Understanding Myofascial Pain
January 31, 2025

Myofascial pain is a common yet often overlooked condition that can significantly impact your quality of life. Characterized by deep, aching discomfort in muscle tissue and surrounding connective tissue (fascia), myofascial pain can make everyday tasks more challenging. In this blog post, we’ll explore what myofascial pain is, how it’s diagnosed, and the non-surgical treatment options available at Greater Austin Pain Center.
What Is Myofascial Pain?
Myofascial pain arises when muscle fibers or connective tissues develop sensitive spots, often called trigger points. These points can create painful nodules or “knots” that cause pain locally and can also refer pain to other areas of the body. This referred pain can make it difficult to pinpoint the root cause of discomfort without a thorough evaluation.
Common Symptoms of Myofascial Pain
- Persistent, aching pain in one or more muscle groups
- Tender “knots” or trigger points that can be felt under the skin
- Pain that worsens with activity or stress
- Stiffness and reduced range of motion in the affected area
- Sleep disturbances due to pain or discomfort
Causes and Risk Factors of Myofascial Pain
Myofascial pain can develop for various reasons, and understanding the root cause is key to effective treatment. Below are some common causes and risk factors:
- Muscle Overuse: Repetitive motions—like typing, playing an instrument, or performing manual labor—can lead to muscle strain and trigger point formation.
- Injury or Trauma: A fall, accident, or sports-related injury can create damaged muscle fibers, leading to pain that persists even after the injury heals.
- Poor Posture: Slouching or maintaining awkward positions for extended periods stresses muscles, increasing the likelihood of knots and tension.
- Stress and Tension: High stress levels often manifest physically, causing muscles to tense up and form trigger points.
- Sedentary Lifestyle: Limited movement and prolonged sitting can reduce blood flow to the muscles, contributing to stiffness and knot formation.
Diagnosing Myofascial Pain
Because myofascial pain often mimics other musculoskeletal conditions, it can be challenging to identify the true source of discomfort. At Greater Austin Pain Center in San Marcos, Kyle, or across the rest of the Austin area, we begin the diagnostic process by reviewing your medical history in detail and exploring any past injuries, surgeries, or chronic conditions that might contribute to ongoing pain. This initial conversation also covers your daily activities, work environment, exercise routines, and stress levels, providing insight into how repetitive movements or prolonged postures could trigger muscle tension.
Following this discussion, we conduct a thorough physical examination. By gently palpating muscles and assessing your range of motion, our specialists can locate areas of excessive tightness or tenderness that indicate potential trigger points. During this exam, you may be asked to describe sensations of referred pain—discomfort felt in one area even though its source lies elsewhere—so that we can better map out and understand the underlying muscle imbalances.
Although imaging tests such as X-rays and MRIs rarely highlight the exact knots or trigger points responsible for myofascial pain, these studies help rule out other structural issues like degenerative disc disease or arthritis. In some cases, additional testing—like electromyography (EMG) or blood work—may be recommended if there are signs that another neuromuscular or systemic condition is playing a role. This comprehensive approach ensures that our team identifies any contributing factors, allowing us to create a treatment plan rooted in accurate, personalized insights. By pinpointing the precise source of your discomfort, we can deliver more targeted care and foster a more complete, lasting recovery.
Effective Non-Surgical Treatments
At Greater Austin Pain Center, we focus on non-invasive and minimally invasive treatments for myofascial pain. Our goal is to help you find relief, improve mobility, and enhance your overall well-being.
Trigger Point Injections
Trigger point injections involve injecting a local anesthetic, sometimes combined with a corticosteroid, directly into the tight knot or trigger point. This helps relax the affected muscle, reduce inflammation, and alleviate pain.
Physical Therapy
A tailored physical therapy program may include stretching exercises, muscle-strengthening routines, and postural training. Physical therapy not only addresses the painful area but also helps correct underlying issues—like poor ergonomics or imbalanced muscle use—that contribute to chronic discomfort.
Massage Therapy
Professional massage, especially when targeting trigger points, can loosen tight muscle fibers and improve blood flow. Regular sessions may lead to long-term relief by reducing tension and preventing the recurrence of knots.
Dry Needling
Similar to acupuncture but focused specifically on trigger points, dry needling uses thin needles inserted into the affected muscle to release tension and improve blood circulation. This therapy can help relax taut muscle bands and diminish localized pain.
Lifestyle Modifications
- Stress Management: Practices such as meditation, yoga, or counseling can help reduce mental and emotional stress that aggravates muscle tension.
- Exercise and Stretching: Gentle aerobic activities like walking or swimming improve overall muscle health, while regular stretching keeps muscles flexible and less prone to knots.
- Ergonomics: Simple changes to your workspace setup or daily routine can significantly reduce strain on your muscles.
Preventing Myofascial Pain
While not all causes of myofascial pain are preventable, certain habits can help minimize your risk:
Stay Active
Consistently engaging in exercise helps maintain healthy muscle function and overall mobility. Low-impact activities like walking, swimming, or gentle stretching can strengthen your muscles and reduce tension, making it less likely for painful knots or trigger points to develop over time.
Mind Your Posture
Whether you’re working at a desk or driving, it’s crucial to keep your back properly supported and your shoulders relaxed. Maintaining good alignment throughout the day prevents unnecessary strain on your muscles, allowing them to stay balanced and less prone to aches or spasms.
Take Breaks
If your job requires repetitive movements or long periods of sitting, make a point of scheduling short breaks. Standing, stretching, or simply moving around every hour can improve circulation and ease the buildup of tension in your muscles.
Manage Stress
Physical discomfort often stems from emotional or mental stress that manifests as muscle tension. Incorporating relaxation techniques such as deep breathing exercises, mindfulness, or regular meditation helps reduce stress, keeping your muscles looser and more resilient.
Stay Hydrated
Adequate water intake plays a significant role in muscle health and flexibility. Proper hydration prevents dehydration-related stiffness and enables nutrients to circulate efficiently, minimizing the likelihood of tension buildup and promoting overall comfort.
Why Choose Greater Austin Pain Center for Myofascial Pain Management?
Our multidisciplinary pain management team is dedicated to providing personalized care for patients struggling with myofascial pain. We blend advanced treatments with compassionate support, aiming to address the root causes of your discomfort rather than just managing symptoms. By collaborating closely with you, we design a plan that aligns with your lifestyle, preferences, and overall health goals.
Take the Next Step with Greater Austin Pain Center
If you suspect myofascial pain is affecting your daily life, don’t wait for the discomfort to worsen. Contact Greater Austin Pain Center today to schedule an evaluation. Our experienced pain management specialists in San Marcos, Kyle, and the rest of the Austin area are here to guide you toward lasting relief and help you regain the comfort and mobility you deserve.