A review of the literature relating to the mechanism of myofascial pain syndromes was conducted to assess current knowledge of their diagnosis and recommended conservative therapy, particularly as this information may apply to routine chiropractic practice. Because standard methods of diagnositic procedure - physical examination, clinical laboratory studies, orthopaedic and neurological testing, etc. - are generally of little or no value (except to rule out other possible conditions), the nature, extent and location of the pain itself must be relied upon as the major diagnostic indicator. Once the diagnosis of myofascial triggerpoint syndrome has been confirmed and its exact location has been ascertained, the condition can usually be effectively treated by conservative chiropractic therapies.
Author keywords: myofascial pain syndromes, pathophysiology, diagnosis, chiropractic management
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