Myofascial pain syndrome | |
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Other names | Chronic myofascial pain, myofascial pain and dysfunction syndrome (MPDS or MFPDS) |
Specialty | Rheumatology |
Differential diagnosis | Giant cell arteritis, arthritis[1] |
Myofascial pain syndrome (MPS), also known as chronic myofascial pain (CMP), is a syndrome characterized by chronic pain in multiple myofascial trigger points ("knots") and fascial (connective tissue) constrictions. It can appear in any body part. Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure.[2]
The cause is believed to be muscle tension or spasms within the affected musculature.[1] Diagnosis is based on the symptoms and possible sleep studies.[1]
Treatment may include pain medication, physical therapy, mouth guards, and occasionally benzodiazepine.[1] It is a relatively common cause of temporomandibular pain.[1]