ChiroACCESS Clinical Review

Myofascial Pain Syndromes: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

September 2, 2007

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A thorough case history and clinical examination are required to accurately diagnose myofascial pain syndrome (MPS). Since MPS mimics many other conditions, early recognition can reduce the need for more invasive and expensive diagnostic procedures. Myofascial pain syndrome is characterized by deep aching pain, stiffness in the involved area and referred pain often appearing as radiation of pain. In later stages, muscle weakness often develops as well as fatigue and sleep disturbances (1).

Again the reader is advised: trigger points as a clinical entity are not universally recognized in the healthcare professions. Although ample clinical evidence is reported, experimental research relating to etiology, diagnosis and treatment is limited and sometimes controversial (2;3).

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