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Myofascial Pain

“A very common source of pain in the digital age that can be simply treated without surgery”

Myofascial pain syndrome is a regional pain disorder characterized by localized hypersensitive muscles that radiate pain. It is very common and can result in significant disability. It is often associated with anxiety, poor posture, repetitive  strain injuries, sleep deprivation and traumatic injuries.

Why your muscles hurts.

The muscles hurt because they are constantly active without a rest break. As this continues, the muscles get tight and stiff resulting in worsening pain. If this cycle is not broken, the pain continues to worsen until normal activities are extremely difficult.


The symptoms of myofascial pain syndrome can be very non-specific and can include:
• Sudden onset
• Pain in a distributed pattern
• Decreased joint range of motion with increased sensitivity to stretching
• Muscle weakness due to pain with no muscular atrophy
• Palpation of the painful site resulting in a reproduction of the characteristic pain
• A palpable muscle band with a local twitch response

If you are experiencing pain or weakness in the hand you could be suffering from myofascial pain syndrome. Our expert doctors at Spine & Sports Medicine of New York use expertise in innovative assessments to accurately diagnose the cause of your myofascial pain syndrome.

Other diseases that can mimic myofascial pain include:
• Chronic pain syndrome
• Fibromyalgia
• Fracture
• Infection
• Joint osteoarthritis
• Neoplasm
• Psychological disorders
• Polymyalgia rheumatica
• Polymyositis
• Radiculopathy

Our Board-Certified Physicians Can Accurately Diagnose the Source of Your Pain

We conduct a thorough clinical evaluation to determine if the pain is generated from myofascial pain syndrome as well as other conditions that share similar symptoms. We begin our evaluation of your problem with a complete medical history using detailed information gathering tools followed by a focused physical examination. We then confirm our diagnosis with specialized tests which may include blood tests, x-rays, CT, electrodiagnostic (EMG) studies, ultrasonography, or MRI.

“No surgery is ever needed to relieve your myofascial pain syndrome”


Myofascial pain syndrome can often be treated with physical therapy focused on massage and progressive stretching and strengthening. Simple medications such as acetaminophen and nonsteroidal anti-inflammatory medications such as naprosyn or ibuprofen. If greater pain control is needed, muscle relaxants and oral pain medications may be helpful.
Trigger point injections can be helpful for immediate relief of muscle tightness and pain. In addition, cortisone and botulinum toxin have also been used in injections  for longer term relief.

Here’s what you can expect if one of our pain specialists treats your pain:

• Relief of pain to get you back to living.
• Several treatment options available to target the root of the problem
• May be accompanied by physical therapy to stretch and strengthen the muscles
• Body mechanics and posture awareness to eliminate the source of the pain
• Many patients gain considerable to complete relief with our innovative procedures such as trigger point injections
• No general anesthesia, surgery or prolonged recovery periods to slow you down from your busy schedule
• Thousands of patients have been helped by our innovative approach to nerve injuries.


Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil.  2002 Mar;83(3 Suppl 1):S40-7, S48-9.                                                                               Panagos A. Rehabilitation Medicine Quick Reference-Spine (ed. Buschbacher R.M.) New York: Demos Publishing; 2010. p. 102-103.

This picture demonstrates the  different locations of pain that is associated with myofascial pain syndrome.

This picture demonstrates the
different locations of pain that is associated with myofascial pain syndrome.

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happy patient

After two complicated back surgeries in the early seventies I continued to suffer excruciating lower back and sciatic pain. I sought out the finest doctors and rehab facilities. I was very fortunate to have access to some of the best treatment available. Nothing resolved my pain issues until I met Dr. Andre Panagos.  Dr. Panagos discovered the source of my pain when no one else could and treated it with an innovative technique several months ago. I am now pain free for the first time in more than thirty years. He is a compassionate, friendly and open minded physician dedicated to resolving the pain and suffering of his patients.
There are no words to describe my appreciation to this wonderful man and his extraordinary team.

Richard N

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