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Myofascial trigger points.

Elizabeth Demers Lavelle1, William Lavelle, Howard S Smith

  • 1Department of Anesthesiology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA.

Anesthesiology Clinics
|December 7, 2007
PubMed
Summary
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Myofascial trigger points cause chronic musculoskeletal pain. Treatments range from noninvasive methods like massage to invasive procedures such as dry needling and injections.

Area of Science:

  • Pain Medicine
  • Musculoskeletal Disorders
  • Physical Therapy

Background:

  • Myofascial pain syndrome is a common chronic pain condition.
  • Myofascial trigger points are hyperirritable spots in skeletal muscle.
  • These trigger points can cause referred pain and dysfunction.

Purpose of the Study:

  • To review the etiology, pathophysiology, and treatment of myofascial trigger points.
  • To provide a comprehensive overview of myofascial pain management.

Main Methods:

  • Literature review of existing studies on myofascial trigger points.
  • Analysis of noninvasive and invasive treatment modalities.

Main Results:

  • Noninvasive treatments include spray and stretch, TENS, physical therapy, and massage.

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  • Invasive treatments include local anesthetic injections, corticosteroids, botulinum toxin, and dry needling.

    • Conclusions:

    • Effective management of myofascial trigger points requires understanding their underlying mechanisms.
    • A range of treatment options are available, catering to different patient needs and pain severities.