What causes myofascial pain?
The causes of myofascial syndrome are well known. They include: trauma from motor vehicle accidents or falls; improper lifting techniques leading to muscle injury; prolonged stress on muscles related to poor posture or an inadequate work environment; repetitive use where muscles may be too deconditioned for the particular activity or task; immobilization after an arm or leg is placed in a cast; and pinched nerves in the spine or in association with surgical correction of these disorders.
Does stress affect the problem?
Stress and tension can make the discomfort of myofascial pain even worse. Rarely are stress and/or psychological problems alone the sole cause of the problem. Rather, they contribute to a more prolonged course of the condition.
How do we treat myofascial pain?
Treatment for myofascial pain syndrome involves a multifaceted program that has been meticulously developed by our physicians and therapists.
The Therapist's Role
The essential component of healing MPS is an intensive physical therapy intervention designed to break up the trigger point and relieve areas of muscle soreness. Since the muscle shortens in response to injury, effective treatment can only be accomplished if the injured muscles are restored to their normal resting length. The therapists achieve this by using moist heat, ultrasound, electrical stimulation or other physical modalities to prepare the muscles for stretching. Sometimes a coolant spray will be applied to muscles before they are stretched — a technique called "Spray & Stretch." In many cases, specialized massage performed by the physical therapist or a myotherapist will help the recovery process.
The Physician's Role
In more difficult cases, our physical medicine specialists may inject the trigger points with an anesthetic. This procedure is followed by sustained stretching and helps to reduce spasm and relax muscles.
The Patient's Role
As you gain a thorough understanding of what myofascial pain is, you will appreciate your role in managing your symptoms. It is your commitment that ultimately ensures a good result. We cannot emphasize enough the importance of maintaining a consistent home exercise program. We have found that the most common cause of recurrence or worsening of symptoms is the lack of a comprehensive and consistent exercise program. Make certain to continue your customized exercises on a regular basis.