• Best Pract Res Clin Anaesthesiol · Sep 2020

    Review

    Treatment and management of myofascial pain syndrome.

    • Ivan Urits, Karina Charipova, Kyle Gress, Amanda L Schaaf, Soham Gupta, Hayley C Kiernan, Paula E Choi, Jai Won Jung, Elyse Cornett, Alan D Kaye, and Omar Viswanath.
    • Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA. Electronic address: ivanurits@gmail.com.
    • Best Pract Res Clin Anaesthesiol. 2020 Sep 1; 34 (3): 427-448.

    AbstractMyofascial Pain Syndrome (MPS) is a regional pain disorder that affects every age-group and is characterized by the presence of trigger points (TrPs) within muscles or fascia. MPS is typically diagnosed via physical exam, and the general agreement for diagnostic criteria includes the presence of TrPs, pain upon palpation, a referred pain pattern, and a local twitch response. The prevalence of MPS among patients presenting to medical clinics due to pain ranges anywhere from 30 to 93%. This may be due to the lack of clear criteria and guidelines in diagnosing MPS. Despite the prevalence of MPS, its pathophysiology remains incompletely understood. There are many different ways to manage and treat MPS. Some include exercise, TrP injections, medications, and other alternative therapies. More research is needed to form uniformly-accepted diagnostic criteria and treatments.Copyright © 2020. Published by Elsevier Ltd.

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