Most people have muscle pain from time to
time. But chronic myofascial pain is a kind of ongoing or longer-lasting pain that can
affect the connective tissue (fascia) of a muscle or group of muscles. With
myofascial pain, there are areas called trigger points. Trigger points are
usually in fascia or in a tight muscle.
More than 100 million Americans have chronic pain. If you're one of them, controlling it will likely require searching for treatments beyond medication.
That's because pain medication, while helpful, often cannot provide complete relief of pain. It may reduce but not eliminate pain.
Carla Ulbrich, 45, is willing to use medication to help control her chronic pain. But she sees it as just one piece of her overall plan. For the past 20 years, lupus and fibromyalgia have caused pain to smolder and...
Using a muscle after you haven't
used it for a while, such as after a stroke or after having a broken
What are the symptoms?
The main symptom of chronic myofascial pain is ongoing or longer-lasting
muscle pain, in areas such as the low back, neck, shoulders, and chest. You
might feel the pain or the pain may get worse when you press on a trigger
point. The muscle may be swollen or hard—you may hear it called a "taut band"
of muscle or "knot" in the muscle. Symptoms of myofascial pain may include:
A muscle that is sensitive or tender when
Muscle pain that happens with pressure on a trigger
Pain that feels like aching, burning, stinging, or
To diagnose chronic myofascial pain, your doctor
will ask if you have had a recent injury, where the pain is, how long you have
had the pain, what makes it better or worse, and if you have any other
The doctor will also give you a physical exam. He or
she will press on different areas to see if the pressure causes pain.
You may have tests to see if some
other condition is causing your pain.