51 yo man presents with history of upper back pain
Linda Simon, DC
Habitual posture-based Myofascial Pain Syndrome incorporating the coracobrachialis, pectoralis, levator scapulae and upper trapezius muscles causing chronic thoracic, cervical spine and rib sprains and thoracic spine rounding.
Myofascial pain syndrome (MPS) refers to pain and presumed inflammation in the body's soft tissues or muscles. Myofascial pain syndrome might involve either a single muscle or a muscle group. In some cases, the area where a person experiences the pain might not be where the myofascial pain generator is located. Experts believe that the actual site of the injury or the strain prompts the development of a trigger point that, in turn, causes pain in other areas.
Question: What treatment would you apply?