Abstract
Myofascial pain syndromes occur commonly and generally fall into one of two categories: a single or multiple localized, unilateral trigger points; or multiple, diffuse, bilateral, poorly localized areas of muscular pain, often diagnosed as fibromyalgia. For patients to meet the definition of fibromyalgia, they need to experience pain in 11 out of 18 defined muscular points. Treatment modalities include aerobic exercise, treatment of comorbid conditions, application of moist heat, and prescription of tricyclic antidepressants or similar medications. Trigger points are more commonly treated with injection of local anesthetic, possibly with the addition of steroid, into the area of maximal tenderness. Oral noninflammatories and muscle relaxants, warm compresses, gentle stretching exercises, massage, and correction of precipitating factors are also useful.
Published Version
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