Physical Medicine and Rehabilitation for Myofascial Pain Questions & Answers

Updated: Mar 15, 2019
  • Author: Jennifer E Finley, MD, FAAPMR; Chief Editor: Dean H Hommer, MD  more...
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Questions & Answers

Overview

What is myofascial pain (MP)?

What is the pathophysiology of myofascial pain (MP)?

What is the prevalence of myofascial pain (MP) in the US?

What is the global prevalence of myofascial pain (MP)?

What are the racial predilections of myofascial pain (MP)?

What are the sexual predilections of myofascial pain (MP)?

What patient groups have the highest prevalence of myofascial pain (MP)?

Presentation

Which clinical history findings are characteristic of myofascial pain (MP)?

Which physical findings are characteristic of myofascial pain (MP)?

What are the criteria for identifying TrPs in myofascial pain (MP)?

Which physical findings confirm a diagnosis of myofascial pain (MP)?

What causes myofascial pain (MP)?

DDX

What conditions are included in the differential diagnoses of myofascial pain (MP)?

What are the differential diagnoses for Physical Medicine and Rehabilitation for Myofascial Pain?

Workup

What is the role of lab tests in the workup of myofascial pain (MP)?

What is the role of imaging studies in the workup of myofascial pain (MP)?

What is the role of EMG in the workup of myofascial pain (MP)?

Which histologic findings are characteristic of myofascial pain (MP)?

Treatment

How is myofascial pain (MP) treated?

What is the role of physical therapy (PT) in the treatment of myofascial pain (MP)?

What is the efficacy of physical therapies in the treatment of myofascial pain (MP)?

What is the role of occupational therapy in the treatment of myofascial pain (MP)?

What are possible precipitating factors in myofascial pain (MP)?

Which serious conditions should be ruled out as a source of myofascial pain (MP)?

What are the possible complications of TrP injections to treat myofascial pain (MP)?

Which specialist consultations are beneficial to patients with myofascial pain (MP)?

Which osteopathic manipulation techniques are used in the treatment of myofascial pain (MP)?

Which alternative medicine therapy has been used in myofascial pain (MP) treatment?

Guidelines

What are the Society of Obstetricians and Gynaecologists of Canada guidelines on myofascial chronic pelvic pain (CPP)?

Medications

What is the role of medications in the treatment of myofascial pain (MP)?

Which medications in the drug class Tricyclic antidepressants are used in the treatment of Physical Medicine and Rehabilitation for Myofascial Pain?

Which medications in the drug class Nonsteroidal anti-inflammatory drugs are used in the treatment of Physical Medicine and Rehabilitation for Myofascial Pain?

Follow-up

How are patients with myofascial pain (MP) monitored?

How is myofascial pain (MP) prevented?

What is the prognosis of myofascial pain (MP)?

What is included in patient education about myofascial pain (MP)?