Talk:Myofascial pain syndrome

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Syndrome vs. Disorder[edit]

I would just like to add to this that myofascial pain is NOT a syndrome it is a real disorder. It should be refered to as Myofascial Pain Disorder, or MPD , also can be labled as Cronic Myofascial Pain. —Preceding unsigned comment added by 96.51.20.226 (talk) 17:37, 6 August 2008 (UTC)[reply]

I concur that CMP seems to be what's being used "out there", although web sources are still using MPS as the abbreviation. No objections to switching over. I minimized use of the word "syndrome" in today's mini-rewrite. Riesling (talk) 06:34, 9 May 2011 (UTC)[reply]

In medical usage the term syndrome refers to a collection of symptoms, and does not imply that it is not a "real" disorder. One example is Down's Syndrome. No one thinks that Down's isn't a real disorder. Often a syndrome is used to describe a collection of symptoms that come from unknown causes (or as often the case the syndrome name persists when something was previous of unknown cause (ie AIDS)), or can be caused from multiple causes. CT physician. — Preceding unsigned comment added by 199.231.28.148 (talk) 20:27, 25 October 2012 (UTC)[reply]

Sources needed[edit]

So the "citation needed" here has been driving me crazy, so I picked up my text book and made them. Yeah, my copy of the book seems to be 10 years old and that's not ideal. But I went through Starlanyl's website which is marked as current to 2009 and found no contradictions to anything I sourced with that book. If you have a more recent source you can use, I'd be happy to see it! I'd specifically like it if we could get more of a variety of treatment practices cited, such as trigger point injections. I was just tired of seeing the "original research" box when directing people here. Riesling (talk) 06:34, 9 May 2011 (UTC)[reply]

Fibro vs. MPS[edit]

OK i have no idea how to put a tag on this article and cant figure out how. but anyone reading it should know that it needs a LOT adding to and the part about myofascial pain's relationship to fibromyalgia should be deleted or reworded to reflect currect understanding of both illnesses.--70.77.14.93 05:42, 30 January 2007 (UTC)[reply]

I agree, i'll tag it. Bakerstmd 15:45, 7 May 2007 (UTC)[reply]

This is not an edit but a meaningful commentary that someone should follow up on. When I was diagnosed with Myofascial Pain Disorder, one doctor insisted on that name, but the doctor who is treating me is calling it "fibromyalgia," even thought it doesn't have the scope of fibro, nor the full-blown pain. Still, he says "it's all in the same spectrum." Another doc I met agrees with this. And all of them say that there is a relationship to migraine disease. Indeed my migraines, once cured, made a small comeback during treatment. So, there IS a link to fibro, it is a disease in its own right, is definitely has to do with muscles and referred pain, but I haven't the foggiest clue where to get any research info on this. I am being treated with physical therapy (exercise) and Savella (a new gen. antidepressant), but the muscle relaxants do the most good. Over and out. —Preceding unsigned comment added by Bastetmax (talkcontribs) 03:11, 10 May 2010 (UTC)[reply]

I'm sorry, but your doctors' statements don't match up with current research. The two conditions are the same only in that most doctors think they know more about them than they actually do. Everything I've read says fibro pain is generalized & CMP is localized in trigger points. They can occur together in the same person at the same time, but that doesn't necessarily mean they're linked. I think the jury's still out on that one, unless you've got a printed source that says otherwise. (I'm particularly curious about the possible connection to migraines? I suspect the only connection at this time is that all three hurt a lot and are subject to a lot of misunderstanding.) Riesling (talk) 06:34, 9 May 2011 (UTC)[reply]

I'd[edit]

I'd like to dispute the "no involvement of the muscles or fascia" phrase, since one of the halmarks of MPS is knotted muscles in trigger points, and trigger point injection is one of the treatments. I want to add the Trigger Point information back in. Any concerns? I can dig up some references.

I am going to add back in something about trigger points and provide a cite. Davedrh 04:36, 14 June 2006 (UTC) Wasn't sure the policy/method of citing webpages, so I entered the link I found as an External Link rather than a reference. Will revisit this when I have more time if someone hasn't already done it. Davedrh 04:49, 14 June 2006 (UTC)[reply]

There is a claim in the article that these syndromes are more common in women than men; however, according to the info in the link, FMS is more prevalent in women, but Myofascial Pain Syndrome is evenly distributed. Davedrh 04:53, 14 June 2006 (UTC)[reply]

I had a problem with:

The term may be a misnomer, since there is no evidence that there is any abnormality of the muscles or fascia.

Please dont contribute to an article if you are not current on the research. I have edited to reflect the 10 yr old research by Simons.--70.77.14.93 05:07, 30 January 2007 (UTC)[reply]

who the hell is Simons? One sentence just randomly starts with some name. How about "Fullname Simons revealed in 1960 that..." or just make the statement, then put it in a footnote? —Preceding unsigned comment added by 64.131.146.108 (talk) 07:08, 19 August 2008 (UTC)[reply]

Actually, the entire article needs an overhaul to reflect the last 10 years of research. I am not familiar with wiki formatting for citing, etc....anyone else up for the task? Until then I am going to tag it.--70.77.14.93 05:27, 30 January 2007 (UTC)[reply]

About reverting - deleteing a WP:RS(?) source[edit]

Hi, Iṣṭa Devatā and Codename Lisa.

About this revert. I'm not very experienced in editing medical articles so I want to be extra careful and not just revert this revert (with some changes) – unless posting this first. I've been reverted before but I can't recall a citation to a source being deleted before, that I've added. I do not take it personally, I'm just not sure if the citation was deleted on purpose as disbelieved or just the quote not done right. About the edit summary "Removed misplaced single negative out-of-context quote from the abstract of a single study: reads poorly, wrong section, inappropriately long". "misplaced"? I put this under causes as it's about non-causes of MPS. Was it "negative"? Yes, "refuted" sounds "negative" about the causes. Was it one "study"? I'm not sure what to call it, it was a "A critical evaluation of the trigger point phenomenon". "Published by Oxford University Press on behalf of the British Society for Rheumatology". I admit, I only read the very short abstract, [but a bunch elsewhere on "trigger points", that may not (or may) be, a WP:RS, so I didn't put it in the article at this point.]

I'm not going to go over all citations in the article (other sections) or try to discredit them unless I feel confident. I'll just say for now, about: "Massage therapy using trigger-point release techniques may be effective" (and Myofascial release), that if trigger points are not the cause, this may not be effective. It might help (for "short-term pain relief") even if they are not the cause. The citation about this, that I flagged was based on a case study of one person.

About, only the causes section, the citation from 2005 (10 years older than mine) doesn't work and the other from 1985, I can't see causes mentioned. comp.arch (talk) 17:52, 26 July 2015 (UTC)[reply]

Hi. My apologies if it wasn't a super graceful delete. I probably should have left the reference, but it was no longer attached to anything without the long quote (though I tried to reword the basic premise). The problem I had was that the quote wasn't really explained. It wasn't in a section on controversy and seemed like it belonged in another section. Without any context, it seemed contentious to simply put a quote against the theory under causes. A: it would go better under a 'reception' or 'controversy' section. B: it would be better if it could be reworded instead of quoted directly. It's also frustrating when article abstracts from pay-to-access articles are quoted without any page numbers because it looks like the study was just googled to support a contention (though that is just my feelings on it). I have no problem with you reinserting the info or ref. I would just think a new section for it and an explanation in leu of the quote.Iṣṭa Devatā (talk) 20:04, 26 July 2015 (UTC)[reply]
Maybe you misunderstood, I didn't want to put in just: "The theory of myofascial pain syndrome (MPS) caused by trigger points (TrPs) ... has been refuted". That is that the citation says. I thought it was better to have this in quotes. But this could get misunderstood, the former MPS isn't said to not exist (and not really TrPs, just not as a cause). I also thought the rest of the quote needed, so this wouldn't get misunderstood. Maybe these doctors are wrong however, that is another matter.. comp.arch (talk) 23:20, 26 July 2015 (UTC)[reply]

Pain relief[edit]

Certainly everyone is aware of the opioid epidemic and the many overdoses that many sources of news are all too willing to immediately refer to. I have suffered from severe pain more than half of my life and have passed this Myofascial Pain Syndrome/Disorder down to both of my kids, who have considerately decided not to have children of their own. This condition is definitely under diagnosed, under rated and blatantly belittled to something that ibuprofen would help. I would feel better with a bag of M & M’s. This has completely and entirely disabled me from a career that I loved, did well doing various jobs and was well compensated for it. It took 12 years to win my disability case and I feel like this condition is DEFINITELY NOT GETTING THE ATTENTION THAT IT IS DUE. Sure some physical therapist are great at dry needling, which helps, but insurance won’t pay for it. I have seen a deep tissue massage therapist, who was also very helpful, but at around $100 a visit there is only so many times that I can go. I am tired of people saying that I have to learn how to manage my pain and live in constant agony because many Dr.s did not properly educate their patients on opioids and help them ween off humanely or people who take pain medications to get high. How is that my problem and why do I have to suffer needlessly, because some people can’t control themselves or Dr.’s don’t want to give their patients the additional 15 minutes to explain opioids. I truly believe that so many people are on heroine now because they got falsely kicked out of a pain clinic or their medications were just completely stopped one day. There has to be a voice for the many ones of us that are responsible with their pain medications and are entitled to some quality of life and the pursuit of happiness. I am going to start an Association. Hopefully some of you will read this and join. The site is under construction right now, but we deserve to be heard and helped. Would you join such an association? 2603:6010:C00:3D2:C122:2A32:985A:CCB8 (talk) 20:26, 24 July 2022 (UTC)[reply]