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Treating Abdominal Myofascial Pain Syndrome

Myofascial Dysfunction Syndrome of Abdominal Fascia:

Helping to Manage Pain to Achieve Abdominal Myofascial Release

Abdominal Myofascial Pain-Dysfunction Syndrome (AMPS) is chronic myofascial pain in the abdominal wall, often a cause of refractory abdominal pain. It is characterized by the development of myofascial pain syndrome trigger points (areas of increased tenderness and irritability in the abdominal muscles). Transitioning into an active form, they become locally painful. Worse still, such pain radiates to other parts of the body and becomes an underestimated cause of nonspecific myofascial pain in the abdomen.

Myofascial muscle pain most often occurs in the upper abdomen just below the ribs or in the lower abdomen near the pubic bone. Most people experience discomfort during muscle exertion. Women feel discomfort in the groin area due to irritation of the pelvic muscles. Men may experience pain after surgery, such as hernia repair, because scar tissue makes the muscles less elastic.

The problem of myofascial disease has not only a medical aspect but also a socio-economic one, as it most often affects people of working age, leading to significant economic costs associated with treatment. Diagnosing and treating AMPS is a complex therapeutic issue that requires high medical costs.

Pathogenesis
of Myofascial Pain Disorders

Unlike myofascial pain in other locations, the nature of the onset of AMPS depends on the appearance of active trigger points in the fascia abdominal.

Clinically, myofascial pain trigger points are areas of increased sensitivity characterized by local muscle thickening and sharp pain during palpation. Thus, the term “myofascial pain syndrome” clearly reflects the localization of the pathological process (muscle or fascia) and indicates the presence of myofascial points.

Therefore, a trigger point is a pathognomonic sign of myofascial pain syndrome, which has clear clinical features: muscle spasms, areas of increased sensitivity, or “knots” in tense skeletal muscles, and localized pain. This condition leads to a reduced range of motion in the affected muscle and pain radiation zones.

Myofascial Dysfunction Syndrome alt

Researchers identify three main phases of the course of myofascial pain-dysfunction syndrome:

Among the main etiological factors in the development of myofascial dysfunction are:

For adequate therapeutic correction, the physician must identify these risk factors and causes leading to pain.

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Symptoms
of Abdominal Myofascial Syndrome

Signs of abdominal myofascial pain syndrome are classified as primary and secondary. Primary signs result from muscle damage, while secondary signs develop against the background of concomitant diseases, including internal organ disorders.

The main clinical manifestations of myofascial syndrome include:

Myofascial dysfunction syndrome can complicate diseases of internal organs and joints, altering the expression of the primary pain syndrome. Increased anxiety and vegetative disturbances often include sleep disorders and a general feeling of discomfort.

Thus, muscle tension in gynecological diseases can cause pain in the lower back, lower abdomen, and lumbar muscles, while gastrointestinal diseases and kidney pathologies can cause pain in the paravertebral areas.

How to Diagnose
Myofascial Pain Disorders?

Most specialists often overlook myofascial abdominal pain. However, it shouldn’t be dismissed since it can accompany primary pathological conditions, causing referred pain to other parts of the body, or be a concomitant phenomenon of the main pathological process in the body.

To make a diagnosis, it is necessary to find a connection between pain and physical overload, tension, or hypothermia. Abdominal wall pain is associated with Carnett’s sign – acute local, punctate, or superficial pain provoked by physical movements of the abdomen (tension, bending, twisting). In addition to myofascial pain syndrome, compression of the anterior cutaneous nerve can be a source of pain in the abdominal wall.

Among the listed criteria, one of the main criteria for myofascial pain syndrome diagnosis is the presence of an active trigger point, pressing on which sharply intensifies pain—the “jump sign”.

To rule out the presence of pathologies of internal organs, a thorough examination, blood and urine tests, and radiographic studies are necessary. After excluding all possible problems, the most likely diagnosis will be fibrosis or inflammation of the abdominal muscles.

Make sure to consult with your doctor for proper diagnosis prior to taking any further actions.

The treatment of myofascial pain in the abdominal fascia should be comprehensive. The main goal of myofascial pain syndrome therapy is to eliminate the pathological process of muscle tension. Both symptomatic and physiotherapeutic treatments are used in therapy.

Myofascial pain treatments follow this algorithm:

The effectiveness of myofascial pain syndrome relief methods is individual for each patient. To prevent recurrences of myofascial pain, it is advisable to lead an active lifestyle, perform morning exercises, adhere to proper nutrition, a daily routine, rest, and abstain from harmful habits.

Myofascial release, adapted for each patient, in combination with therapeutic exercises and massage, helps to relieve pain in the abdominal fascia. The use of additional exercise equipment helps restore mobility and metabolism in tissues.

If you have any questions or would like to attend a myofascial release session, please contact our studio. We will help you regain activity, vitality, and joy of movement!

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