Department of Physical Medicine and Rehabilitation, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Curr Pain Headache Rep. 2009 Oct;13(5):376-8. doi: 10.1007/s11916-009-0061-6.
Myofascial pain and fibromyalgia share a number of common features: the patient is uncomfortable; abnormalities can be detected on physical examination; and there is a lack of an objective means to either quantify or visualize their core features. This has undoubtedly contributed to a slowed acceptance of their importance by the medical community. Fortunately, the situation is beginning to change. Although progress may be somewhat slower in fibromyalgia, in which attention appears to focus on pain sensitivity and functional brain imaging, a number of approaches now seem promising in their ability to quantify the physical and biochemical characteristics of the taut bands and trigger points of myofascial pain. This review focuses on myofascial pain with an emphasis on the growing capability of MRI, microanalytic techniques, and ultrasonography to assess, quantitate, and even visualize the characteristics of these stigmatic lesions.
患者感到不适；体格检查可发现异常；缺乏量化或可视化其核心特征的客观手段。这无疑导致医学界对它们的重要性的接受速度放缓。幸运的是，这种情况正在开始改变。尽管在纤维肌痛中进展可能较为缓慢，因为注意力似乎集中在疼痛敏感性和功能性脑成像上，但现在有一些方法似乎很有希望能够量化肌筋膜疼痛的紧张带和触发点的物理和生化特征。本综述重点介绍肌筋膜疼痛，强调 MRI、微观分析技术和超声检查评估、量化甚至可视化这些有问题的病变特征的能力。
