Mr Michael Stafford
Musculoskeletal and Myofascial Pain
Myofascial Pain Syndrome (MPS) is a condition that affects the body’s soft tissues or muscles. Myofascial Pain Syndrome can affect individual muscles or muscle groups.
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What are the symptoms of myofascial pain?
Myofascial pain tends to be found in the muscles of the neck, back and shoulders. The pain is associated with trigger points that tend to follow fairly predictable patterns. The pain tends to be aggravated with repetitive activity or anxiety and stress. Myofascial pain can also be associated with other conditions such as depression, fatigue, and behavioural disturbances.
Meet Our Pain Consultants
At Kingsbridge, you’ll be in the expert hands of the UK and Ireland’s top pain consultants.
How is Myofascial Pain Treated?
Your chronic pain specialist will make a full assessment of your pain and give you a treatment plan tailored to your specific needs.
Remove the Source of the Pain
One of the first lines of treatment for deactivation of trigger points is the muscle stretch techniques which should be followed by functional training or exercise to maintain pain relief and to prevent further development of trigger points.
Your pain specialist with have access to physiotherapists, experiences in dealing with this sort of pain, and will be able to refer you if necessary.
Manual Therapies
One of the first lines of treatment for deactivation of trigger points is the muscle stretch techniques which should be followed by functional training or exercise to maintain pain relief and to prevent further development of trigger points.
Your pain specialist with have access to physiotherapists, experiences in dealing with this sort of pain, and will be able to refer you if necessary.
Pharmaco-therapy
Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, tricyclic antidepressants (TCA’s) and simple analgesics are frequently prescribed for this condition. Topically applied NSAIDs may also be effective, whilst having less side effects. Capsaicin is another topically applied drug that can be effective for this condition.
Trigger point Injections
Injections are not typically considered a long term solution for this type of pain, but can provide short term benefit (3-6 months) in order to allow a ‘window of opportunity’ to facilitate physical therapies.
Trigger point injections with cortisone or botulinum toxin can effectively inactivate myofascial trigger points. Directed at loosening the taut band, trigger point injections provide rapid symptomatic relief, allowing more effective physiotherapy.