Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen and many more are used to treat muscle pain. However, long-term use of NSAIDs can lead to unpleasant and even fatal side effects such as digestive tract problems (ulcers, bleeding, heartburn, nausea and bloating); fluid retention and swelling; cardiovascular problems (heart attack, blood clots and stroke); and liver and kidney damage. Consequently, long term use of these for a ‘chronic’ pain is best avoided.
Some doctors prescribe tricyclic antidepressants to help relieve myofascial pain and facilitate sleep. Side effects include cconstipation, confusion, sedation, blurred vision, weight gain, caries, stomatitis, hypotension, tachycardia, Parkinsonism, tardive dyskinesia, urine retention, cognitive dysfunction, liver toxicity, urticaria and many more. However, ‘all’ medications have ‘some’ side effects, so finding the right one to suit you can be quite difficult.
Myofascial Release focuses on treating tightness (trigger points) in the fascia with the goal of relieving myofascial pain and improving movement. A physiotherapist, chiropractor, osteopath or massage therapist locates the trigger point and applied a gentle stretch. When the tissue has relaxed, the stretch is gradually increased until the tissue is fully relaxed.
A Trigger Point Injection is a needle is inserted into a trigger point in order to inactivate it and relieve muscle tension. In some cases an anaesthetic or corticosteroid medications are injected into a trigger point. They say that injection of an anaesthetic is ‘less’ effective compared with acupuncture (dry needling) according to several controlled studies. I have acupuncture which works best for me.
Stretch and Spray Technique is a technique which involves spraying the muscle which contains the trigger point with a coolant, such as fluorimethane and then gently stretching the muscle.
High Voltage Galvanic Stimulation: This therapy uses direct current and is based on the reaction of two elements with opposite ions (positive and negative) when charged. The positive part acts like ice, reducing circulation and swelling. The negative part acts like heat, increasing circulation and speeding up healing.