Identifying and treating myofascial pain syndrome.

Though common, myofascial pain syndrome can be difficult to recognize and distinguish from underlying entities. It is often confused with fibromyalgia. Diagnosis hinges on the identification of painful muscle trigger points that, when palpated, create local twitch responses and refer pain in predictable patterns. With appropriate treatment, such as stretch and spray, trigger point injections, or massage therapy, prognosis is good. Perpetuating factors, such as poor posture or workplace ergonomics, also need to be addressed.