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KMID : 0948920160150020086
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Clinical Pain
2016 Volume.15 No. 2 p.86 ~ p.91
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Fallacies of Myofascial Pain Syndrome
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Kim Eun-Kuk
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Abstract
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The theory of myofascial pain syndrome (MPS) caused by trigger points (TrPs) strives to explain the phenomena of muscle pain and tenderness in the absence of evidence for local nociception. Although it lacks external validity, many practitioners have uncritically accepted the diagnosis of MPS and its system of treatment. In this present literature review, the author has critically examined the evidence for the existence of myofascial TrPs as putative pathological entities and for the vicious cycles that are said to maintain them. The author believes that both are inventions that have no scientific basis, whether from experimental approaches that interrogate the suspect tissue or empirical approaches that assess the outcome of treatments predicated on presumed pathology. Therefore, the theory of MPS caused by TrPs has been refuted. This is not to deny the existence of the clinical phenomena themselves, for which scientifically sound and logically plausible explanations based on known neurophysiological phenomena can be advanced
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KEYWORD
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Muscle pain, Tenderness, Myofascial pain, Trigger point
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