Dolor miofascial crónico: patofisiología y aproximación terapéutica

Chronic myofascial pain syndrome is one of the most common disorders in clinical practice. Most patients with chronic myofascial pain syndrome have a severe and widespread pain, with a negative impact in their job and family. In these patients the usual treatment of miofascial trigger points and the correction of perpetuating factors are often unsuccessful. However, the recent advances in neurosciences allow an increasing understanding of the pathophysiology of chronic muscle pain. Different biopsychosocial models of pain have been developed which consider pain as an interaction of biological, psychological and social phenomena. Management of chronic miofascial pain patients must be based on the understanding of these interactions and not only on inactivating myofascial trigger points.