Definition
Trigger points are small sites of tight muscles. Myofascial pain syndrome (MPS) is when pressure on trigger points results in pain in other parts of the body.
Causes
The cause is not clear.
Trigger points causes are:
- Injury, such as to discs in between the spinal bones
- Muscle overuse
- Emotional stress or tension
The trigger point can stay even after the cause of it has healed.
Symptoms
MPS may cause:
- Muscle pain or weakness
- Pain in parts of the body other than the trigger point
- Problems moving
- A feeling of pins and needles
Diagnosis
The doctor will ask about your symptoms and health history. A physical exam will be done. It will focus on areas of pain. The doctor may diagnose you based on your symptoms and whether you have trigger points.
Muscles of the Back |
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Treatment
The goal of treatment is to ease pain. Choices are:
- Supportive care, such as rest and cold compresses
- Medicines to ease pain and swelling
- Physical therapy to ease tension in trigger points
- Dry needling or acupuncture to loosen a trigger point
- Massage therapy
Prevention
The risk of this problem may be lowered by making ergonomic changes to the workplace. Some examples are learning the right lifting methods, improving posture, and sitting the right way.
RESOURCES
American Physical Therapy Association http://www.apta.org
Family Doctor—American Academy of Family Physicians http://www.familydoctor.org
CANADIAN RESOURCES
Canadian Physiotherapy Association http://www.physiotherapy.ca
Health Canada https://www.canada.ca
References
Myofascial pain syndrome. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/myofascial-pain-syndrome. Accessed January 25, 2021.
Myofascial pain syndrome: Cleveland Clinic website. Available at: http://my.clevelandclinic.org/health/diseases%5Fconditions/hic%5FMyofascial%5FPain%5FSyndrome. Accessed January 25, 2021.
Saxena A, Chansoria M, et al. Myofascial Pain Syndrome: An Overview. J Pain Palliat Care Pharmacother. 2015 Jan 5.
Revision Information
- Reviewer: EBSCO Medical Review Board Rimas Lukas, MD
- Review Date: 12/2020
- Update Date: 01/25/2021