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Myofascial syndromes MYOFASCIAL SYNDROMES
These occur when there is an inflammation of the body's muscular system. Myofascial pain is a term that refers to the muscles and to the cellophane-like membrane that covers the muscles.
Such conditions are difficult to diagnose as there are no effective examinations or techniques to indicate their presence. The diagnosis is sometimes made only in the absence of neurological or orthopaedic factors.
Myofascial syndromes often mimic conditions such as disc disease and arthritis of the spine. The causes of such syndromes include whiplash, injuries to the neck, excessive exercise, and muscle tension such as typists feel in their shoulders after sitting through a long day.
In these cases, muscles which usually slide freely against one another are pinned down by adhesions caused by a muscular injury. Muscles pulling on the tight areas cause muscle spasm.
Australia has just experienced an epidemic of myofascial-type syndromes in otherwise healthy young individuals who usually complain that the condition is caused by sitting at computer keyboards
for long periods.
In Australia, such conditions are often labelled RSI (repetitive
strain injury).
One of the only ways to diagnose myofascial syndrome is to induce pain as an identifiable trigger point in the back or other muscles. Trigger points are parts of the muscles or ligaments that when pressed with a finger cause severe pain to radiate away from the pressure point.
Although the precise cause of such trigger points is not yet fully understood, it is thought that perhaps restrictive muscle movement causes initial pain. In turn, this restriction is believed to produce muscle spasm that pulls the sensitive covering over a bone to which the muscle is attached.
Treatments Myofascial syndromes are often treated well by physicians using the techniques of TENS therapy and acupuncture. Non-steroidal anti-inflammatory drugs may help relieve inflammation initially and relaxation techniques are often used as a back-up treatment to the physical treatments and appropriate medications.
Temporomandibular joint or TMJ syndrome
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Pain
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