Chiropractic

The Role Of Central Sensitization In Myofascial Pain Syndrome

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Introduction

The muscles, tissues, and ligaments help stabilize the joints and structure of the spine so that the body can function. These muscles are layered and interwoven in the spine and joints that help facilitate movement. When the body suffers from injuries or traumatic events, the muscles, tissues, and ligaments become affected, causing muscle pain and discomfort. This causes the muscles to be tender to the touch and sensitive. This is known as myofascial pain syndrome. Today’s article looks at myofascial pain syndrome, how it is linked with central sensitization, and ways to manage myofascial pain syndrome. We refer patients to certified providers specializing in musculoskeletal treatments to help many individuals with myofascial pain syndrome associated with central sensitization. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

What Is Myofascial Pain Syndrome?

 

Have you been experiencing muscle tightness in different areas of your body? Have you felt your muscles tender to the touch? Or have you been having trouble sleeping? Many of these overlapping risk factors are signs that you might have myofascial pain syndrome. The term “myofascial” is split into two parts. “Myo” refers to the muscles, while “fascia” refers to the connective tissues found throughout the body. So myofascial pain syndrome is where there is muscle pain in various forms, which includes the muscle tissues, connective tissues, or both. Studies reveal that myofascial pain syndrome originates from trigger points in the skeletal muscle, causing the affected muscle to be in pain. The trigger points in the body’s skeletal muscles are the “knots” people feel when their muscles feel tight. These trigger points are challenging to identify because they occur in different areas causing referred pain (pain in one place but in another body area). 

 

How Central Sensitization Link To Myofascial Pain Syndrome?

Studies reveal that central sensitization in the body is represented as an enhancement in neuron function and circuits in the nociceptive pathways that increases membrane excitability and synaptic efficacy. To that point, it reduces inhibition and manifests the remarkable plasticity of the somatosensory nervous system. The nociceptor inputs can trigger and manifest central sensitization as pain hypersensitivity when the body suffers from an injury. So how is central sensitization linked to myofascial pain syndrome? Let’s use fibromyalgia as an example. Many individuals dealing with myofascial pain may be potentially involved with fibromyalgia. This is due to fibromyalgia being a chronic condition that features widespread pain, and this causes the body to be more sensitive to pain. Central sensitization linked to myofascial pain syndrome can mimic fibromyalgia symptoms in the body, causing muscle pain and discomfort. 

 


An Overview Of Myofascial Pain Syndrome-Video

Are you experiencing muscle weakness or soreness in some regions of your body? Have you dealt with chronic fatigue or poor sleep quality? Or have you been dealing with headaches constantly throughout the entire day? Many of these symptoms are signs that you might be at risk of developing myofascial pain syndrome. The video above explains myofascial pain syndrome, the symptoms, and the causes that affect the body. Studies reveal that myofascial pain has two types of trigger points:

  • Active trigger points associated with muscle pain without movement
  • Latent trigger points associated with muscle pain with movement

Myofascial pain syndrome can vary in acute or chronic forms and can range from mild to severe while being in different locations, making it very difficult to pinpoint where the pain is localized. Fortunately, there are ways to manage myofascial pain syndrome in the body that can help with the pain.


Ways To Manage Myofascial Pain Syndrome

 

When managing myofascial pain syndrome, many individuals dealing with muscle pain will take pain medication to alleviate it; however, that only minimizes the pain for a short period. One way to manage myofascial pain syndrome is by utilizing chiropractic care as part of treatment. Chiropractic care is non-invasive and often the preferred treatment for individuals with myofascial pain syndrome due to its effectiveness and drug-free approach. Chiropractors are not only good at finding the trigger points, but they are good when it comes to treating them using various techniques. Studies reveal that chiropractors use direct pressure on the trigger points to relieve the pain with their hands or specific tools. Incorporating chiropractic care provides the body with an increase in muscle strength, flexibility, and range of motion. Since chiropractic care is a whole-body approach, it allows many people with myofascial pain syndrome to have a better quality of life and learn healthy habits, which include diet, exercise, and mental health, while living with less or no pain at all.

 

Conclusion

The body has muscles, tissues, and ligaments that help stabilize the joints and structure of the body, so there is functionality. These muscles help facilitate movement since the muscles are interwoven in the spine and joints. When the body suffers from a traumatic event or an injury, the muscles, tissues, and ligaments become affected. This causes muscle pain and discomfort, known as myofascial pain, where the trigger points cause pain in the body and can occur in different areas. Myofascial pain can be challenging to diagnose since it can be on one side of the body but affects a different section, known as referred pain. Fortunately, treatments like chiropractic care can help manage myofascial pain by treating the pain and using direct pressure to alleviate the pain. Incorporating chiropractic care to manage myofascial pain can help many individuals be pain-free on their health and wellness journey.

 

References

Bordoni, Bruno, et al. “Myofascial Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 18 July 2022, www.ncbi.nlm.nih.gov/books/NBK535344/.

Desai, Mehul J, et al. “Myofascial Pain Syndrome: A Treatment Review.” Pain and Therapy, Springer Healthcare, June 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4107879/.

Latremoliere, Alban, and Clifford J Woolf. “Central Sensitization: A Generator of Pain Hypersensitivity by Central Neural Plasticity.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2750819/.

Morgan, William. “Chiropractic Treatment for Myofascial Pain Syndrome.” Spine, Spine-Health, 24 Sept. 2014, www.spine-health.com/treatment/chiropractic/chiropractic-treatment-myofascial-pain-syndrome.

Disclaimer

rofessional Scope of Practice *

The information herein on "The Role Of Central Sensitization In Myofascial Pain Syndrome" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez DC or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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Dr. Alex Jimenez

Specialties: Stopping the PAIN! We Specialize in Treating Severe Sciatica, Neck-Back Pain, Whiplash, Headaches, Knee Injuries, Sports Injuries, Dizziness, Poor Sleep, Arthritis. We use advanced proven therapies focused on optimal Mobility, Posture Control, Deep Health Instruction, Integrative & Functional Medicine, Functional Fitness, Chronic Degenerative Disorder Treatment Protocols, and Structural Conditioning. We also integrate Wellness Nutrition, Wellness Detoxification Protocols and Functional Medicine for chronic musculoskeletal disorders. We use effective "Patient Focused Diet Plans", Specialized Chiropractic Techniques, Mobility-Agility Training, Cross-Fit Protocols, and the Premier "PUSH Functional Fitness System" to treat patients suffering from various injuries and health problems. Ultimately, I am here to serve my patients and community as a Chiropractor passionately restoring functional life and facilitating living through increased mobility. Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, functional strength training, functional medicine, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries. We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Cross-Fit Rehabilitation Systems for all ages. As an extension to dynamic rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities' premier doctors, therapist and trainers in order to provide high-level competitive athletes the options to push themselves to their highest abilities within our facilities. We've been blessed to use our methods with thousands of El Pasoans over the last 3 decades allowing us to restore our patients' health and fitness while implementing researched non-surgical methods and functional wellness programs. Our programs are natural and use the body's ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living. With a bit of work, we can achieve optimal health together, no matter the age, ability or disability.

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