ChiroACCESS Clinical Review



Myofascial Pain Syndromes: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

September 2, 2007

Text Size:     
A thorough case history and clinical examination are required to accurately diagnose myofascial pain syndrome (MPS). Since MPS mimics many other conditions, early recognition can reduce the need for more invasive and expensive diagnostic procedures. Myofascial pain syndrome is characterized by deep aching pain, stiffness in the involved area and referred pain often appearing as radiation of pain. In later stages, muscle weakness often develops as well as fatigue and sleep disturbances (1).

Again the reader is advised: trigger points as a clinical entity are not universally recognized in the healthcare professions. Although ample clinical evidence is reported, experimental research relating to etiology, diagnosis and treatment is limited and sometimes controversial (2;3).

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References

1. 

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2. 

Tough EA, White AR, Richards S, Campbell J. Variability of criteria used to diagnose myofascial trigger point pain syndrome--evidence from a review of the literature. Clin J Pain 2007 Mar;23(3):278-86.



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11. 

Simons DG, Hong CZ, Simons LS. Endplate potentials are common to midfiber myofacial trigger points. Am J Phys Med Rehabil 2002 Mar;81(3):212-22.



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Kuan TS, Hsieh YL, Chen SM, Chen JT, Yen WC, Hong CZ. The myofascial trigger point region: correlation between the degree of irritability and the prevalence of endplate noise. Am J Phys Med Rehabil 2007 Mar;86(3):183-9.



13. 

Bohr T. Problems with myofascial pain syndrome and fibromyalgia syndrome. Neurology 1996 Mar;46(3):593-7.



14. 

Diakow PR. Differentiation of active and latent trigger points by thermography. J Manipulative Physiol Ther 1992 Sep;15(7):439-41.



15. 

Kruse RA, Jr., Christiansen JA. Thermographic imaging of myofascial trigger points: a follow-up study. Arch Phys Med Rehabil 1992 Sep;73(9):819-23.



16. 

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17. 

Radhakrishna M, Burnham R. Infrared skin temperature measurement cannot be used to detect myofascial tender spots. Arch Phys Med Rehabil 2001 Jul;82(7):902-5.



18. 

Lewis J, Tehan P. A blinded pilot study investigating the use of diagnostic ultrasound for detecting active myofascial trigger points. Pain 1999 Jan;79(1):39-44.