6533b850fe1ef96bd12a85f0

RESEARCH PRODUCT

Myofascial pain associated to trigger points: a literature review. Part 2: differential diagnosis and treatment.

Jordi Cascos-romeroEduardo Vázquez-delgadoCosme Gay-escoda

subject

medicine.medical_specialtyMEDLINEDiagnosis DifferentialMyofascial pain syndromesIntervention (counseling)EpidemiologymedicineHumansIntensive care medicineGeneral DentistryMyofascial Pain SyndromesAnamnesisSíndrome de dolor miofascialbusiness.industrymedicine.disease:CIENCIAS MÉDICAS [UNESCO]SurgeryOtorhinolaryngologyMood disordersUNESCO::CIENCIAS MÉDICASAnxietySurgeryDifferential diagnosismedicine.symptombusinessPsychosocial

description

During the last decades the advance in knowledge of myofascial pain has been constant in the medical and dental community. However, although several aspects have been clarified in relation to its epidemiology, clinical characteristics and etiopathogenesis, many uncertainties remain. Many clinical conditions are included in the differential diagnosis of myofascial pain associated to trigger points. A good anamnesis and clinical exploration is thus required in order to ensure correct diagnosis and treatment. Among the numerous treatments used in application to trigger points, the spray-and-stretch technique and direct injection targeted to such trigger points have been found to be the most effective options. In chronic cases, psychosocial intervention is required, due to the high incidence of mood disorders and/or anxiety observed in these patients, who in turn present a poorer prognosis. This underscores the importance of early diagnosis and treatment.

10.4317/medoral.15.e639https://pubmed.ncbi.nlm.nih.gov/20173729