Myofascial pain mimicking radicular syndromes

Facco, Enrico; Ceccherelli, Francesco

doi:10.1007/3-211-27458-8_32

Cited by 27 publications

(18 citation statements)

References 5 publications

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“…In many situations, it may present as a regional musculoskeletal pain mimicking other serious medical illness, leading to misdiagnosis and unnecessary courses of medical treatment (12). Primary MPS of pectoralis major, for instance, may mimic angina pectoris and often misdiagnosed by clinicians (2, 3,9). The condition is treatable, but requires vigilant evaluation and vast skill in order to make correct diagnosis and effective management plan (5,9,11).…”

Section: Chest Pain and Myofascial Pain Syndrome Of Chest Wallmentioning

confidence: 98%

“…Primary MPS of pectoralis major, for instance, may mimic angina pectoris and often misdiagnosed by clinicians (2, 3,9). The condition is treatable, but requires vigilant evaluation and vast skill in order to make correct diagnosis and effective management plan (5,9,11). MPS of the chest wall may present as primary or secondary etiology.…”

Section: Chest Pain and Myofascial Pain Syndrome Of Chest Wallmentioning

confidence: 99%

“…This was consistent with Simons's criteria, which state that the minimum acceptable criteria for diagnosing MPS are the combination of spot tenderness [TrPs] and subject recognition of pain beside other diagnostic criteria (10). Though MPS is one of the most common pain problems in clinical practice, it is often underdiagnosed due to lack of awareness among clinicians (5,9,11). In many situations, it may present as a regional musculoskeletal pain mimicking other serious medical illness, leading to misdiagnosis and unnecessary courses of medical treatment (12).…”

Section: Chest Pain and Myofascial Pain Syndrome Of Chest Wallmentioning

confidence: 99%

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Atypical Chest Pain from Myofascial Pain Syndrome of Subscapularis Muscle

Jalil

Prateepavanich

Chaudakshetrin

2010

Journal of Musculoskeletal Pain

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Background: Myofascial pain syndrome [MPS] of chest, neck, and shoulder muscles is one of the causes of atypical chest pain, which has often been underscored in the evaluation of patients with chest pain.Findings: We present two cases of MPS of the subscapularis muscle, which presented with atypical chest pain and were apparently underdiagnosed by the management team. They were successfully treated when the correct diagnosis was made.Conclusions: Based on exclusion criteria of atypical chest pain and therapeutic response to trigger point injection, we concluded that MPS of the subscapularis muscle might present with atypical chest pain beside common presentation with "frozen shoulder." KEYWORDS.Myofascial pain syndrome, atypical chest pain, subscapularis muscle, trigger point injection INTRODUCITONAtypical chest pain has been reported to account for 49 to 60 percent of all admissions

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Section: Chest Pain and Myofascial Pain Syndrome Of Chest Wallmentioning

confidence: 98%

Section: Chest Pain and Myofascial Pain Syndrome Of Chest Wallmentioning

confidence: 99%

Section: Chest Pain and Myofascial Pain Syndrome Of Chest Wallmentioning

confidence: 99%

See 1 more Smart Citation

Atypical Chest Pain from Myofascial Pain Syndrome of Subscapularis Muscle

Jalil

Prateepavanich

Chaudakshetrin

2010

Journal of Musculoskeletal Pain

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“…Although pain is often due to a single cause, there is more than one source of pain in some cases. Low back pain is considered to be chronic if it has been present for longer than 3-6 months despite medical treatment [2]. Pathology of vertebral body, intervertebral disc and facet joint, social-psychological factors, and muscle spasms are effective in the formation of acute and chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Rare Case of Complete Fatty Degeneration of the Paraspinal Muscle in a Patient with Low Back Pain

Atçı¹

2016

Ann Clin Anal Med

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ÖzetBel ve sırt ağrılarının etyopatogenezi her zaman ortaya konulamamakta, bazen klinisyenler klinik bulgularla radyolojik tetkikler arasında ilişki kuramamaktadırlar.Klinisyenler bel ve sırt ağrılarında görüntülemede çoğunlukla vertebra cismi, intervertebral disk ve faset eklemlere odaklanma eğilimindedir. Ancak görüntülemeler-de lomber omurga stabilizasyonunda önemli rol oynayan paravertebral kaslar gö-zardı edilmemelidir. Lomber bölgede yağ depoziti miktarındaki artış ve kas kitlesinin azalması makroskopik olarak kas dejenerasyonu bulgusudur. Bu olgu sunumu kronik bel ağrısı nedenli tarafımıza başvuran ve görüntüleme raporunda 2 seviye bulging dışında patolojik bulgu olmayan bir hastanın tarafımızca incelenen görün-tülemesinde paravertebral adelelerde kas dokusunun tamamen yağlı dejenerasyona uğradığı ve lomber omurga stabilitesinde önemli rol oynayan kasların volümle-rini kaybederek atrofi olduğu görülmesi nedenli yapılmıştır. Anahtar KelimelerKronik Bel Ağrısı; Paraspinal Adale; Yağlı Dejenerasyon AbstractThe ethiopathogenesis of low back pain cannot always be demonstrated and sometimes clinicians cannot establish a relationship between clinical symptoms and radiological examinations. Clinicians tend to focus on vertebral body, intervertebral discs, and facet joints on imaging in low back pain. However, the paravertebral muscles that play an important role in lumbar spine stabilization should not be underestimated on imaging. The increase in the amount of fat deposited in the lumbar region and the reduction of muscle mass are macroscopic findings of muscle degeneration. In this case report, we present a patient with chronic low back pain who had been reported to have no pathological findings except 2 levels of bulging on previous imaging and who was then diagnosed as having complete fatty degeneration and atrophy of the paravertebral muscles after reevaluation of her imaging results.

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“…Marked tenderness on deep palpation of the paravertebral muscles may reveal painful nodules (trigger points), which in themselves can refer pain to the buttocks or upper legs (the so-called pseudoradiculopathy). 12,13 The soft tissue components may be a major factor in producing LBP. These myofascial pain syndromes may closely mimic symptoms from the nerve roots or discs.…”

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confidence: 99%

The management of acute low back pain in adults: a guide for the primary care physician

Brighton

2012

South African Family Practice

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To diagnose patients with acute low back pain (LBP), a focused physical examination needs to be conducted and a detailed history obtained. The patient should then be placed into one of three broad categories, namely nonspecific LBP, pain associated with radiculopathy or spinal stenosis, or back pain potentially associated with serious organic disease. The history should include an assessment of psychosocial risk factors that predict delayed healing and progression to chronic pain. Routine imaging is not required within the first three weeks of nonspecific LBP. Imaging should be performed for patients with severe or progressive neurological deficits, or when serious underlying pathology is suspected, based on the history and the physical examination. Patients should be advised of the benign course of nonspecific LBP and that over 90% of patients recover within a few weeks. Occasionally, the pain may last for a few months. Patients should be advised to remain active and should be provided with information on effective self-care options. Usually, first-line medication options are paracetamol or nonsteroidal anti-inflammatory drugs. To treat severe pain, a stronger drug approach that includes opioids may be considered, but only for a short time. Other therapies to be taken into account are spinal manipulation, intensive interdisciplinary rehabilitation, exercise therapy, massage therapy, or progressive relaxation. Spinal surgery is an option in the event of progressive neurological fallout, severe persistent pain of more than three months and patient unresponsiveness to recommended treatment, or if there is acute cauda equina syndrome.

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Myofascial pain mimicking radicular syndromes

Cited by 27 publications

References 5 publications

Atypical Chest Pain from Myofascial Pain Syndrome of Subscapularis Muscle

Atypical Chest Pain from Myofascial Pain Syndrome of Subscapularis Muscle

Rare Case of Complete Fatty Degeneration of the Paraspinal Muscle in a Patient with Low Back Pain

The management of acute low back pain in adults: a guide for the primary care physician

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