How is myofascial pain treated?

Physical therapy methods are considered the best treatments for myofascial pain syndrome. Other treatments include a "stretch and spray" technique, in which the muscle with the trigger point is sprayed along its length with a coolant, then slowly stretched. Massage therapy is another treatment, as is trigger point injection. In the latter form of therapy, anesthesia is injected directly into the trigger point of the patient.

In some chronic cases of myofascial pain, combinations of physical therapy, trigger point injections, and massage are needed. In select cases, medicine is used to treat any co-morbid (existing simultaneously) conditions, such as insomnia and depression. A case can be made for using the older tricyclic antidepressants and some of the newer antidepressants.

Last reviewed by a Cleveland Clinic medical professional on 07/07/2014.


  • Merck Manual for Healthcare Professionals. Myofascial Pain Syndrome Accessed 7/30/2014.
  • Bernstein CD, Weiner DK. Chapter 123. Fibromyalgia and Myofascial Pain Syndromes. In: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S. eds. Hazzard's Geriatric Medicine and Gerontology, 6e. New York, NY: McGraw-Hill; 2009. Accessed 7/30/2014.
  • Chandola HC, Chakraborty A. Fibromyalgia and myofascial pain syndrome-a dilemma. Indian J Anaesth. 2009;53(5):575-81. Accessed via Accessed 7/30/2014.

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