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Myofascial pain

J R Fricton1

  • 1School of Dentistry, University of Minnesota, Minneapolis 55455.

Bailliere'S Clinical Rheumatology
|November 1, 1994
PubMed
Summary
This summary is machine-generated.

Myofascial pain (MFP) is a common regional muscle pain disorder often overlooked due to complex symptoms. Effective management requires addressing trigger points and all contributing factors for successful recovery.

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Area of Science:

  • Pain Medicine
  • Musculoskeletal Disorders
  • Physical Therapy

Background:

  • Myofascial pain (MFP) is a prevalent regional muscle pain disorder causing localized tenderness and pain.
  • It is often underdiagnosed due to accompanying symptoms, comorbidities, and psychosocial factors.
  • MFP can manifest as increased muscle fatigability, stiffness, weakness, and restricted range of motion.

Purpose of the Study:

  • To outline the diagnostic evaluation and management strategies for myofascial pain.
  • To emphasize the importance of identifying trigger points and contributing factors in MFP.
  • To highlight the goals of short-term and long-term treatment for myofascial pain.

Main Methods:

  • Evaluation involves locating trigger points and involved muscles, alongside recognizing contributing factors.

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  • Management includes muscle exercises, trigger point therapy, and addressing all contributing factors.
  • A comprehensive approach is necessary, potentially involving a team to manage complex patient situations.

    • Main Results:

    • Short-term goals focus on restoring muscle length, posture, and joint range of motion.
    • Long-term goals aim to reduce symptoms, improve function, and prevent recurrence.
    • Integrated management matching treatment complexity to patient complexity is crucial.

    Conclusions:

    • Successful management of MFP requires a holistic approach addressing physical and psychosocial aspects.
    • Failure to manage all contributing factors can lead to persistent pain and chronic pain syndrome.
    • A multidisciplinary team approach may be necessary for complex MFP cases.