Spinecare Topics
Muscle Pain
Repeated injury and inflammation of muscle can lead to the development of adhesion (scar) formation between the membranes surrounding muscles and involving supportive connecting tissues. The combination of adhesions and restrictive muscle spasm/guarding limits movement, reduces local blood flow, promotes inflammation and often leads to pain. Adhesions set the stage for a “tug of war� contest between pain sensitive tissues. The presence of pain leads to limited use of the involved muscles causing them to weaken and atrophy. This whole process can become a vicious cycle.
A local problem involving one or more muscles is usually best treated with a targeted approach using massage, activity modification and stretching. This approach helps to reduce pain and restore normal function. Too often, treatment never resolves the dysfunctional joint or muscle pain because the correct balancing pattern of muscle exercise was not performed.
It can sometimes be very difficult to identify primary muscle pain. This is because the structures and tissues of the spine are intricately connected structurally, functionally as well as neurologically. Muscle pain does have a few unique characteristics which helps the spine specialist make the diagnosis. The specialist relies heavily on the reported history and the physical examination.
History
- Pain that develops after a strain/sprain
- Pain that becomes progressively worse if you stay in one position
- Pain that becomes worse when using a muscle.
- Development of pain after an injury
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