Myofascial Pain Syndrome (MAS); It is a kind of soft tissue rheumatism that causes spasms in striated muscles, especially in the shoulder, neck and back muscles.

Myofacial Pain Syndrome / Huriye Ayca Eker (Physiotherapist, Gtos Therapist )
Health Tourism
8 June 2023
Reading Time: 5 Minute



Myofascial Pain Syndrome (MAS); It is a kind of soft tissue rheumatism that causes spasms in striated muscles, especially in the shoulder, neck and back muscles. Regional pains, Pain in the shoulder, neck, back region, even by pressing or touching, can be seen. Tight bands and trigger points in the muscles that cause these reflected pains are characteristic of this disease. It can be felt locally in the body, or it can be felt widely. Along with pain, tenderness and muscle weakness also occur. 


Causes of Myofascial Pain Syndrome:

The reason is not known exactly. The important risk factors for the development of the disease can be listed as follows;

  1. Neuroendocrine disorders
  2. Chronic diseases
  3. Psychosomatic disorders
  4. Deficiency of various vitamins and minerals, especially B vitamins
  5. Posture disorders
  6. Inadequate and proper nutrition
  7. Stressful and sedentary life

The most important causes of myofascial pain are as follows;

  1. Genetic factors
  2. Overstrain
  3. Sleeping disorder
  4. Repetitive movements
  5. Accidents at work 
  6. Neck and waist hernias
  7. Professional and family dissatisfaction
  8. Poor working conditions


What Happens in Clinical Complaints?

 MAS creates spasm in the muscles, constricting the capillaries and causing pressure on small nerve endings. As a result, constant severe and burning pain begins to be felt in this area. Pain in the joints and muscles negatively affects the functionality and all movements of the body. Restriction of joint movements, tension caused by spasm in the muscles, general fatigue are seen. However, complaints such as sleep disturbance, sweating, chills or hot flashes may also be experienced. Stress, cold weather, irregular sleep and infections increase the severity of pain.

Difficulty and stiffness in getting up in the morning. As a result of stiffness in the nape area, the pain may spread to the head and neck. A hernia-like hernia can also cause stiffness in the lower back.


How to Diagnose Myofascial Pain Syndrome?

The diagnosis of MAS is actually made by physicians by history and examination. However, the pain and the increasing spread of pain as a result of finger pressure may be specific for the diagnosis.


Treatment of Myofascial Pain Syndrome:

The main goal of the treatment is to inactivate the trigger point formed in the tense muscle fibers, to reduce pain and spasm, and to break the pain-spasm-pain cycle. For this purpose, stretching exercises can inactivate trigger points in myofascial pain. The trigger point is one of the most effective methods. In addition, physiotherapy methods such as manual therapy, GTOS therapy, massage, graston technique, acupuncture, spraying together with exercise, electro therapy give results quickly and effectively. Since these methods do not cause any pain, they can be easily applied to all age groups. Analgesic, muscle relaxant and antidepressant drugs can be used under physician control. Trigger point injection can be done.


Huriye Ayça EKER

Physiotherapist, GTOS Therapist, Scoliotherapist

Adr.: Cumhuriyet Mahallesi Alparslan Bulvari No: 26 Uyum Apt. Kat:1 Daire:2 (55200) ATAKUM / SAMSUN

Tel.: +0 545 165 55 25

instagram: /gtosterapiatakum





Participate in tours, excursions and holidays in Turkey's most beautiful cities, get treatment in Turkey's best doctors with health tourism.