Myofascial Pain & Fibromyalgia
Comprehensive treatment for widespread chronic pain
Understanding Myofascial Pain & Fibromyalgia
Myofascial pain syndrome (MPS) is characterized by the presence of trigger points—hyperirritable spots in skeletal muscle that are painful on compression and can give rise to characteristic referred pain. These trigger points can be active (causing spontaneous pain) or latent (painful only when palpated). MPS commonly affects the neck, shoulders, and back.
Fibromyalgia is a more widespread chronic pain condition characterized by diffuse musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. Unlike myofascial pain, fibromyalgia involves central sensitization—an amplification of pain signals in the central nervous system. Both conditions significantly impact quality of life and require comprehensive, multidisciplinary management.
Common Causes
Muscle Overuse
Occupational or recreational activities causing chronic muscle tension and trigger point development
Poor Posture
Sustained awkward positions or ergonomic issues leading to muscle imbalances
Trauma or Injury
Direct muscle injury, whiplash, or falls initiating myofascial pain patterns
Stress and Psychological Factors
Emotional stress causing muscle tension and central sensitization
Sleep Disturbances
Non-restorative sleep perpetuating pain and fatigue
Genetic Predisposition
Family history of fibromyalgia or chronic pain conditions
Symptoms
Widespread musculoskeletal pain and aching
Persistent fatigue and lack of energy
Sleep disturbances and non-restorative sleep
Cognitive difficulties ("fibro fog")
Tender points or trigger points
Muscle stiffness, especially in morning
Headaches including tension-type and migraines
Mood disturbances including depression and anxiety
Advanced Treatment Options
Trigger Point Injections
Local anesthetic or botulinum toxin injected directly into trigger points
Dry Needling
Insertion of thin needles into trigger points to release muscle tension
Myofascial Release Therapy
Specialized manual therapy techniques to release fascial restrictions
Low-Dose Naltrexone
Off-label use showing promise in reducing central sensitization
Transcranial Magnetic Stimulation
Non-invasive brain stimulation to modulate pain processing
Comprehensive Pain Rehabilitation
Multidisciplinary approach combining therapy, CBT, and medication
Pharmacological Management
FDA-approved medications combined with muscle relaxants and sleep aids
Get Expert Treatment for Myofascial Pain & Fibromyalgia
Schedule a consultation with our pain management specialists to discuss personalized treatment options.