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Myofascial Pain in Athletes: Effective Techniques for Relief and Recovery

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This article discusses myofascial pain in athletes, its symptoms, causes, and treatment options.

Medically reviewed by

Dr. Nitin Joshi

Published At September 22, 2023
Reviewed AtFebruary 2, 2024

Introduction

Muscle pain is common in athletes and can be caused by various things, from overuse to injuries. However, one type of muscle pain that is often overlooked is myofascial pain. Myofascial pain is caused by the development of trigger points, which are tiny knots in muscle tissues. These trigger points can cause pain and dysfunction in the surrounding area. If someone is experiencing muscle pain, it is important to identify the cause and treat it accordingly. If pain is persistent and does not seem to go away, it might be caused by myofascial pain syndrome (MPS). This condition affects the fascia, connective tissue, in the body. Irritated or inflamed tissues can cause pain and other symptoms.

What Is Myofascial Pain?

Myofascial pain is a condition that can affect anyone, but it is especially common in athletes. Myofascial pain is caused by trigger points in areas of muscle that are chronically tight and irritated. Trigger points can cause pain in the muscles and other parts like the neck, shoulder, and back. Myofascial pain is treatable with the combination of manual therapy, stretching, and self-care exercises.

Myofascial trigger points are discrete, hypersensitive foci of painful, taut muscles that are at the heart of this syndrome. There is no clear mechanistic understanding of the disorder, despite its significant impact on public health. The disorder's integration of cellular signaling, excitation-contraction coupling, neuromuscular inputs, local circulation, and energy metabolism is likely to blame for this.

What Are the Differential Diagnosis of Myofascial Pain Syndrome?

The differential diagnosis of myofascial pain syndrome includes conditions such as fibromyalgia, rheumatoid arthritis, polymyalgia rheumatica, osteoarthritis, tendinopathy, arthritis bursitis, and nerve impingement syndrome.

What Is the Classification of Myofascial Pain?

Myofascial pain is a type of pain that is caused by pressure on the myofascial tissue. These are the tissues that connect the muscles to the bones. Myofascial pain can be classified into four different categories:

  1. Acute Myofascial Pain - This type of pain comes on suddenly and is usually caused by overuse or an injury. This is pain that has been present for less than six months.

  2. Sub-Acute Myofascial Pain - This pain has been present for six months to two years.

  3. Chronic Myofascial Pain -This type of pain is ongoing and usually the result of repetitive motion or posture problems. This pain has been present for more than two years.

  4. Refractory Myofascial Pain - This type of coronavirus facial cream does not respond to treatment.

What Muscles Are Commonly Affected in Myofascial Pain?

The following muscles are commonly affected by myofascial pain -

  • Sternocleidomastoid.

  • Trapezius.

  • Levator scapulae.

  • Rhomboids.

  • Infraspinatus.

What Are the Causes of Myofascial Pain?

Myofascial pain syndrome is a condition that results when myofascial trigger points become irritated and inflamed. Pain and stiffness in the affected muscles can also refer to pain in other body parts. There are many potential causes of myofascial pain in athletes, such as -

  • Overuse of muscle groups can cause myofascial pain in athletes. For example, if a runner keeps pounding the same muscles repeatedly, the muscles will eventually start hurting.

  • Muscle imbalance.

  • Poor posture.

  • Lack of flexibility.

  • Stress.

  • Repetitive motion.

What Are the Symptoms of Myofascial Pain?

Symptoms of myofascial pain are listed below:

  • Tension in the neck and shoulder.

  • Pain that radiates out from the muscles.

  • Stiffness in the muscles.

  • Increased pain after physical activity.

  • Muscles spasm.

  • Fatigue.

  • Headaches.

  • Dizziness.

  • Insomnia.

If anyone is experiencing these symptoms, it is important to see a doctor right away. Myofascial pain can be extremely debilitating, so do not wait to get help.

How to Diagnose Myofascial Pain?

Myofascial pain syndrome cannot be diagnosed by any kind of digital imaging like X-ray, MRI (magnetic resonance imaging), CT (computed tomography), or ultrasound. The only way to diagnose myofascial pain is through physical examination and history. A history of pain is helpful in diagnosis. Physical examination includes palpation of the affected muscles and trigger points. Palpation over the trigger point can cause pain; this finding is helpful in the diagnosis of myofascial pain.

What Are the Treatments for Myofascial Pain?

If any athlete is experiencing pain in the back, neck, or shoulders, there is a chance that it is myofascial pain. Many treatment modalities are available for myofascial pain that can help. Myofascial pain can take a while to resolve, so taking treatment deviation and its teeth with the treatment plan.

  • The doctor might describe a massage therapist or physical therapist to help loosen up the muscles and relieve the pain. Physiotherapists can help stretch and strengthen the muscles that are causing pain. They might also use massage techniques to help relieve tension in the muscles.

  • The doctor will likely start by prescribing medications to help relieve myofascial pain. If muscle spasms cause the pain, the doctor prescribes muscle relaxants, and if the pain is caused by inflammation, the doctor will prescribe anti-inflammatory drugs.

  • Laser therapy.

  • Transcutaneous electrical nerve stimulation.

  • Pressure release from the trigger point.

  • Dry and wet needling.

  • Ultrasound therapy.

  • Heat application.

  • Acupuncture.

  • Steroids.

How to Prevent Myofascial Pain?

It is important to be proactive about myofascial pain and do what one can to prevent it from developing in the first place.

  • Myofascial pain can be prevented by stretching regularly. When the muscles are tight, they are more susceptible to strain and can easily become injured. So start stretching after each workout and incorporate some gentle stretching into the daily routine.

  • Staying hydrated is a good start. When anybody is dehydrated, their muscles are more from cramps and spasms. A sufficient amount of water intake during and after workouts is important.

  • Warming up and cooling down properly before and after a workout is very important. A good warm-up loses the muscles and prepares them for action, while a cool-down helps them relax and prevents cramps.

Conclusion

Myofascial pain is a common problem for athletes. The pain is caused by the fascia, a type of connective tissue, becoming irritated and inflamed. Myofascial pain causes several causes, including overuse, trauma, and inflammation. The symptoms can vary from person to person but typically include muscle pain, stiffness, and reduced range of motion in the shoulder and back. The treatment for myofascial pain depends on the underlying cause. With proper diagnosis and treatment, the pain often goes away. Chronic myofascial pain may require long-term treatment.

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Dr. Nitin Joshi
Dr. Nitin Joshi

Pain Medicine

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