Treatment of MPS normally starts with a manual technique that involves applying pressure to a trigger point. This aims to release the muscle contraction and restore normal muscle fibre length. This can be accompanied by dry needling, stretching, Shockwave (if safe on patient), stress management and relaxation techniques.
Radial shock wave therapy (RSWT) is effective for MFTPs and may mimic manual therapy in applying pressure to a trigger. Focusing on ergonomic changes in patients’ day-to-day activities to avoid repetitive stress to the injured muscles, will help minimise reoccurrence.
Signs and symptoms of myofascial pain syndrome may include:
- A tender knot in a muscle
- Deep, aching pain in a muscle
- Difficulty sleeping due to pain
- Pain that persists or worsens
- Referred pain when pressed
Myofascial Pain Syndrome and trigger points are caused by a stimulus, such as muscle tightness, that sets off multiple trigger points in your muscles. Factors that may increase your risk include:
- Muscle injury. An acute muscle injury or continual muscle stress may lead to the development of trigger points. A spot within or near a strained muscle may become a trigger point. Repetitive motions and poor posture also may increase your risk.
- Stress and anxiety. People who frequently experience stress and anxiety may be more likely to develop trigger points in their muscles. One theory holds, for people likely to clench their muscles, the repeated strain leaves muscles susceptible to trigger points.
- Poor Posture. People that have a sedentary lifestyle, such as sitting at a desk for hours, may develop poor posture. Poor couch quality, long drives without breaks, and reading in an uncomfortable position can contribute to the development of MFTP. If poor posture is maintained, it may develop into Myofascial Pain Syndrome.
Complications associated with Myofascial Pain Syndrome may include:
- Sleep problems. Signs and symptoms of MPS may make it difficult to sleep at night. You may have trouble finding a comfortable sleep position. And if you move at night, you might hit a trigger point and awaken.
- Fibromyalgia. Some research suggests that MPS may develop into fibromyalgia in some people. Fibromyalgia is a chronic condition that features widespread pain. Research shows that the brains of people with fibromyalgia become more sensitive to pain signals over time. Some doctors believe MPS may play a role in starting this process.