Gerwin Robert D
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Pain and Rehabilitation Medicine, 4405 East-West Highway, Suite 502, Bethesda, MD 20814, USA.
Phys Med Rehabil Clin N Am. 2014 May;25(2):341-55. doi: 10.1016/j.pmr.2014.01.011. Epub 2014 Mar 18.
Myofascial pain is one of the most common causes of pain. The diagnosis of myofascial pain syndrome (MPS) is made by muscle palpation. The source of the pain in MPS is the myofascial trigger point, a very localized region of tender, contracted muscle that is readily identified by palpation. The trigger point has well-described electrophysiologic properties and is associated with a derangement of the local biochemical milieu of the muscle. A proper diagnosis of MPS includes evaluation of muscle as a cause of pain, and assessment of associated conditions that have an impact on MPS.
肌筋膜疼痛是最常见的疼痛原因之一。肌筋膜疼痛综合征（MPS）的诊断通过肌肉触诊来进行。MPS疼痛的根源是肌筋膜触发点，这是一个非常局限的、触诊时易于识别的、有压痛的收缩肌肉区域。触发点具有明确描述的电生理特性，并且与肌肉局部生化环境的紊乱有关。对MPS的正确诊断包括评估肌肉作为疼痛原因，以及评估对MPS有影响的相关病症。
