Reframing myofascial pain syndrome: pathological disorder or adaptive protective response? - PubMed
3 hours ago
- #myofascial pain syndrome
- #chronic pain
- #protective response
- Myofascial pain syndrome (MPS) is a common cause of chronic pain, characterized by trigger points within taut bands in muscles.
- Traditionally viewed as a musculoskeletal dysfunction from mechanical overload, but the review proposes reframing MPS as a physiological protective response.
- The trigger point-taut band complex may limit harmful movements through sensitization and enhance joint stability by increasing muscle tension and proprioception.
- This perspective suggests MPS involves defensive or compensatory mechanisms, not just pathology, broadening understanding and treatment approaches.
- Recommended treatments extend beyond pain management to include load modulation, functional training, and addressing peripheral and central sensitization.
- The new framework aims for more durable therapeutic outcomes and reduced disability, comparing MPS to protective responses like fever in infections.