Myofascial Pain

Syndrome

Presented By:

Mendoza, Kristine Jane

D.
• a chronic form of muscle pain.
• The pain centers around
sensitive points in your muscles
called trigger points
• The trigger points can be
painful when touched
• And the pain can spread
throughout the affected muscle.
 Active
• is a focus of hyper-irritability in a
T muscle or its fascia
Y • causes pain and tenderness at rest or
with motion that stretches or loads the
P muscle.
E • It prevents full lengthening of the
muscle,
S • Pressure on an active MTrP induces
some of the patient’s pain.
 Latent
T • Does not cause pain during normal
Y activities.
P • It is locally tender, but causes pain
only when palpated.
E • It also refers pain on pressure.
S • It can be associated with a
weakened shortened more easily
fatigued muscle.
 THE
TRIGGER POINT
IS THE
PAIN
GENERATOR
 Trigger Point
• small, focal, tender spots located in a
muscle
• spots are painful on compression
• can produce referred pain, tenderness,
motor dysfunction
• mimic other health
problems like chest
pain or sciatica
 Clinical Features
• Palpable Band
• Spot Tenderness
• Jump Sign
• Pain Recognition
• Referred Pain
• Twitch Response
• Muscle Weakness
• Restricted ROM
 Clinical Feature Possible Explanation
Palpable Band Continuous abnormal release of
Calcium from sarcoplasmic
reticulum
Spot Tenderness Sensitization of nociceptors in
vicinity of motor endplate
Jump Sign Severity of Trigger Point tenderness
Pain Recognition Aggravation of the Trigger point
Twitch Response Spinal reflex activation of motor
units
Referred Pain and Excitation of ‘sleeping nociceptors’
Tenderness
Restricted Range of Increase release of acetylcholine in
Movement neuromuscular junctions due to
mechanical stress with related
increase of sensitising substances
Muscle Weakness Reflex inhibition of involved muscle