Treatment Overview

Myofascial Pain Syndrome Treatment Overview

Q: How does Buoy choose treatments and ensure quality?

Buoy’s clinicians present treatments based on established protocols of care, evidence-based guidelines, and clinical experience. The treatment providers on our website have to meet Buoy’s clinical standards. These providers must be properly licensed and credentialed; practice evidence-based medicine and follow established guidelines; monitor safety and efficacy; and protect user privacy.

Q: Can I use these treatments even if I have a primary care doctor?

Yes. You can still use Buoy if you have a primary care provider. Buoy may provide access to treatment options that you cannot easily access elsewhere. Talk to your doctor or other qualified healthcare provider with any questions you may have regarding a medical condition.

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Care Plan

First steps to consider

If you have symptoms of myofascial pain syndrome, like deep, constant muscle pain and knots that cause pain to radiate, you should see a healthcare provider to get a treatment plan.
Treatment typically includes a combination of medications, trigger point injections, exercise, massage, and physical therapy.

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Symptom relief

OTC anti-inflammatory medications like ibuprofen (Advil, Motrin) can help relieve muscle tightness.
Stretching and massage of the tense area can also help relieve muscle tension.
Placing a heating pad on sore muscles can be soothing and help relax the muscle.

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The suppliers listed follow Buoy’s clinical guidelines, but listing the suppliers does not constitute a referral or recommendation by Buoy. When you click on the link and/or engage with these services Buoy will be compensated.

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All treatments for myofascial pain syndrome

When to see a healthcare provider

Always see a healthcare provider—either a primary care provider or orthopedist—to get a diagnosis of myofascial pain syndrome (MPS). The main symptoms are pain, muscle stiffness, and the development of trigger points (tight, contracted bands of fibers in your muscles).

It’s important to see a doctor right away, ideally before trigger points develop, to improve the chance it can be treated successfully. Your doctor will also want to check for other conditions with similar symptoms, like fibromyalgia.

Getting diagnosed

MPS is usually diagnosed based on your symptoms and a physical exam. There is no specific test that can identify the condition.

What to expect from your doctor visit

Your provider may refer you to a physical therapist, who can lead you through gentle stretching exercises to help relieve muscle pain. If you have trigger point pain when stretching, the therapist may spray a numbing solution on your skin. They may also do transcutaneous electrical nerve stimulation (TENS), which uses low levels of electric current to reduce pain levels.
If OTC pain relievers don’t help, you may be prescribed one of several types of medications. Options include the antidepressants amitriptyline (Elavil) and duloxetine (Cymbalta), a muscle relaxant like cyclobenzaprine (Flexeril), an anticonvulsant like pregabalin (Lyrica), and a benzodiazepine like clonazepam (Klonopin).
Dry/wet needling may be recommended to reduce pain, muscle tension, and stiffness. Inserting a needle (dry needling) into the trigger point may break up the tension. In some cases, the provider can inject a numbing agent or steroid (wet needling, also known as trigger point injections).
Your provider may recommend therapeutic ultrasound. Use of sound waves may increase blood circulation and warm the area, which can bring relief and promote healing in muscles.
Acupuncture may decrease pain and improve physical function in people with MPS.
Injecting Botox into trigger points may help relax the muscles and block feelings of pain.

Prescription myofascial pain syndrome medications

Antidepressants: amitriptyline (Elavil), duloxetine (Cymbalta)
Muscle relaxants: cyclobenzaprine (Flexeril)
Anticonvulsant: pregabalin (Lyrica)
Benzodiazepine: clonazepam (Klonopin)

Types of myofascial pain syndrome providers

A primary care provider can treat mild to moderate symptoms.
An orthopedist is a doctor who specializes in conditions that affect the bones, muscles, and tendons.
If you have chronic MPS, you may be referred to a physiatrist, who specializes in pain management.
A physical therapist can teach you stretching exercises that help relieve pain.

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FAQ

Frequently asked questions

What is Buoy and how are we paid?

Buoy is a healthcare marketplace that connects people with the right treatment options for their situation. Buoy helps people learn about treatments, which they can choose to use. Treatment providers pay Buoy to have their information on our platform. Buoy only shows providers on our website when their services are clinically relevant in helping the user address their symptoms or conditions. But listing the providers does not constitute a referral or endorsement.

How does Buoy choose treatments and ensure quality?

Can I use these treatments even if I have a primary care doctor?