By: Arvie Vitente, MPH, PTRP
Have you already experienced frequent cramping pain on your muscles mostly at the upper back area? That even with enough rest and massage the pain still persists? Maybe you are suffering from myofascial syndrome. Myofascial syndrome is included in the long list of chronic musculoskeletal pain disorder. In myofascial syndrome, there are palpable nodules in the muscles that are called the trigger points that cause pain upon application of pressure on them. This could also be felt in other parts of the body.
Causes of Myofascial Syndrome
Myofascial syndrome classically occurs among individuals with chronic faulty posture in which the muscles are contracting repetitively resulting initially to simple muscle soreness, then later on to a bothersome condition, which is the condition myofascial syndrome.
Clinically, the exact cause of myofascial syndrome is still not known. There is a theory associating it to connective tissue diseases but this is much generalized. Other theories state that this could be due to accumulation of lactic acid in muscles among individuals with jobs or other activities that require repetitive motions like in carpentry, typist, among others.
Another probable cause of myofascial syndrome are stress-related conditions. Individuals working in the academe are particularly prone to myofascial syndrome since aside from their true job, which is to prepare lessons and deliver these in their classes, they still have other school-related responsibilities which come with great pressure that would in turn result to muscle tension. Likewise, bank managers, typists and bus drivers are also prone to myofascial syndrome.
Difference between Myofascial Syndrome and Fibromyalgia
Myofascial syndrome and fibromyalgia both affect skeletal muscles but the difference is that, myofascial syndrome affects muscles on one side of the body that radiates on other parts, which include the neck and shoulder areas, while fibromyalgia affects muscles on a broader distribution.
Red Flags of Myofascial Syndrome
The signs and symptoms of myofascial syndrome may include deep, aching and cramping in the muscles involved. The description of pain in myofascial syndrome is usually pain that persists and is aggravating. The pain is elicited by applying pressure on the muscles affected which are called the trigger points. Patients with myofascial syndrome mostly complain of having a hard time to sleep primarily because of pain. If these symptoms are present, make an appointment with your doctor.
Treatment
Mostly, patients with myofascial syndrome are advised to undergo physical therapy and trigger point injections. Oral analgesics and relaxation techniques are also included in the treatment options.
