Myofascial low back pain: a review
Gerard A Malanga1, Eduardo J Cruz Colon
1Overlook Pain Center Summit, NJ 07901, USA. gmalangamd@hotmail.com
Physical Medicine and Rehabilitation Clinics of North America
|October 28, 2010
Summary
Myofascial pain syndrome, a common cause of chronic pain, stems from trigger points in muscles and fascia. Treatment involves comprehensive rehabilitation, avoiding repeated injections and corticosteroid use.
Area of Science:
- Musculoskeletal Medicine
- Pain Management
Background:
- Myofascial pain syndrome (MPS) is a prevalent musculoskeletal disorder characterized by trigger points in muscle and fascia.
- It affects a significant portion of individuals with chronic pain, presenting with localized pain, restricted motion, and referred pain patterns.
Purpose of the Study:
- To outline the clinical presentation and underlying causes of myofascial pain syndrome.
- To discuss appropriate treatment strategies for managing myofascial pain syndrome.
Main Methods:
- Review of clinical presentations, including painful restricted range of motion, stiffness, referred pain, and autonomic dysfunction.
- Discussion of common etiologies, primarily muscular imbalances.
- Overview of recommended and contraindicated treatment modalities.
Main Results:
- Myofascial pain syndrome is frequently linked to muscular imbalances.
- Comprehensive rehabilitation programs are the cornerstone of effective treatment.
- Pharmacologic, needling, and alternative therapies can supplement rehabilitation.
Conclusions:
- Effective management of myofascial pain syndrome requires a multifaceted approach.
- Avoidance of repeated trigger point injections and corticosteroid use is crucial.
- Focus on comprehensive rehabilitation and evidence-based complementary therapies for optimal patient outcomes.
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