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Disturbances of Pain Perception in Myofascial Pain Syndrome and other Musculoskeletal Pains

  • Chapter
Pathophysiology of Pain Perception

Part of the book series: Plenum Series in Rehabilitation and Health ((SSRH))

Abstract

Pains from the musculoskeletal system represent a major proportion of complaints among patients seeking health services. Moreover, the efficacy of treatment of many musculoskeletal pain conditions by currently available pharmacologic and nonpharmacologic interventions is often less than optimal (Curatolo and Bogduk, 2001). Thus, it is generally accepted that pain from deep tissues constitutes a special diagnostic and therapeutic challenge, and further insights into the peripheral and central neurobiological mechanisms are necessary to improve diagnosis and management strategies. This chapter will mainly focus on the so-called myofascial pain syndrome (MPS). An unrefined search in PubMed reveals more than 4000 publications with the keyword “myofascial pain syndrome” and several extensive reviews and books are available on this topic (Fricton and Awad, 1990; Vaeroy and Merskey, 1993; Simons et al., 1999; Mense and Simons, 2001; Rivner, 2001; Borg-Stein and Simons, 2002). However, this chapter will attempt to critically review some of the proposed pain mechanisms and most prominent clinical presentations of MPS. In addition, the utility of quantitative sensory testing in assessment of muscle pain conditions will be discussed (Arendt-Nielsen 1997).

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Authors and Affiliations

  1. Aalborg University, Center for Sensory-Motor Interaction, Aalborg, Denmark

    Lars Arendt-Nielsen, Thomas Graven-Nielsen & Peter Svensson

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  1. Lars Arendt-Nielsen
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  2. Thomas Graven-Nielsen
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Editors and Affiliations

  1. University of Bamberg, Bamberg, Germany

    Stefan Lautenbacher

  2. University of Florida College of Dentistry and Gainesville VA Medical Center, Gainesville, Florida, USA

    Roger B. Fillingim

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Arendt-Nielsen, L., Graven-Nielsen, T., Svensson, P. (2004). Disturbances of Pain Perception in Myofascial Pain Syndrome and other Musculoskeletal Pains. In: Lautenbacher, S., Fillingim, R.B. (eds) Pathophysiology of Pain Perception. Plenum Series in Rehabilitation and Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-9068-6_6

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  • DOI: https://doi.org/10.1007/978-1-4419-9068-6_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4780-4

  • Online ISBN: 978-1-4419-9068-6

  • eBook Packages: Springer Book Archive

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