What is myofascial pain syndrome?

Myofascial pain syndrome is a chronic pain disorder. In this condition, pressure on sensitive points in your muscles (trigger points) causes pain in the muscle and sometimes in seemingly unrelated parts of your body. This is called referred pain.

This syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension.

Trigger points in the Q.L. Muscle

the quadratus lumborum muscle or “q.l.” Is a muscle located in your lower back. It originates on the iliac crest and iliolumbar ligament, and interns onto the last rib and transverse processes of the lumbar vertebrae. This muscle functions to stabilize the lumbar spine as well as laterally flex the spine. It will also hike the hip. Acting bilaterally it will extend the lumbar spine. Trigger points will often develop in this muscle. Trigger point referral will produce pain in the S.I. Joint and the lateral hip as well as the buttock. The pain referred into the S.I. Joint is often misdiagnosed as S.I. Joint dysfunction.

Trigger points in the gluteus medius muscle.

The gluteus medius muscle is a mover and stabilizer of the hip. As a result this muscle is commonly overloaded and harbors trigger points. These trigger points can refer pain deep into the s.i. joint as well as into the low back and hip. Once developed, trigger points will not release on their own. A manual intervention such as trigger point massage therapy is needed to treat the area.

Trigger points in the multifidus muscle.

The multifidus muscle is a long muscle that travels the length of the spine. It has different actions on different parts of the spine. It extends and laterally flexes the cervical and lumbar spine, and rotates the thoracic spine. Trigger points in this muscle are common due to poor posture and bad movement mechanics. Trigger points in the lumbar area area are a common cause of low back pain. These lower points can also refer into the abdomen. Points that form in the cervical region will refer pain down the neck into the shoulder blade area.

the serratus anterior muscle is located on the side of the trunk. It attaches onto the ribs and the scapulae. This muscle assists in scapular motion and stability as well as assisting the movement of the ribs. Trigger points can form in this muscle due to poor shoulder posture. Once formed, these points will cause pain to be felt in the side, under the armpit, and down the inside of the arm. Once formed trigger points will not release on their own, they require a manual technique such as trigger point massage.

Trigger points in the trapezius muscle.

The trapezius muscle or traps is a large muscle in the mid and upper back as well as the neck. This muscle plays an important role in shoulder and neck movement. With a chronic head forward shoulders rounded posture this muscle can become chronically overloaded and strained. When this happens trigger points can form. These points will refer pain into the neck, skull, and into the temple causing headaches. Trigger points won’t release by themselves, they need a manual technique like trigger point massage.