Meyer Helgard P
University of Pretoria, Private Bag X 396, Pretoria 0001, South Africa.
Curr Pain Headache Rep. 2002 Aug;6(4):274-83. doi: 10.1007/s11916-002-0048-z.
Myofascial pain syndrome is a chronic muscle pain disorder in one or more muscles or groups of muscles accompanied by local and referred pain, decreased range of motion, weakness, and often autonomic phenomena. Patients are readily recognized by their history of muscle pain and the presence of myofascial trigger points, which are specific areas of hyperirritability in a muscle that cause local and referred pain on palpation. Failure to recognize MPS often leads to over-investigation, unnecessary medical intervention, and iatrogenic harm with serious cost implications. The purpose of this review is to present clinically relevant data regarding myofascial pain syndrome and to discuss its possible role in the pathophysiology and optimal treatment of fibromyalgia syndrome.
肌筋膜疼痛综合征是一种发生在一块或多块肌肉或肌群的慢性肌肉疼痛疾病，伴有局部疼痛和牵涉痛、活动范围减小、无力，且常伴有自主神经症状。患者因其肌肉疼痛病史以及肌筋膜触发点的存在而容易被识别，肌筋膜触发点是肌肉中过度敏感的特定区域，触诊时会引起局部疼痛和牵涉痛。未能识别肌筋膜疼痛综合征往往会导致过度检查、不必要的医疗干预以及医源性损害，造成严重的成本问题。本综述的目的是提供关于肌筋膜疼痛综合征的临床相关数据，并讨论其在纤维肌痛综合征的病理生理学和最佳治疗中可能发挥的作用。
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