Abstract

Cervical myofascial pain (CMP) is caused by trauma, spine pathology, repetitive strain, postural dysfunction, and physical deconditioning of the muscles that support the shoulders and neck. These include the trapezius, levator scapulae, splenius capitis, and rhomboid muscles. Treating the underlying etiology is the most effective therapy, however, it may be challenging to diagnose CMP, adding to the difficulty of definitive therapy. Management of CMP often requires a multidisciplinary approach incorporating physical therapy, pharmacotherapy, injection therapy, and behavioral modification. Neck pain is a common condition affecting two-thirds or more of the global population during their lifetime. The etiology of neck pain includes cervical disk disease, cervical facet-mediated pain, and CMP. In particular, CMP is often a cause of disability in the population with chronic neck pain.

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