Chronic Myofascial Pain (CMP) (Cleveland Clinic)

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Sometimes, blood tests will be performed to look for medical causes of muscle pain, such as vitamin D deficiency or hypothyroidism.

How is CMP treated?
Treatment options might include:

  • Physical therapy --A therapy program includes stretching, postural and strengthening exercises.
  • Medicine --Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, might be used to help reduce pain.
  • Massage therapy --Therapeutic massage can loosen tight muscles and relieve cramping or spasms.
  • Injections --This involves injecting a pain medicine (local anesthetic) directly into the trigger points.

It is also important to address any factors --such as poor posture, workplace ergonomics, or mechanical problems --that might be contributing to CMP pain.

What complications are associated with CMP?
In some cases, the pain of CMP can affect additional muscles. For example, a muscle can be stressed when another muscle is affected by CMP and is not functioning properly.

What is the outlook for people with CMP?
In general, the outlook is good. When properly diagnosed and treated, the pain associated with CMP often can be controlled.

Can CMP be prevented?
It might not be possible to prevent all episodes of CMP, but the following tips might help reduce their occurrence and hasten recovery:

  • Improve your posture.
  • Reduce your body weight.
  • Exercise regularly.
  • Eat a healthy, well-balanced diet.
  • Learn stress-management techniques.
  • Use proper techniques at work, and during exercise and sports.

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Last Updated: 3/8/2010

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