Myofascial Pain Syndrome

Myofascial pain syndrome is a chronic pain disorder caused by sensitive 'trigger points' in muscles. Pressure on these points can cause local and referred pain.

Table of Contents

Quick Facts

  • ICD-10: M79.18
  • Hallmark: Trigger points

Symptoms

  • Deep, aching muscle pain
  • Pain that persists or worsens
  • Tender knot or band in a muscle
  • Pain that radiates from the trigger point to a different area
  • Stiffness and reduced range of motion
  • Sleep disturbances

Diagnosis

Diagnosis is clinical, based on finding tender muscle knots with characteristic referred pain patterns and reproducible 'twitch responses' on palpation.

Treatment

  • Physical therapy and stretching
  • Massage and myofascial release
  • Trigger point injections (lidocaine or saline)
  • Dry needling
  • Heat and cold therapy
  • Medications (NSAIDs, muscle relaxants, sometimes tricyclic antidepressants)
  • Stress management and ergonomic improvements
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Academy of Pain Medicine. Myofascial Pain Resources.