Overview | Causes | Symptoms | Diagnosis | Treatment


myofascial pain hyattsville, lanham, laurel maryland, Choice Pain, Dr Tristan Shockley, pain management center Maryland, chronic pain treatment Washington DC, chronic pain treatment Maryland, spinal injections for back pain Maryland, non-surgical treatment for back pain Washington DC, non-surgical treatment for back pain Maryland, home remedies for back pain Maryland, home remedies for back pain Washington DC, spine injections for back pain Washington DC, pain care treatment options Washington DC, spinal injections Laurel Maryland, injections for back pain Washington DC, injections for back pain Washington DC

Myofascial pain syndrome is a chronic form of muscle pain. The pain of myofascial pain syndrome centers around sensitive points in your muscles called trigger points. The trigger points in your muscles can be painful when touched. And the pain can spread throughout the affected muscle.

While many people may experiences muscle pain occasionally, the pain generally goes away in a few days. Suffers of myofascial pain syndrome have muscle pain that remains and / or worsens.


Muscle injury or excessive strain on a particular muscle or muscle group, ligament or tendon may lead to myofascial pain. Other causes may include:

  • Intervertebral disc injury
  • General fatigue
  • Repetitive motions
  • Medical condition such as heart attack or stomach irritation
  • Inactivity (i.e. broken arm in a sling)



Myofascial pain symptoms commonly involve muscle pain centered around sensitive points or "trigger" points. Pain symptoms may become worse with activity or stress. Other symptoms of this disorder may include depression, fatigue and behavioral disturbances.

Myofascial pain caused by trigger points has been linked to many types of pain, including headaches, jaw pain, neck pain, low back pain, pelvic pain, and arm and leg pain.



Trigger point pain can be described as pain that results when pressure is applied to an area of a person's body. In the diagnosis of myofascial pain syndrome, four types of trigger points are identified:

    Dr tristan shockley, active trigger point, latent trigger point treatment for myofascial chronic pain, laurel, lanham, hyattsville
  • Active trigger point - This is an area of extreme tenderness that typically lies within the skeletal muscle and often associated with a local or regional pain.
  • Latent trigger point - A dormant or inactive area that may potentially act like a trigger point.
  • Secondary trigger point - An especially irritable spot in a muscle that may become active due to a trigger point and muscular overload in another muscle.
  • Satellite myofascial point - A highly irritable spot in a muscle that becomes inactive because the muscle is in the region of another trigger pain.



Treatment for myofascial pain syndrome can bring pain relief in many cases. Options for myofascial pain syndrome treatment may include physical therapy, trigger point injections or medications.


Disclaimer: The pictures displayed in this website are images of physicians, patients and employees who have consented to have their pictures in this website.

Choice Pain is a regional specialty center for pain management, providing treatment and pain relief for a variety of pain conditions including: back pain, neck pain, pain from arthritis, headache pain, fibromyalgia, TMJ pain, cancer pain and myofascial pain.  Choice Pain — with offices in Hyattsville, Lanham, Gaithersburg, & Dundalk — is referred patients from across the Washington DC and Baltimore region, including nearby cities of: Silver Spring, Baltimore, Bethesda, Rockville, Annapolis, South Laurel.

Prizm Logo
Website Design & Educational Content © Copyright 2018 Prizm Development • Developing Centers of Excellence for Better Healthcare.


To contact CHOICE Pain and Rehabilitation Center, fill in the form below. Your information will be delivered directly to a representative who will follow up with you to answer any questions you have or to help you set up an appointment.


With three locations across the Washington D.C. area, taking the next step towards a pain free life may be easier than you think.

Click below to request an appointment at any of our three D.C. locations.

Make an Appointment


Our Mini-brochure is a great introduction to Choice Pain and Rehabilitation, featuring physician bios, treatment capabilities, and other important information. Feel free to print the print-friendly PDF and bring it with you to your appointment to ask any questions.

View Brochure