Abstract
A literature review on myofascial pain, concepts of fibrositis and fibromyalgia are presented. Myofascial pain is discussed as regards its definition, occurrence, behaviour, characteristics and modern approaches to treatment. Theories of the pathology of trigger points are described. Also the myofascial pain-dysfunction syndrome and its clinical recognition are addressed.
Highlights
A literature review on myofascial pain, concepts of fibrositis and fibromyalgia are presented
In recent studies it has been shown that myofascial pain syn dromes are the most common causes of pain that bring patients to chronic pain treatment centres
Escobar and Ballesteross tabulated a differential diagnosis in myofascial pain syndrome (1987)
Summary
Normal muscles do not contain myofascial trigger points; they have no taut bands of muscle fibres; they exhibit no local twitch responses and they do not refer pain in response to applied pressure. Escobar and Ballesteross tabulated a differential diagnosis in myofascial pain syndrome (1987). Tendinitis, bursitis overuse syn drome), neurological conditions The limited EMG studies available suggest an abnormality localised to the trigger point and its associated taut band. This may reflect some kind of reflex hyperirritability, mediated perhaps at a spinal level[6]
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