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.
Hand pain has many causes, including injury and disease. Fortunately, many of those causes can be treated and the symptoms eased.
Here are some of the most common conditions that cause hand pain.
De Quervain's tendinitis. This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist.
The pain may develop gradually or suddenly. It can travel the length of the thumb and up the forearm. If you have de Quervain's tendinitis, movements that can be painful include:
Using a muscle after you haven't used it for a while, such as after a stroke or after having a broken bone.
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 touched.
Muscle pain that happens with pressure on a trigger point.
Pain that feels like aching, burning, stinging, or stabbing.
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 symptoms.
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.