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Re: Myofascial Pain SyndromeFrom: anonymous@obgyn.netThu Jul 27 15:35:14 2006
Hi Li, I don't know how else to explain what Myofascial Pain is but to quote a few articles I found on the internet. So here goes: ************************************************ Myofascial Pain Syndrome (MPS) is a is a painful musculoskeletal condition, a common cause of musculoskeletal pain. MPS is characterized by the development of Myofascial trigger points (TrPs) that are locally tender when active, and refer pain through specific patterns to other areas of the body. A trigger point or sensitive, painful area in the muscle or the junction of the muscle and fascia (hence, myofascial pain) develops due to any number of causes. Trigger points are usually associated with a taut band, a ropey thickening of the muscle tissue. Typically a trigger point, when pressed upon, will cause the pain to be felt elsewhere. This is what is considered "referred pain". Treatment of MPS can only begin after an accurate diagnosis is accomplished. Methods for managing this painful condition: Trigger Point Therapy {Myofascial release therapy, myotherapy, massotherapy (medical massage therapy)} Spray and Stretch technique (stretching of the muscles involved with a vapocoolant spray - a coolant is sprayed on the trigger point to lessen the pain and then the muscle is stretched. this is often done by a physical therapist.) Trigger Point Injections (local anesthetic,such as lidocaine, injected directly into the trigger points) Dry Needling (the use of a needle without injecting anything) [TrP injections and dry needling mechanically disrupt the tirgger point. The use of lidocaine is no more effective, but it reduces the soreness afer injection. For MPS there is no role for injected steroids] Chiropractic or Osteopathic manipulation treatment Craniosacral Therapy Physical Therapy (hands-on) Exercise Improvement of nutrition Changing sleeping habits The use of tricyclic antidepressants in low doses Elimination of stress; Biofeedback; Counseling for depression that may result from this painful condition ************************************************ Many women do not realize that pelvic pain can actually be due to muscle problems in the abdominal wall or even back problems of the spinal discs or bones that are referred or perceived as being in the pelvic area. This type of pain is broadly categorized as myofascial pain. Some doctors fail to thoroughly evaluate this possibility as a cause of chronic pelvic pain. The spinal cord is a complex electrical connection system. The nerve roots of the spinal cord send off neurons that sense pain from skin, muscles, bones, ligaments and internal pelvic organs. The same spinal nerve roots that innervate the ovaries may also innervate abdominal wall muscles. Low back pain can arise from pain in the uterus, bladder, faloppian tubes, and cervix because the same nerves innervate those organs as well as the lumbar discs, ligaments and muscles. Conversely, abdominal wall pain, especially around an incision, may actually feel as if it is arising from the uterus or deeper in the pelvis when its origin is from the skin near an incision. Neurologists think that sometimes the spinal cord just gets confused when there are many pain impulses coming in and by the time your brain perceives the pain, it cannot tell whether the source is in the internal organs or the external muscles. There are also internal muscles lining the pelvic bone such as the piriformis, puboccocygeus, obturator internus and externus muscles. The muscles can present with cramps and achiness and a woman perceives the pain as uterine or ovarian. ************************************************ Myofascial Pain is generated by myofascial trigger points in muscle tissue. Trigger points can be felt as nodules or knots of tightness within a muscle. Trigger points form in muscle tissue as a response to injury. They generate pain patterns that are felt as aching, numbness, tingling, and cramping. This pain pattern may be felt in a muscle or a nearby joint. The trigger point will also restrict motion, cause weakness and cause tightness in the soft tissue. Myofascial pain can also be generated by hyperactive small areas of irritability in muscle or its associated fascia that are called myofascial trigger points. A trained examiner can usually feel these trigger points. The diagnosis is determined by physical examination, and not by medical tests such as X-ray, CT and MRI scans. http://www.blatmanpainclinic.com/Myofascial-Pain-Syndrome.htm ************************************************
At Wed, 26 Jul 2006, Li wrote:
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