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Myofascial pain

  [ 37 votes ]   [ Discuss This Article ]
www.ProHealth.com • November 3, 1994


MFP is a regional muscle pain disorder characterized by localized
muscle tenderness and pain and is the most common cause of
persistent regional pain. The affected muscles may also
display an increased fatiguability, stiffness, subjective
weakness, pain on movement and slightly restricted range of
motion that is unrelated to joint restriction. MFP is
frequently overlooked as a diagnosis because it is often
accompanied by signs and symptoms in addition to pain,
coincidental pathological conditions, and behavioural and
psychosocial problems. Chronic pain characteristics often
precede or follow the development of MFP. Evaluation of MFP
includes locating the trigger points and muscles involved as
well as recognition of the contributing factors. Management of
the syndrome naturally follows with muscle exercises, therapy
to the trigger points, and reduction of all the contributing
factors. The short-term goal is to restore the muscle to
normal length and posture and full joint range of motion with
exercises and trigger point therapy. The long-term goals
include reducing the symptoms and their negative effects while
helping the patient return to normal function without the need
for future health care. The difficulty in managing MFP lies in
the critical need to match the level of complexity of the
management programme with the complexity of the patient's
situation. Failure to address the entire problem, through a
team approach if needed, may lead to failure to resolve the
pain and perpetuation of a chronic pain syndrome.

Fricton JR




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