Rheumatology Book

http://www.fpnotebook.com/

Myofascial Pain Syndrome

Advertisement

  1. See Also
    1. Chronic Pain
  2. Epidemiology
    1. Very common cause of Chronic Pain
    2. Very common syndrome in general population
    3. Peak onset: ages 30 to 60 years
  3. Signs
    1. See Trigger Point
      1. Trigger Points central to Myofascial Pain Syndrome
    2. See Chronic Pain Evaluation
  4. Differential Diagnosis
    1. See Chronic Pain Causes
    2. Fibromyalgia
  5. Management (See Chronic Pain)
    1. See Stretch and Spray
    2. See Trigger Point Injection
    3. Deep Massage Therapy (20-30 pounds of force)
    4. Regular Exercise Program
      1. Aerobic Exercise
      2. Active and Passive Stretching
      3. Posture enhancing Exercises
    5. Medications
      1. NSAIDs or COX2 Inhibitors
      2. Tricyclic Antidepressants
  6. References
    1. Fomby (1997) Physician and Sports Med 25(2):67-75

Fibromyalgia (C0016053)

Definition (MSH)A common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). Muscle pain is typically aggravated by inactivity or exposure to cold. This condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, HEADACHES, and occasionally DEPRESSION. There is significant overlap between fibromyalgia and the chronic fatigue syndrome (FATIGUE SYNDROME, CHRONIC). Fibromyalgia may arise as a primary or secondary disease process. It is most frequent in females aged 20 to 50 years. (From Adams et al., Principles of Neurology, 6th ed, p1494-95)
Definition (CSP)an acute, subacute, or chronic painful state of muscles, subcutaneous tissues, ligaments, tendons, or fasciae caused by a number of agents such as trauma, strain, occupation, exposure, posture, infection, or arthritis.
ConceptsDisease or Syndrome (T047)
ICD9729.1
MSHD005356
EnglishDiffuse Myofascial Pain Syndrome, Fibromyalgia, Fibromyalgia -RETIRED-, Fibromyalgia Fibromyositis Syndrome, Fibromyalgia Syndrome, Fibromyalgia-Fibromyositis Syndrome, Fibromyalgia-Fibromyositis Syndromes, Fibromyalgias, FIBROMYOSITIS, Fibromyositis Fibromyalgia Syndrome, Fibromyositis-Fibromyalgia Syndrome, Fibromyositis-Fibromyalgia Syndromes, Fibrositides, FIBROSITIS, Fibrositis unspecified, MPD syndrome, MPDS - Myofacial pain dysfunction syndrome, Muscular rheumatism, Myofacial pain dysfunction syndrome, myofascial pain dysfunction syndrome, Myofascial pain syndrome
Spanishfibromialgia, fibromialgia - RETIRADO -, fibromiositis, fibrositis, reumatismo muscular, sindrome de dolor miofascial
Parent ConceptsMyalgias/Myopathy (C0221570), Myopathy (C0026848), Rheumatism (C0035435), Myalgia and myositis unspecified (C0026893), Myositis (C0027121), Primary fibromyalgia syndrome (C0521517), Reason not stated concept (C1276325), Disorder characterized by pain (C1300028), Disorder of skeletal muscle (C1533847), Ambiguous concept (C1274012), Duplicate concept (C1274013)
SourcesAIR, COSTAR, CSP, DXP, MEDLINEPLUS, MSH, MTH, MTHICD9, NDFRT, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree