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.
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
People with chronic myofascial pain may have other health
problems, such as
depression, sleep problems, and
fatigue. These problems are common in people who have
How is chronic myofascial pain diagnosed?
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.