p ~atients with myofascial pain syndrome (MPS) and trigger points (TP) present to every health ! care provider. Despite vigorous treatment, patients with progressive MPS often request a referral to a pain specialist. MPS is a common regional pain syndrome associated with chronic soft tissue dysfunction. Patients with MPS suffer from persistent pain and may end up with a decreased range of motio...

Introduction: Myofascial Pain Dysfunction Syndrome (MPDS) is one of the most important causes of the orofacial pain. The main purpose of this study was to evaluate 40 related variables in this regard. Materials and Methods: Thirty nine patients with MPDS were evaluated in this study. Different factors including age, gender, occupation, marital status, sensitivity of masticatory muscles, maximum...

Readers who are seriously interested in the promising potential of electromyographic detection of endplate noise as a gold standard for identifying TrPs and its likely limitations should be sure to consider the comments on and compare the papers by Couppe et al. and by Kuan et al. that are reviewed in this column. Those interested in writing a first-class paper on clinical research on TrPs shou...

Myofascial pain syndrome (MPS) is a major musculoskeletal pain that occur in every age group, and has been associated with numerous pain conditions including radiculopathies, osteoarthritis, disc syndrome, tendonitis, migraines, tension type headaches, computerrelated disorders, spinal dysfunction, and pelvic pain. Myofascial pain is identified by palpating skeletal muscle for myofascial trigge...

Many people continue suffering from myofascial pain syndrome (MPS) defined as a regional pain syndrome characterized by muscle pain caused by myofascial trigger points (MTrPs) clinically. Muscle spasm and block of blood circulation can be noticed in the taut bands. In the MTrP region, nociceptors can be sensitized by the peripheral inflammatory factors and contracture of fascia can also be indu...

Myofascial pain syndrome (MPS) constitutes a substantial portion of the pain spectrum, acute and chronic, as both the primary cause of disability, and as a complication arising from other problems such as failed low back surgery, cervical whiplash, overuse, or repetitive strain syndrome. MPS is a very specific type of muscular pain, and is not to be confused with fibromyalgia. It is common afte...

Myofascial pain syndrome (MPS) is a musculoskeletal pain disorder with a high prevalence in low back pain complaints. However, because of its complex and confusing nature, MPS is commonly misdiagnosed and overlooked by clinicians who are unfamiliar with this pain syndrome. However, with proper knowledge, MPS can be identified and effectively treated. This article discusses the current diagnosti...

This article will explore our current understanding of fibromyalgia syndrome (FMS) from both traditional and alternative perspectives, and will offer management options that can substantially improve treatment outcomes of patients suffering from this insidious condition. Understanding FMS is a tall order because there are so many possible causes for it, and because it can involve so many system...

Chronic muscle pain (myalgia) is a common problem throughout the world. Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain. The two common muscle pain conditions are fibromyalgia and myofascial pain syndrome. Fibromyalgia is a chronic, widespread muscle tenderness syndrome, associated with c...

Needling therapy has been widely used for pain control. " Needling " includes all procedures with penetration of a needle through the skin with injection of medication (injection therapy) or without introduction of any drug (dry needling). In either injection or dry needling, the site of treatment can be at the site of pain (direct needling) or far from the site of pain (remote needling). Needl...