Most people have muscle pain from time to
time. But 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.
Whatever the cause, nerve pain can be a serious and debilitating condition.
People who have it often need help from a doctor and prescription
There are also some nonprescription treatments for neuropathic pain
that may help relieve your symptoms. You might use some of these approaches
along with your prescribed treatment. If your nerve pain is mild, they may be
enough on their own to manage your nerve pain. Here's a rundown of your
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 myofascial pain syndrome 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
People with myofascial pain syndrome may have other health
problems, such as
depression, sleep problems, and
fatigue. These problems are common in people who have
How is myofascial pain syndrome diagnosed?
To diagnose myofascial pain syndrome, 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.
How is it treated?
Talk to your doctor about the best way to treat
your pain. The main treatment may include any of the following:
Cognitive-behavioral therapy (CBT). Cognitive-behavioral therapy can teach you how to change your negative thoughts about pain. This can also help you be more active.
Cooling spray. This involves using a cooling spray (such as Biofreeze) directly on the skin from the trigger point to the painful area
and then gently stretching the muscle. This may be repeated several
Hypnosis. Hypnosis may help you relax and reduce your pain.
Physical therapy, which may include stretching and
strengthening exercises. It may also include counseling about how to change the
things that make the pain worse. For example, you may learn how to adjust your
workstation, improve your posture, or change your sleep position to avoid
Trigger point shots
(injections). A doctor inserts a needle into the trigger point and injects
medicine such as a