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A Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome.
Current Pain and Headache Reports ( IF 3.7 ) Pub Date : 2020-06-27 , DOI: 10.1007/s11916-020-00877-5
Annemarie Galasso 1 , Ivan Urits 2 , Daniel An 1 , Diep Nguyen 3 , Matthew Borchart 4 , Cyrus Yazdi 2 , Laxmaiah Manchikanti 5 , Rachel J Kaye 6 , Alan D Kaye 7 , Ken F Mancuso 6 , Omar Viswanath 7, 8, 9, 10
Affiliation  

Purpose of Review

Myofascial pain syndrome (MPS) is a musculoskeletal pain condition that stems from localized, taut regions of skeletal muscle and fascia, termed trigger points. The purpose of this comprehensive review is to provide updated information on prevalence, pathophysiology, and treatment modalities with a focus on interventional modalities in managing MPS.

Recent Findings

Though MPS can present acutely, it frequently presents as a chronic condition, affecting up to 85% of adults during their lifetime. MPS is an often-overlooked component of pain with overarching effects on society, including patient quality of life, physical and social functioning, emotional well-being, energy, and costs on health care. The prevalence of MPS is generally increased among patients with other chronic pain disorders and has been associated with various other conditions such as bladder pain syndrome, endometriosis, and anxiety.

Summary

MPS is poorly understood and remains a challenging condition to treat. Non-pharmacologic treatment modalities such as acupuncture, massage, transcutaneous electrical stimulation, and interferential current therapy may offer relief to some patients with MPS. Additional studies are warranted to get a better understanding of managing myofascial pain.


中文翻译:

肌筋膜疼痛综合征的治疗和管理的全面综述。

审查目的

肌筋膜疼痛综合征(MPS)是一种肌肉骨骼疼痛症状,起源于骨骼肌和筋膜的局部绷紧区域,称为触发点。这项全面审查的目的是提供有关流行率,病理生理学和治疗方式的最新信息,重点是管理MPS的干预方式。

最近的发现

尽管MPS可以急性发作,但经常表现为慢性病,一生中会影响多达85%的成年人。MPS是一种经常被忽视的疼痛成分,会对社会产生全面影响,包括患者的生活质量,身体和社交功能,情感健康,精力以及医疗保健费用。在患有其他慢性疼痛疾病的患者中,MPS的患病率通常会升高,并且与各种其他疾病(如膀胱疼痛综合征,子宫内膜异位症和焦虑症)相关。

概要

MPS知之甚少,仍然是治疗的挑战性条件。针灸,按摩,经皮电刺激和干扰电流疗法等非药物治疗方式可能会减轻一些MPS患者的痛苦。有必要进行更多的研究以更好地了解肌筋膜疼痛的治疗。
更新日期:2020-06-27
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