
Myofascial pain syndrome is a condition of mild to severe muscle pain associated with trigger points;77 the pain is typically localized, often to a single muscle. The syndrome commonly follows “muscle overload,” such as may occur with acute injury (e.g., following a near fall or intense exertion). Patients complain of a deep, aching pain that is worsened by activity. Postural muscles are often affected. The pain may wax and wane, but it is usually always present and at times can be severe.