[Interrelation between physical disease and chronic pain--importance of understanding myofascial pain syndrome].
Myofascial pain syndrome(MPS) is characterized by its unique pathology on developing the intramuscular trigger points. The author performed the psychological tests(Cornell Medical Index, Tokyo University Egogram, Minnesota Multiphasic Personality Inventory) on 46 MPS patients to clarify the psychological background. Results revealed that the MPS patients had remarkable hypochondriacal tendency with irrational way of thinking. The author concluded that it is necessary to be hypochondriacal and irrational for the formation of apparent MPS with outstanding TPs. This fact suggests that TPs in MPS are the result of deteriorated central pain control mechanism that should actually suppress the mechanical constriction of damaged muscles.
Kitami
K
K
Section of Neurosurgery, Hokkaido Neurosurgical Memorial Hospital.
D000818:Animals; D014151:Anti-Anxiety Agents / Q000008:administration & dosage; D000927:Anticonvulsants / Q000008:administration & dosage; D000928:Antidepressive Agents / Q000627:therapeutic use; D005156:Facial Neuralgia / Q000209:etiology / Q000628:therapy; D006801:Humans; D006998:Hypochondriasis / Q000150:complications; D009465:Neuromuscular Agents / Q000008:administration & dosage; D026741:Physical Therapy Modalities; D011613:Psychotherapy; D013315:Stress, Psychological / Q000150:complications
D014151:Anti-Anxiety Agents; D000927:Anticonvulsants; D000928:Antidepressive Agents; D009465:Neuromuscular Agents