Current Pain and Headache Reports

, Volume 14, Issue 5, pp 346–352 | Cite as

New Trends in the Treatment and Management of Myofascial Pain Syndrome

  • John Z. Srbely


Myofascial pain syndrome presents a significant physical and financial burden to society. In view of the aging demographics, myofascial pain promises to be an even greater challenge to health care in the future. Myofascial trigger points have been identified as important anatomic and physiologic phenomena in the pathophysiology of myofascial pain. While their pathophysiologic mechanisms are still unclear, emerging research suggests that trigger points may be initiated by neurogenic mechanisms secondary to central sensitization, and not necessarily by local injury. A variety of treatments are employed in the management of trigger points, including manual therapy, electrotherapy, exercise, and needle therapy. Therapeutic ultrasound demonstrates significant potential as a safe, cost-effective, and relatively noninvasive therapeutic alternative in the treatment and management of this modern day medical enigma.


Myofascial pain Myofascial trigger point Central sensitization Neurogenic inflammation Trigger point therapy 



No potential conflicts of interest relevant to this article have been reported.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Human Health and Nutritional ScienceUniversity of GuelphGuelphCanada

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