Myofascial pain syndrome painful musculoskeletal response following muscle trauma.

 Myofascial Pain Syndrome

Myofascial pain syndrome is a common debilitating disease of the muscles and associated soft tissues. Pain radiates from one or more trigger points stimulated by pressure, or by nothing at all. Although frequently confused with fibromyalgia, it is not the same syndrome.

What is myofascial pain syndrome?

Myofascial pain syndrome is a pain condition that affects your muscles and fascia. “Myo” means muscle and “fascial” means fascia. Your fascia is the thin, white connective tissue that is wrapped around every muscle.

Here’s an easy visual: If your body was an orange, your skin would be the outside orange peel, your muscles would be the fleshy orange fruit itself and the thin white membrane surrounding each orange segment would be the fascia. Fascia surrounds every level of muscle tissue —muscle fibers, single muscles and muscle groups.

Muscle pain isn't picky — it can strike anyone at any time in their life. Everyone from the mother carrying her child and the roofer laying shingles to the best friend helping lift boxes during a move can experience muscle pain. Unfortunately, for some people, this pain can be unbearable and it sticks around long after it should have faded. If you experience muscle pain that won't go away for a long period of time, it could be myofascial pain.

What does the fascia do?

Simply put, your fascia holds your muscles together, which allows them to contract and stretch. Fascia also provides a slick surface so that individual muscle fibers, single muscles and muscle groups can slide against each other without creating friction, tearing or causing other problems.

Actually, fascia is everywhere inside your body. Besides your muscles, all organs and blood vessels are connected to or surrounded by fascia. Fascia is a complex substance. It contains nerve endings. Scientists are still discovering all of the functions and roles of fascia.

What happens when a person experiences myofascial pain syndrome? How does it start?

Myofascial pain is a common syndrome. If you have myofascial pain syndrome, you may feel pain and tenderness in muscles in a certain area of your body. This pain and tenderness is often related to one or more “trigger points.” To the touch, trigger points feel like small bumps, nodules or knots in your muscle.

If you could look at a trigger point under a microscope, you’d see that it lies within a taut band, which is a tight strand of muscle that feels like a cord or tendon. The trigger point itself — the “knot” — is actually many nearby segments of muscle fibers that are stuck in the contracted state.

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