Myofascial pain syndrome: early recognition and comprehensive management.

Fewer conditions in clinical practice have generated more controversy and debate than those that cause musculoskeletal pain and dysfunction. The term myofascial pain refers to a syndrome of musculoskeletal discomfort. Myofascial pain is a significant physical disorder responsible for long term disability. Early diagnosis of myofascial pain syndrome and circumspect treatment without using narcotic and non-narcotic analgesics results in successful outcomes. The goal of treatment should always be function oriented, set at the beginning of a treatment program, and modified at periodic intervals. Concurrent psychosocial stressors in the home and at work should be identified and treated appropriately.