CMP | Serenity Holistics

Chronic myofascial Pain

What is Chronic myofascial Pain?

Chronic Myofascial Pain (CMP) is a long-term condition characterized by the presence of trigger points—hyperirritable spots in tight bands of muscle or fascia (the connective tissue surrounding muscles). These trigger points can cause deep, aching pain in the affected muscle and may also refer pain to other parts of the body. Unlike general muscle pain, CMP persists over time and can significantly impact daily activities.

Mechanism of Injury:

Chronic myofascial pain is typically caused by the development of trigger points in muscles, which can arise from:

Muscle Overuse: Repetitive motions or sustained muscle contractions can lead to muscle fatigue and the development of trigger points.
Muscle Injury: Acute injuries, such as strains or tears, can result in the formation of trigger points as muscles heal.
Stress: Chronic stress can cause muscle tension, leading to the development of trigger points.
Poor Posture: Poor posture, especially when sitting or standing for extended periods, can place stress on certain muscles, causing them to develop trigger points.
Inactivity: Lack of movement or prolonged periods of immobility can cause muscles to stiffen and trigger points to form.
Muscle Imbalances: Imbalances in muscle use, where some muscles are overused while others are underused, can contribute to CMP.

Symptoms

Persistent Muscle Pain: Continuous or recurrent deep, aching pain in the muscles, often described as a dull or burning sensation.
Trigger Points: Specific, tender areas within muscles that, when pressed, can cause pain both locally and in other parts of the body (referred pain).
Muscle Stiffness: Stiffness and a reduced range of motion in the affected muscles, which may worsen with activity or stress.
Fatigue: Constant pain can lead to physical and mental fatigue, affecting overall energy levels.
Sleep Disturbances: Pain and discomfort often interfere with sleep, leading to poor sleep quality and increased fatigue.
Headaches: Trigger points in the neck and shoulders can sometimes lead to tension headaches.
Sensitivity: Increased sensitivity to touch or pressure around the affected muscles.

Treatment

Physical Therapy:

Stretching and Strengthening Exercises: To improve flexibility, reduce muscle tension, and correct muscle imbalances.
Postural Training: Techniques to improve posture and reduce strain on affected muscles.
Trigger Point Therapy: Techniques like deep tissue massage or myofascial release to relieve pain and deactivate trigger points.

In-Clinic Treatments:

Dry Needling: Involves inserting thin needles into trigger points to relieve muscle tension and reduce pain.
Ultrasound Therapy: Uses sound waves to increase blood flow and promote healing in affected muscles.
Massage Therapy: Focused on relieving muscle tension, breaking up trigger points, and improving circulation.
Hot Stone Therapy: Applying heat to relax tight muscles and improve blood flow.
Cupping Therapy: Increases circulation and reduces muscle stiffness by creating suction on the skin.
Rehabilitation Plan: A comprehensive plan that includes physical therapy, lifestyle adjustments, and exercises to manage symptoms and prevent recurrence.

Medication:

NSAIDs: Nonsteroidal anti-inflammatory drugs to reduce pain and inflammation.
Muscle Relaxants: To relieve muscle tension and prevent spasms.
Antidepressants: Low-dose antidepressants may be prescribed to help manage chronic pain and improve sleep.