Your Pain Doctor has diagnosed Myofascial Pain Syndrome. This can occur alone or in conjunction with other diagnoses.
This is a disease of the muscle in which there is abnormal sustained contraction of part of a muscle – these muscle knots can form degenerated hard, painful nodules called Trigger points. Unfortunately, if left untreated, more Trigger Points (TP) can develop and spread to a wider area or extend to the other side of your body. This is called Recruitment.
Myofascial Trigger Points can cause severe debilitating pain in areas remote from the source. These pain referral patterns are very consistent, for example, pressure on a TP in the low back can radiate to lower buttock or pressing on the neck can be felt down the arm or up into the head.
Predisposing factors include, stress, overexertion, advancing arthritis, spinal vertebral disorders, such as disc disease, facet joint disease, sacroilitis and fibromyalgia. Regrettably, some patients may have under gone spinal surgery for myofascial pain; without pain relief.
Pain treatment is directed at:
- Elimination of the emotional stresses by psychological consultations. Elimination of the physical stresses, strengthening exercises, stretching, massages.
- Medications such as muscle relaxants should be used for short-term relief only. Mineral supplements such as Magnesium can be helpful. Topical lotions, eg. Penetran Lotion can promote blood flow to TP areas and wash away tissue toxins.
- Treatment of underlying disease;(for example, Facet Joint Disease ).
- Treatment of Myofascial Trigger Point by direct injection. The technique of trigger point injection is very easy and safe. A thin needle is used to enter the center of each TP. Injection with local anesthetic and light steroid will relax the muscle, wash away local toxins, break the pain cycle, and reset muscle to a more normal level of function.