Dr. Simon Vulfsons
Director, Rambam Institute for Pain Medicine, Rambam School for Pain Medicine
Rambam Health Care Center, Rappaport School of Medicine, Technicon, Israel Institute of Technology, Haifa, ISRAEL
Myofascial pain is undoubtedly the most common pain syndrome encountered in medicine. In the community it accounts for about 90% of all primary care visits concerning pain, the percentage decreasing to approximately 80% among secondary community care givers. At least 75% of patents presenting to tertiary care pain clinics will exhibits signs and symptoms of myofascial pain, often concordant with co-morbidities such as radicular pain, neuropathic pain and pain of rheumatologic origin.
Our experience shows that many patients, especially those with chronic conditions, do well with treatment of their myofascial pain, only to recur with the same pain after treatment has completed. Thus it seems that many patients, especially in the acute setting, have myofascial pain as their primary condition, while chronic patient often have myofascial pain as co-morbid or in fact secondary.
The question then arises as to the proper approach to myofascial pain- primary and secondary. The focus of this webinar will be on this conundrum. I will attempt to describe the scope of the problem in general and offer an algorithm for dealing with it.