthenia Gravis: Overview and Treatment01:20

Myasthenia Gravis: Overview and Treatment

Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...

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Efficacy of Fu's Subcutaneous Needling on Sciatic Nerve Pain: Behavioral and Electrophysiological Changes in a Chronic Constriction Injury Rat Model
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Efficacy of Fu's Subcutaneous Needling on Sciatic Nerve Pain: Behavioral and Electrophysiological Changes in a Chronic Constriction Injury Rat Model

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Myofascial pain--an overview.

Eng-Ching Yap1

  • 1Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore. eng_ching_yap@ttsh.com.sg

Annals of the Academy of Medicine, Singapore
|February 8, 2007
PubMed
Summary

Myofascial pain, a common cause of morbidity, originates in skeletal muscles. Early diagnosis and targeted treatments, including needling and exercises, can effectively manage this condition and improve patients' quality of life.

Area of Science:

  • Musculoskeletal Medicine
  • Pain Management

Background:

  • Skeletal muscle pain and dysfunction are prevalent, significantly impacting morbidity.
  • Myofascial pain is often under-diagnosed and undertreated, despite being a treatable condition.

Purpose of the Study:

  • To review the diagnosis and management of skeletal muscle myofascial pain and dysfunction.
  • To highlight the importance of muscles in musculoskeletal pain, contrasting with traditional focus on bones, joints, and nerves.

Main Methods:

  • Review of literature focusing on myofascial pain diagnosis and treatment.
  • Emphasis on accurate identification of precipitating factors, taut bands, trigger points, and sensitised spinal segments during examination.
  • Importance of rehabilitation exercises for muscle flexibility and balance restoration.

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Main Results:

  • Effective treatment requires accurate identification of myofascial pain indicators.
  • Appropriate exercises and patient participation are crucial for preventing recurrence and restoring function.
  • Early diagnosis and management can reduce chronic pain complications and improve quality of life.

Conclusions:

  • Myofascial pain is a significant, treatable cause of morbidity.
  • Comprehensive diagnosis and management, including needling and rehabilitation, are essential for effective patient outcomes.
  • Addressing myofascial pain early can prevent long-term suffering and associated psychosocial issues.