Myofascial Pain: Mechanisms to Management

Oral Maxillofac Surg Clin North Am. 2016 Aug;28(3):289-311. doi: 10.1016/j.coms.2016.03.010.


More than 100 million adults in the United States have chronic pain conditions, costing more than $500 billion annually in medical care and lost productivity. They are the most common reason for seeking health care, for disability and addiction, and the highest driver of health care costs. Myofascial pain is the most common condition causing chronic pain and can be diagnosed through identifying clinical characteristics and muscle palpation. Management is focused on integrating patient training in changing lifestyle risk factors with evidence-based treatment. Understanding the cause, diagnosis, and management of myopain conditions will help prevent the impact of chronic pain.

Keywords: Chronic pain; Muscles; Myofascial pain; Pain; Soft tissue; Spasm; Tender muscles; Trigger point.

Publication types

  • Review

MeSH terms

  • Chronic Pain / diagnosis*
  • Chronic Pain / etiology
  • Chronic Pain / therapy
  • Diagnosis, Differential
  • Facial Pain / diagnosis*
  • Facial Pain / etiology
  • Facial Pain / therapy
  • Humans
  • Myofascial Pain Syndromes / complications
  • Myofascial Pain Syndromes / diagnosis*
  • Myofascial Pain Syndromes / therapy
  • Pain Management
  • Pain Measurement
  • Risk Factors