Myofascial Pain Syndrome: What You Need to Know

If you’ve ever had persistent muscle pain that just won’t go away, you may have heard the term myofascial pain syndrome (MPS). It’s more than just a sore muscle after a workout. MPS is a chronic condition where tight, sensitive knots in the muscle, called myofascial trigger points, cause pain, stiffness, and even referred pain in other areas of the body (1).

A new review published in Muscle & Nerve (Steen et al., 2025) has pulled together the latest evidence on how MPS develops, how it is diagnosed, and which treatments work best. At Health First Chiropractic in Modbury, we regularly see patients with symptoms of myofascial pain and work with them to reduce pain, improve movement, and support long-term management.

What Is Myofascial Pain Syndrome?

MPS is a musculoskeletal condition where certain muscles develop tight, tender spots known as trigger points. These can either:

  • Cause constant, nagging pain (active trigger points), or
  • Hurt only when pressed or irritated (latent trigger points) (1,2).

Unlike general muscle soreness, MPS often lingers, restricts movement, and can mimic other conditions like arthritis, nerve pain, or fibromyalgia (1).

How Common Is It?

Research shows MPS is one of the most common causes of ongoing muscle and joint pain. Estimates suggest:

  • Up to 65% of women and 37% of men aged 30–60 may experience it
  • As many as 85% of older adults are affected
  • People with jobs involving repetitive strain, for example sewing machine operators or office workers at a desk all day, are particularly at risk (1,3)

Risk Factors for Myofascial Pain

MPS can affect anyone, but certain factors make it more likely:

  • Physical strain: Repetitive work, poor posture, or sudden injury (1,3)
  • Medical factors: Vitamin D deficiency, thyroid problems, or iron deficiency (1,4)
  • Stress and tension: Chronic stress and anxiety can increase muscle tightness (1)
  • Lifestyle habits: Sedentary behaviour, poor sleep, and jaw clenching (bruxism) (1,5)

Diagnosis Challenges

Diagnosing MPS isn’t always straightforward because its symptoms overlap with other conditions. Classic signs include:

  • Localised pain and tenderness
  • Taut muscle bands that feel tight or rope-like
  • Pain that spreads in a predictable pattern when pressed
  • Restricted range of motion (2)

Because these symptoms can mimic arthritis, neuropathy, or fibromyalgia, a skilled assessment is important (1).

Treatments That Help

The review highlights that a multimodal approach works best. Evidence-based treatments include:

  • Manual therapy and chiropractic care – hands-on techniques to improve mobility and release tension (1)
  • Dry needling and acupuncture – targeting trigger points to reduce sensitivity (1)
  • Stretching and exercise programs – restoring flexibility and building resilience (1,6)
  • Lifestyle advice – improving posture, sleep, and movement habits (1,5)

Because these symptoms can mimic arthritis, neuropathy, or fibromyalgia, a skilled assessment is important (1).

At Health First Chiropractic in Modbury, we combine hands-on treatment with personalised exercises and practical advice. Our focus is not only on relieving your discomfort but also on helping you understand what’s happening in your body and how to manage it over time.

Living With Myofascial Pain

MPS can be frustrating, especially if you’ve had pain for months or years. The good news is that with the right diagnosis and a personalised treatment plan, many people find lasting relief.

Whether your pain stems from long hours at a desk, heavy physical work, or simply ongoing tension, our chiropractors can help you get moving again with less pain and more confidence.

Take the Next Step

If you’re in Modbury or Adelaide’s north-eastern suburbs and experiencing persistent muscle pain, stiffness, or trigger points, we’d love to help.

Book an appointment with Health First Chiropractic today and start your path toward easier movement and better comfort.

Book your appointment today and take the first step toward natural relief from sciatica without depending on opioids.