Myofascial pain is the pain that feels like muscle pain. However, the actual location of the pain is in the fascia, which is a layer of tissue just underneath the skin. Fascia covers the entire body, just underneath our skin. The appearance is similar to cotton candy as the threads of fascia wrap around every muscle and organ in the body.
Fascia can become tightened over time due to accidents or just lack of stretching. When the fascia becomes overly tightened it causes pressure on the muscles, joints, and organs, and that creates pain.
What’s the difference between myofascial pain syndrome and fibromyalgia?
While myofascial pain syndrome involves primarily localized muscle pain, fibromyalgia involves pain throughout the body as well as generalized fatigue and other symptoms.
Additionally, more research shows that fibromyalgia is actually a neurological disoder in the way that we process pain, rather than an actual issue in the tissues themselves. Myofascial pain is caused by tightness in the fascia itself.
I first learned about myofascial pain years ago, when I was in physical therapy for neck and head pain (prior to finding out the problem was TMJ). I had one therapist who seemed to understand what I was dealing with and would massage my head in such a way to help release that tension and make me feel better.
What causes myofascial pain syndrome?
Much like fibromyalgia, myofascial pain syndrome is usually triggered by an injury or trauma of some sort. It may be a car accident, or an on-going issue (TMJ was the culprit for me – or perhaps myofascial pain syndrome is just a symptom of TMJ?).
Myofascial pain syndrome can also be caused by repetitive motion injuries, or muscle strain or sprain.
What is the best way to treat myofascial pain?
Myofascial pain may be treated with physical therapy, or trigger point injections. I’ve found it’s best treated with myofascial release therapy. This is a specific type of therapy similar to a deep tissue massage, but done very specifically to release the tension in the fascia.
Often you will find massage or physical therapists that incorporate some level of myofascial release therapy into their massage. If you are lucky you will find a myofascial release therapy practitioner that focuses solely on this type of therapy.
It wasn’t until after I was diagnosed with fibromyalgia and went through PT for that, that I had someone really explain myofascial pain and myofascial release to me in a way that helped me understand it.
My therapist showed me how to do myofasical release to my arms and legs. Doing myofascial release looks almost like you are giving yourself (or whoever you are doing it to) an Indian burn. Grabbing with both hands and rubbing deeply in opposite directions to stretch the tissue just below the skin.
It sounds strange and uncomfortable as I describe it, yet even as the therapist was doing it to me, I realized it was something I often did to myself without even realizing it. It just made me realize that so often we know what our bodies need, just by instinct and we will attempt to do the motions, or movements that will make us feel better. Sometimes we just don’t quite know how to do it correctly.
Later, I found someone who focuses strictly on myofascial release therapy. Their approach was a bit different. They were gentler, which was good given that they’d treat me for an our with just myofascial release.
If you deal with this type of pain, you may want to seek out a physical therapist or a massage therapist that understands the techniques behind myofascial release and see if it helps you. If have a good physical therapist they will be happy to show someone who loves you how to do the technique, and even show you how you can do it to yourself to ease your pains.
- Myofascial Release Therapy for Fibromyalgia
- My Experience with Myofascial Release Therapy
- Connection between TMJ and Fibromyalgia
- Symptoms and Signs of Fibromyalgia
- Watsu for Fibromyalgia