Myofascial Pain Syndrome: What You Need to Know

What is MPS?

• MPS does not currently have a standard definition. MPS has a variety of definitions, based on the opinions and experiences of each physician. Anxiety and Trigger Point Detection (TrP)
• In 1998, Simon & amp; Travell provided a clear and concise definition of MPS that “pain or autonomic phenomena occur from the pain area called TrP in the tissues. Membrane “
  

  Epidemiology Prevalence Incidence

  • Most commonly found in working age groups 31-50 years old
  • Meet women & gt; Men (due to Pain Pain Thresholds (PPTs) of women & lt; Men)
  • It is found that 30% of patients with common pain will have MPS.
  • It was found that heavy-duty occupational groups had a lower probability of TrP than occupational groups that were lighter but longer. (Due to the current use of the same body for a long time will cause Cumulative Trauma Disorders, resulting in muscle high Trp incidence.)
    

    Signs and Symptoms – Feelings

    • Referred Pain
      • Essential pain relievers (Essential Referred Pain Zone)
      • Spillover Referred Pain Zone
        

      • Local Pain
      • Bizarred Pattern Pain
      • Pain Behavior
        • Pain at all times, even in normal conditions (Spontaneous Pain)
        • Stimulus-Evoked Pain
          

        • Pain Severity
        • Altered Sensation
          • More pain sensitivity. (Hyperalgesia)
          • Decreased pain sensitivity. (Hypoesthesia)
            
            

            Autonomic nervous system

            • Common disorders are pain. However, there may be other symptoms found if there are other system interruptions.
              • Vascular disturbance (Vasopotor Disturbance), such as the presence of Trp in the Infraspinatus musculature. Make it feel cold or pale hands. Like blood, no wind walking
              • Secretion Disturbance, such as Trp on the neck muscles. Mouth or face Make tears Nasal or saliva discharge
              • Pilomotor Disturbance, such as painful Trp, causes sweating and cramping.
              • Positional locomotion, ligaments and joints are disturbed. Proprioceptive disturbance, such as having a muscle tone. Sternocleidomastoid Dizziness, tinnitus, blurred balance, balance
                
                

                Muscle work

                • Muscle Weakness
                • Loss of mobility. (Clumsiness)
                  

                  Detected at TrP

                  • Trp classification according to symptoms
                    • Active Trp (Trp showing normal symptoms)
                    • Latent Trp (Trp that does not show normal symptoms only when stimulated)
                      

                    • Trp classification based on duration of symptoms
                      • Acute TrP (TrP with symptoms less than 2 months is called “acute pain”)
                      • Subpute TrP (Trp with symptoms greater than 2 but not more than 6 months, referred to as “acute pain”)
                      • Chronic Trp (Trp with symptoms over 6 months, called “Chronic Pain”)
                        

                      • Trp classification in order of birth and position
                        • Primary pain or Primary Trp (TrP, which is the first point in the main functional unit).
                        • Secondary Trp (Trp caused by Primary Trp induction is usually in nearby muscles that are in the same functional unit as those with a Primary Trp).
                        • Satellite Trp (TrP)
                        • Joint pain or Associated Trp (Trp with primary trp, but in different muscle strains)
                          

                        • Clinical Trp Classification
                          • Key TrP (Trp that initiates and is the main source of symptoms and induces other TrPs, like the Primary Trp, but is able to trigger other TrPs in the panel or Laten TrP to show symptoms. ).
                            

                          • Trp classification based on position in the same muscle.
                            • Central Trp (Trp that occurs in the middle of the muscle, usually in the highest stress position and in the nerve endings of the muscle end or Motor End-Plate)
                            • Attachment TrP (Trp occurring at the joint between the muscle and tendon or at the beginning or end of a muscle)