Fascial Pain Syndromes

Question 1

Myofascial Pain Syndrome:

Answer 1

• TRIGGER POINTS
• Tight skeletal muscle or muscle fascia
• Better prognosis that for fibromyalgia

Question 2

Complex Regional Pain Syndrome:

Answer 2

• Nerve injury
• Spontaneous pain that begins in extremity and extends proximally
• Thermography will show coolness of extremity
• Stage 1: acute; limb edema
• Stage 2: dystrophic; limb becomes cool
• Stage 3: atrophic; pain spreads proximally and irreversible atrophic changes and contracture

Question 3

Fibromyalgia:

Answer 3

• Syndrome -> many symptoms
• Widespread MSK pain
• Fatigue
• Central Sensitization -> Facilitation
• Multiple Tender points
• R/o sleep apnea and repetitive limb movement as cause