Best Myofascial
in Chennai

  • No Surgery Required
  • 30 Min Procedure
  • Same Day Discharge
  • Quick Pain Relief
  • Quick Return to Work
  • I was suffering with severe neck pain since last 7years , hav all type of physiotherapy and massages and chiropractor but no relief then I met Dr Sudheer and Dr minal at this center…

    Dava Ramesh

  • Very good doctor. Suffering from knee pain from last 4 years and didn’t want to get a surgery. They treated my knee pain. I am very happy with the results.

    Meghana Reddy

  • By far the best pain management specialists in town. After consulting several places with no effect, Epione made sure that they treated my mother’s delicate pain condition with patience…

    Deepthi K

  • I am very thankful to doctors in Epione pain management center. My neck pain has gone which I was fighting since last 4 years . Dr sudhir Dara and dr minal have helped me come out…

    Sanjana Tirkey

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  • I finally got relief from my back pain thanks to Epione

    Mrs. Aswathi Subramanyan

    Back Pain Treatment
  • Dr Chetana Chetan cured me from knee pain due to arthritis

    Mrs. Kalavathi

    Knee Pain Treatment
  • My sister suffered from Knee pain for 5 years but finally found pain relief at Epione

    Mrs. Savitri

    Foot and Ankle Pain Treatment

What is Myofascial Pain Syndrome?

MPS is a pain syndrome resulting in very sensitive areas in the muscles. This affects either a single or a group of muscles. Trigger points are tender & the painful areas which are felt as “little knots” in the muscles. These trigger points can be palpated under the skin & cause pain on pressing or stressing that area.

Which are the Common Sites for Trigger Points?

The most common sites for trigger points are the neck, back of head and shoulders, (but can occur anywhere in the body). Trigger points in these areas can cause headaches, neck pain, shoulder pain and can be aggravated by stress or anxiety. Trigger points in the lower back may cause nerve irritation resulting in back pain, or pain into buttocks or legs.

How Does These Trigger Points Cause Pain?

When the muscle tightens, the blood flow to the muscle decreases. As a result, there is lack of oxygen to that muscle which leads to further muscle tightening and this cycle goes on., resulting in further increase in your pain.

Typically, these points are extremely sensitive even to mild pressure. They cause pain not only at that site, but also in various other areas of the body (referred pain)

What are the Causes of Myofascial Pain Syndrome?

Common underlying causes that can result in developing MPS:

  • Damage to musculoskeletal tissues from trauma
  • Previous neck or back surgeries
  • Facet Joints Syndrome
  • Injured or herniated discs
  • Poor seating ergonomics at work
  • Heavy and wrong lifting mechanics
  • Unconditioned muscles
  • Prolonged Immobilization of a joint or a muscle group. Like, bed ridden patients
  • Fibromyalgia
  • Electrolytes imbalance and/or Nutritional deficiencies (e.g., Chronic Kidney Conditions)
  • Hormonal changes (PMS or menopause)
  • Prolonged exposure to cold, such as sleeping in front of an air conditioning vent

How is it Treated?

  • Initially, Anti-inflammatories and possibly Muscle Relaxants can be helpful in treating your spasms. These are not targeted at treating anything specifically but may help with the pain until your body heals.
  • Physical therapy like heat, ultrasound, massage, electrical stimulation, dry needling advised as this can improve your spasms. But this will bring us back to your inability to do any PT exercises because of your pain. That is why breaking this vicious circle by treating the underlying cause of the muscle spasms is crucial for a long-term outcome.
  • If that the muscles are your primary pain generator is identified, then Trigger Point Injections may help alleviate some of your symptoms. This involves injecting a mixture of medications into the muscles themselves to decrease the spasm and improve blood flow. Steroids are not typically recommended in treating muscle spasms.

It is best to treat this pain early and aggressively as pain has memory and the longer you continue to have the pain, the more difficult it will be for your body to erase this memory.