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Chronic Pain: What Is It?
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
Touch. It is one thing to perform a “routine” physical examination on a person who complains of back pain. The touching, poking, and prodding can be rather limited in “routine” physical examinations. However, chronic pain patients require examinations that seek out specific tissues that may be causing or contributing to the pain. In patients with myofascial pain syndrome the examiner looks for specific muscles producing specific pain patterns. Frequently, the pain relating to myofascial pain syndrome can mimic the pain of numerous other conditions that cause the pain.
Trigger-Point Injections
Published in Gary W. Jay, Chronic Pain, 2007
In the previous chapter, various conservative treatment modalities for myofascial pain syndrome (MPS) were discussed. In many patients, particularly those who have developed a chronic non-cancer pain syndrome secondary to a chronic MPS, a more invasive treatment technique may be needed. If conservative treatments such as spray-and-stretch and various physical therapy techniques do not deactivate existent myofascial trigger points (MTrPs), deep, invasive techniques become necessary.
Occupational Medicine for the Pain Practitioner
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
Chronic muscle pain or myalgia can be diagnosed as myofascial pain syndrome after identification of taut bands and trigger points during physical examination. This pain can result from repetitive motion and muscle overuse. Sometimes a seemingly simple myalgia may progress to a more diffuse and chronic myofascial pain syndrome with resultant dysfunction and eventual disability.
Investigating the impacts of working at home among office workers with neck pain on health status, depression and sleep quality during the COVID-19 pandemic
Published in International Journal of Occupational Safety and Ergonomics, 2023
The job scope of office workers mostly includes computer use, interviews, presentations and phone calls. It includes prolonged static posture and repetitive writing and reading activities in inappropriate positions. According to studies, a person spends three-quarters of her/his working time sitting. Decreased physical activity and working at the computer for a long time cause occupational safety problems and constitute an important risk factor for musculoskeletal systems [5]. The most common work-related musculoskeletal disorders (MSDs) were reported as lower back pain (LBP) and neck and shoulder pain [6]. Although the prevalence of neck pain is 12–34% in the general population, it has been reported that the 12-month prevalence of those working at a computer exceeds 50–60% [5]. Moretti et al. [7], in their study of 51 mobile office workers, found that 41.2% of them had LBP and 23.5% of them had neck and other pains. Myofascial pain syndrome is one of the neck pain reasons. Myofascial pain syndrome is a chronic musculoskeletal pain characterized by taut bands of muscles which are painful to palpation of muscles. The taut bands are also defined as trigger points. The exact aetiology is unknown. Postural factors, ergonomic features, overuse of the muscles or microtraumas may be the reasons [8]. A review about myofascial trigger points emphasized that myofascial trigger points may be related to MSDs, especially as a source in workplaces [9].
Treatment of thoracic spine pain and pseudovisceral symptoms with dry needling and manual therapy in a 78-year-old female: A case report
Published in Physiotherapy Theory and Practice, 2022
Myofascial trigger points and myofascial pain syndrome are prevalent clinical entities (Dommerholt, Bron, and Franssen, 2006; Fernandez-de-Las-Penas, Layton, and Dommerholt, 2015; Lluch et al., 2015) with a lifetime prevalence of up to 85% in the general population (Fleckenstein et al., 2010) and can also be a cause of local and referred pain in the upper back as well as stiffness and restricted range of motion (Dommerholt, Bron, and Franssen, 2006; Fernandez-de-Las-Penas, Layton, and Dommerholt, 2015; Simons, Travell, and Simons, 1999). Myofascial trigger points can also contribute to other impairments of the musculoskeletal system including: decreased strength (Celik and Yeldan, 2011); altered muscle activation patterns (Lucas, Rich, and Polus, 2010); and muscle fatigability (Ge, Arendt-Nielsen, and Madeleine, 2012).
The assessment of affective temperament and life quality in myofascial pain syndrome patients
Published in International Journal of Psychiatry in Clinical Practice, 2022
Sevtap Badil Güloğlu, Serhat Tunç
Myofascial Pain Syndrome (MPS), which is a non-inflammatory disorder, is related to pain and muscle stiffness and is originated from the musculoskeletal system. It is described by the appearance of hyperirritable palpable nodules in the muscle fibrils, which are named myofascial trigger points (MTrPs) (Simons et al. 1999). The pain can spread to remote regions accompanied by sensational disorders (an abnormal sensation, typically tingling or pricking, dysesthesia) and autonomous phenomenon (piloerection, sweating). Current studies recommend that neurogenic inflammation, following central sensitisation, might start and encourage the occurrence of the localised hyperirritable MTrP locus resulting in chronic pain excluding local peripheral muscle trauma. Numerous physiological and mental difficulties like anxiety, depression, and decrement of working capability and life quality (LQ) may be caused (Simons et al. 1999; Taşoğlu et al. 2017). MPS affects about 30% of patients in the general population. Therefore, it is one of the reasons for the loss of working hours (Taşoğlu et al. 2017). For this reason, the importance of research on etiopathogenesis and management of treatment that has not been fully explained yet in MPS is undeniable.