What Are the Most Common Causes of Chronic Myofascial Pain?
Myofascial pain is often manifested in the neck, shoulder, and back. Although myofascial pain can involve a wide range of pain points around the body, neck, shoulder, and back, it is the most common clinical and most significant pain. [1]
Myofascial pain
- Myofascial pain syndrome is characterized by local myofascial pain, usually with an excitatory point. If this excitatory point is touched, it can cause typical metastatic pain. The combination of traditional Chinese medicine with strong tendons and strong bones, Shushuhuoxue and "Ashi "Acupoint" therapy, etc., usually pay attention to preventive health care, pay attention to sitting posture.
- Western Medicine Name
- Myofascial pain
- English name
- Myofascial pain syndrome
- Disease site
- Pain can spread almost all over the body
- The main symptoms
- Pain in neck, upper back, upper arms and waist and hips
- Main cause
- Posture for too long
- Multiple groups
- Ethnic group of thirty to fifty
Myofascial Pain Disease Introduction
- Myofascial pain is often manifested in the neck, shoulder, and back. Although myofascial pain can involve a wide range of pain points around the body, neck, shoulder, and back, it is the most common clinical and most significant pain. [1]
- "Myofascial pain syndrome" belongs to the category of "strain" in Chinese medicine, which means chronic injury caused by improper work or rest. And because patients often feel cold or wind pain more severe, so commonly known as "muscular rheumatism." This is because the site of the lesion is already poorly circulated. When the wind or cold air blows, the blood vessels constrict and the local circulation worsens. [2]
Causes of myofascial pain
- Some data show that the composition and structure of patients with myofascial pain is gradually changing. First, the age of onset has a downward trend, and even too young children have come to the clinic for playing with a computer or playing electric toys for too long, causing neck pain. Secondly, it was found that office workers, computer families, teachers, musical instrument players, and electronics factory operators, etc., increased the number of mild workers suffering from back pain; in addition, housewives are also vulnerable to back pain. Most patients often work in the same posture for too long while working, or have too much mental stress, and their muscles are tight for a long time; some even have long-term poor posture, and unknowingly suffer from chronic muscle strain. [2]
Clinical manifestations of myofascial pain
Myofascial pain
- Occurs in the 30-50 age group.
- It is most painful after a long period of sitting, standing or standing in a certain position for a long time. [2]
Myofascial pain disease symptoms
- Although myofascial pain can involve a wide range of pain points around the whole body, neck, shoulder, and back pain is the most common clinical and the pain is the most significant.
- The reason may be related to the following: On the one hand, the cervical spine must carry a skull that is larger and heavier than its own, and certain fixed postures (such as lowering the head and the head) can cause overload of muscles and bones, damage or fatigue fatigue. Insufficient blood supply to the muscles and lack of oxygen; on the other hand, modern people generally suffer from stress for a long time. As the Westerners said, the pressure fell on the shoulders, and the mental pressure reflexively caused the muscles to contract and tighten. posture. The oppressive effects of hypoxia and muscle contraction can further aggravate blood circulation disorders, form a vicious cycle, and it is difficult to alleviate muscle contraction. [1]
- Therefore, cervical, shoulder, and back myofascial lesions can exist independently (that is, cervical spondylosis of the cervical spondylosis), and generally participate in the pathological processes of various types of cervical spondylosis. Of course, the clinical manifestations of various types of cervical spondylosis often merge with each other.
- Pain can spread almost all over the body, but it most often occurs in the neck, upper back, upper arms, and waist and hips.
- For example, the common "pain pain" often occurs in office workers, teachers, or women who are easily stressed. Due to long-term shoulder tension, the shoulder and back are stiff. Over time, it causes pain around the medial edge of the scapula. This is exactly the point of acupuncture. The location of "Yanyu Acupoint" is therefore called "Yanyu Pain". The shoulder and back are stiff and painful for a long time, and they often reflect to the head and cause headaches. In general, pain in the brain, forehead and temples is most common in the future. Stretched. In addition, those who have been sitting at work or housewives for a long time on a short bench to pick vegetables and wash laundry are more prone to pain in the waist and hips. In severe cases, the pain even reflects to the outside and back of both lower limbs, causing walking difficulties.
- Another feature of the disease is that certain pain points can be found in a large piece of sore muscles. Western medicine calls them "Triggerpoints" and Chinese medicine calls them "Ashi Points" or "Tianying Points". The name of A Shixue started from the outstanding doctor of the Tang Dynasty, Sun Simiao. It is said that when a doctor presses on this point, patients often get the name "Ah, yes!" Because of pain. "Induced pain point" or "Ashi acupoint" is the root cause of muscle soreness. When you press this point during diagnosis, you can often feel a rope-like hard strip under it. It is caused by long-term muscle contraction and spasm. Pressing or pulling the tendons in the direction of the fascia will feel quite comfortable. [2]
Myofascial Pain Disease Hazards
- Persistent blood circulation disorders, which are prone to secondary hypertrophy of muscles or contract muscles to form cord-like lumps, and even atrophy. Myofascia and ligaments are also affected, causing excessive tensile stress on the spine, and finally the cervical spine Bone and intervertebral disc disease. [2]
Diagnosis and diagnosis of myofascial pain
- After the myofascial soft tissue is injured, it can be followed by periosteum and fibrous inflammation, which can cause partial bone hyperplasia, leukocyte infiltration, and produce sterile inflammation, which will cause local connective tissue lesion adhesion and cause ischemia and hypoxia, which will directly affect To the end of the nerve, pain is produced. The pain causes protective muscle spasms. Once the pain spasms form a vicious circle, the aseptic inflammation will be further aggravated, leading to aggravation of the local surrounding tissue pain mechanism. [3]
Myofascial Pain Disease Treatment
- The way to treat this disease is to first find the pain point or Ashi acupoint of the originator, and apply acupuncture or massage to this point. Its role is to break the vicious circle between the pain point and the pain reflection area, just like the key is turned on. After the muscles relax, the pain is relieved. In addition, taking traditional Chinese medicines such as Duhuo Parasitic Decoction and Shujing Huoxue Decoction with strong muscles and strong bones, and dredging menstruation and blood circulation can also help to improve the disease. Director Cai emphasized that traditional Chinese medicine will also pay attention to whether the patient's physique is dysregulated when treating this disease. If the physique is "renal yin deficiency", Liu Wei Di Huang Wan, Zuo Gui Wan and other prescriptions are commonly used to nourish the kidney yin; Seeing those with "Yang Yang Deficiency", they usually use Guifu Bawei Pills or Yougui Pills to replenish the kidney yang. If you have long-term mental tension and muscles cannot relax, you should add traditional Chinese medicine to relieve liver depression, such as Xiaoyao Adding flavor and so on can help relax and adjust unbalanced physique at the same time. [2]
Myofascial pain disease prevention
Prevention of myofascial pain
- First of all, the working posture should be correct. The design of the working environment should be ergonomic. For every 40 to 50 minutes of work or housework, get up and rest for 5 to 10 minutes. Stretch your muscles and relax gymnastics to prevent muscles from accumulating continuously. Fatigue often improves work efficiency. In addition, daily and continuous exercise for half an hour can not only relax the mood, but also promote circulation and increase the elasticity of muscles to avoid the aging of connective tissues such as muscles and tendons. If the above matters can be achieved, it is believed to be away from this emerging Civilization sickness.
Myofascial pain prevention drugs
- 1. Chinese wolfberry: Gan Ping. It has the functions of nourishing the kidneys and eyesight. It can be eaten directly, soaked in hot water, or cooked in tea and dishes. However, eating more has a soft stool effect, so those who are prone to diarrhea should not eat too much.
- 2, mulberry seeds: sweet taste cold. Functional tonic liver and kidney and nourishing yin, applicable to the constitution of liver and kidney yin deficiency. Fresh mulberries can be eaten after washing. However, eat more soft stool, so the spleen and stomach are cold and prone to diarrhea should not eat more.
- 3, walnut meat: sweet and warm nature. It has the functions of nourishing kidney and solid essence, warming the lungs and asthma, and can chew three capsules every night. However, because it is easy to sputum and cause fire, when the body has acute inflammation somewhere (such as acute upper respiratory tract infection, etc.), or the constitution is yin deficiency and fire, it is not suitable for consumption.
- 4. Eucommia: slightly sweet, mild and warm. It has the functions of nourishing liver and kidney and strengthening bones and bones. The daily dosage is about two to three dollars per person. However, those who are physically weak and weak should be used with caution. [2]