irritation of the muscles and fascia of the back and neck causing acute and chronic pain not associated with any neurologic or bony evidence of disease; presumed to arise primarily from poorly understood changes in the muscle and fascia themselves.
myofascial pain syndromeA chronic, nonprogressive, nondegenerative and non-inflammatory musculoskeletal pain syndrome, which is characterised by local or referred pain evoked at multiple trigger points and accompanied by stiffness, weakness, “knot formation”, and decreased range of motion in precise, specific patterns.
Generalised pain—head, neck, chest, joints, pelvis, back, sciatica.
Three-step analgesic ladder: injection with local anaesthetics, steroids, anti-inflammatories.
Possibly autonomic dysfunction.