Myofascial Low Back Pain: A Review

Myofascial pain syndrome is a common nonarticular local musculoskeletal pain syndrome caused by myofascial trigger points located at muscle fascia, or tendinous insertions affecting up to 95% of people with chronic pain disorders Clinically, myofascial pain syndrome can present as painful restricted range of motion stiffness, referred pain patterns and auto nomic dysfunction The underlying cause is often related to muscular imbalances and following a thorough physical examination the condition should be treated with a comprehensive rehabilitation program Additional treatment options include pharmacologic needling with or without anesthetic agents or nerve stimulation and alternative medicine treatments such as massage or herbal medicines Repeated trigger point injections should be avoided and corticosteroids should not be injected into trigger points