myofascial pain syndrome
myofascial pain syndrome
A chronic, nonprogressive, nondegenerative and non-inflammatory musculoskeletal pain syndrome, which is characterised by local or referred pain evoked at multiple trigger points and accompanied by stiffness, weakness, “knot formation”, and decreased range of motion in precise, specific patterns.Clinical findings
Generalised pain—head, neck, chest, joints, pelvis, back, sciatica.
Management
Three-step analgesic ladder: injection with local anaesthetics, steroids, anti-inflammatories.
Mechanism
Possibly autonomic dysfunction.