Does your patient have Myofascial Pain Syndrome (MPS) or Fibromyalgia (FM)? This can be a tough differential diagnosis to tackle. The aim of this narrative review was to compare and contrast the clinical presentation and pathophysiology of FM with MPS. This Review also features a commentary from one of chiropractic’s leading experts in this area - Dr. John Srbely!

Two of the most common chronic pain conditions are fibromyalgia (FM) and myofascial pain syndrome (MPS), with prevalence of up to 15% of the general population for FM, and between 9-85% for MPS (references in the Review). Though these two conditions may appear similar on clinical presentation, there are significant differences that affect their diagnosis and treatment, and it is essential for primary care providers to perform accurate and reliable differential diagnosis to ensure optimal management and patient outcomes. FM is a complex, widespread pain condition, which often requires multidisciplinary care including manual, psychological and physical therapies, in addition to pharmacological interventions, while MPS is typically well managed with manual and physical therapies (including exercise). This week’s Research Review dives a bit deeper on this interesting topic…enjoy!


“Comparison of the Clinical Manifestation & Pathophysiology of Myofascial Pain Syndrome & Fibromyalgia”

This paper was published in the Journal of the Canadian Chiropractic Association (2018) and this Review is posted in Recent Reviews, Trigger Points, Pain - Chronic Pain and the 2019 Archive. LOG IN OR SUBSCRIBE HERE TO ACCESS THE FULL REVIEW AND OVER 850 OTHERS!
chronic pain diagnosis