Myofascial Pain Syndrome: Diagnosis and Management

Dear Colleagues,

Myofascial pain syndrome (MPS) is described as the muscle, sensory, motor, and autonomic nervous system symptoms caused by stimulation of myofascial trigger points (MTP). The participation of fascia in this syndrome has often been neglected. Several manual and physical approaches have been proposed to improve myofascial function after traumatic injuries, but the processes that induce pathological modifications of myofascial tissue after trauma remain unclear. Alterations in collagen fiber composition, fibroblasts or in extracellular matrix composition have been postulated.

To better understand the diagnosis and treatment of MPS, there is a need to clarify the dysfunction of fascia tissue related to different anatomical structures. Fascia and muscle are found throughout the body affecting mechanical coordination, proprioception, load transmission and neuro receptors. Due to the multiple components and qualities of MPS, it is important to recognize that different modalities of approach have to be taken into consideration for planning treatment.

Despite a growing number of studies, the understanding of the etiopathogenesis of MPS remains poorly understood. Therefore, a better understanding of the available data, as well as a further investigation of the molecular and biomechanical mechanisms is imperative in order to significantly improve the understanding of its origin and the efficacy of its treatments.

With the development of 3D imaging, dynamic ultrasound, new MRI sequences and artificial intelligence, advances have been achieved at both diagnostic and management levels in the area of myofascial pain syndrome. Thus, this Special Issue intends to include both basic and translational advances in the diagnosis and management of myofascial pain syndrome. In addition to original articles, reviews, case reports and case series articles evaluating advanced techniques are also welcomed.

Dr. Antonio Stecco
Dr. Carmelo Pirri
Guest Editors

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• fascia
• ultrasound imaging
• MRI
• EMG
• Artificial Intelligence
• rehabilitation
• 3D imaging
• gait analysis
• treatments
• physical therapy