Myofascial Pain Syndrome (MPS) is a chronic condition affecting the musculoskeletal system, characterised by pain and inflammation in the body’s myofascial tissues. Pain comes from the shortening and contraction of injured muscle fibres.
MPS differs from other muscle pain in its manifestation in specific areas known as trigger points or “knots”.
Trigger points are sensitive areas in the muscle or fascia (the strong and thin layer of connective tissue) that, when stimulated, cause pain often described as aching, burning, or throbbing. This pain can be localised to the trigger point or may radiate to other areas of the body, a phenomenon termed referred pain. In MPS, the pain is typically persistent and worsens with muscle use.
MPS manifests a range of signs and symptoms, primarily centred around muscle pain and discomfort.
The pain associated with MPS is typically confined to specific areas where the trigger points are located. This pain is often described as deep, aching, and persistent.
A distinctive feature of MPS is that stimulation of a trigger point can lead to pain in other parts of the body. This is generally predictable and follows specific patterns.
Individuals with MPS frequently experience stiffness and tenderness in the affected muscles, which can be exacerbated by activity or stress.
The stiffness and pain can lead to a reduced range of motion in the affected muscles and joints.
Over time, the affected muscles may exhibit signs of weakness, not necessarily due to muscle atrophy but due to pain-induced inhibition of muscle use.
In some cases, stimulation of trigger points can lead to autonomic phenomena such as sweating, tearing, or a sensation of flushing.
When a trigger point is palpated, it can elicit a local twitch response, which is a brief contraction of the muscle fibres in that area.
The exact cause of MPS remains not fully understood, though several factors are commonly associated with the development of this syndrome.
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This involves the use of medications such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), opioids, and other specialised medications designed for pain management. The type and dosage are tailored to the individual’s condition and medical history.
Minimally invasive treatments aim to effectively relieve common pain conditions by targeting pain sources.
For chronic pain conditions originating from spinal issues, Neurospan can be performed by our team of pain specialists from Singapore Paincare Center.
MPS is a chronic condition characterised by pain and tenderness in the muscle and fascia. The primary feature is the presence of trigger points—sensitive spots in the muscles causing pain when pressed.
Diagnosis of MPS is primarily clinical, based on the patient’s history and physical examination. The identification of trigger points, coupled with the pattern of pain and symptoms, aids in diagnosis. Imaging or lab tests may be used to rule out other conditions.
Yes, stress can exacerbate MPS. Stress leads to increased muscle tension, which can aggravate trigger points and muscle pain.
Treatment for MPS includes physical therapy, medication, trigger point injections, stretching and exercise, stress management, and heat therapy. A multidisciplinary approach is often most effective.
Yes, lifestyle changes such as regular exercise, stress management, proper posture, and a balanced diet can help alleviate symptoms of MPS.
MPS can be a chronic condition, but its course varies. Some patients experience episodic symptoms, while others may have persistent pain. Management and lifestyle changes can impact the course of the syndrome.
While both MPS and Fibromyalgia involve chronic pain, MPS is characterised by localised pain with specific trigger points, whereas Fibromyalgia is associated with widespread pain and additional symptoms like fatigue and cognitive disturbances. The nature and location of pain are key differentiators between the two conditions.
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