The most extensive information I’ve found on MPS in 25 years. Thank you.

Dear Dr. Furlan, As a doctor myself living with myofascial pain syndrome for 5 years now, initially due to poor posture, I must say you really amazingly summarised all that I have slowly learned about my condition over the years. Through many trials and errors I have come up with a good plethora of exercises and stretching routines i do every second day that have helped me go from 5-8 VAS pain to now 2-5. So definitely my life quality have improved tremendously but still there are some days that are harder than others, and I must say that I would not wish chronic pain on my worst enemy, even though I dont have any :).. Pre my situation I was a really energetic and outgoing personality type, but now I am more of a leaned back, normal energy level, type - and not actively seeking social engagements because of being unsure about what my pain level will be that day, and it can be a hard time being out for a day if it is one of the worse days. I still do social activities, so i dont hold back, but it sometimes just hurt and i live with it. I am by no means depressed, and I love my life and family, and I always focus on the bright side and am so happy that my life is not as bad as it used to be earlier in the pain level, and I am otherwise than my chronic pain healthy. I generally just wanted to thank you for spreading awareness about this terrible underdiagnosed condition, and you really hit the nail on the head in describing everything about it, superfiscially due to time constraints (e.g. who wants to watch a 1 hour youtube video). Your patients are lucky to have you and I wish I had seen a doctor as knowledge full as you about my condition 5 years ago to get me on the right track instead of me having to find out myself throught trial and error which exercises and triggerpoint therapy modalities worked/made it worse for me over 5 years. I have one question I hope you can help me with: You mention short term treatments with muscle relaxants is a possibility. Which specifics ones do you have good experience with, how long do you treat and in which dose, and are there any monitoring requirements (e.g. blood samples). The specialists I have been to have only had inflammatory rhemautology diseases in mind and just checked that i didnt have that, and that is nice to know, but that didnt help, that was physical therapy mainly through youtube since the therapists i have seen just had some general exercixe suggestions where some worked and some didn't, but with youtube physical therapy that is like getting suggestions from hundreds of physical therapies all at once and then keeping what is working and discarding what doesnt :) - and it can be hard because sometimes what is working initially hurts but then slowly makes things better. But stretching, range of movement exercises and full body body weight exercises is what is working know and then a general 100% focus on good ergonomics, since a bad posture hurts imideately. This was quite a long ramble but I just wanted to tell my story to a colleague who really gets it, express how impressed I am, and ask you that one clarifying question. Best regards from your fellow colleague who pretty much have the same understanding of the condition as you do by living with it, and improving it by doing many of the things you talk about. Keep doing what you are doing!

Thank you for sharing this with me! I am very happy to have met you!

I am glad I found your videos on myofascial issues. I am a rather fit, 60 yr female, love to be active, whether building stone walls, hauling yards of dirt, running or kayaking. For me, I tore the rectus abdominus in a kayaking incident in the summer of 2020, by trying to throw myself into reverse to pick up some plastic in the water and now nearly two years later, been working on it off and on. I have a weak link in my body as just on the "other side" of this area I have a herniated disc and trigger points in that back area. So, trying to figure out how to strengthen front and back to help both. Now in the worst pain of my life, I am watching everything I can and making a document for myself, re: exercise, diet, modality treatments etc. So, a big thank you for such an organized way of describing all that pertains to this issue. I have now watched a few other videos of yours and they all bring more things into clearer focus. Thank you!

thank you. As a family nurse practitioner who treat a lot of people who come in complaining of pain. This is helpful

Thank you very much for taking the time and effort to create these extremely informative and helpful educational videos. They are improving and changing this Nurse Practitioner's clinical practice in Pain Management. I pull so much of the education and analogies I share with my patients from your videos relative to my patient's conditions. Your a fantastic educator and it's easy to follow your examples. So glad I found your page.

What an amanzing evidence-based summary of this condition! Congratulations.

I am lucky to have watched your video presentations which are terrific! I should have discovered your videos earlier. I can follow them and practice them at home. They mean a lot to me as I am having lots of pains in my body as part of the ageing process. Thank you very much and more power to you. The explanations are clear, devoid of the "usual medical jargon."

Dr Andrea explains so well.

Finally I could understand what’s going on with me. I enjoy complete information, clearly explaining! Thank you so much.

Dr. Furlan is likely the most knowledgeable pain specialist I have ever come across. I'm so blessed because this amazing lady is in my city. Thank you Dr. Furlan for helping and educating so many people.

I was diagnosed with MPS 3 yrs ago and currently having flare for 2 months , I am not taking any pain medications, just combination of weekly therapy session and exercises. Thank you for this informative video !

Thank you Dr. .Your videos explaining these medical conditions are excellent. I have learnt a lot..

What a fantastically thorough and understandable video. Thank you 🙏🏽

Thanks so much for all the great info, this explains soooo much! I haven’t been diagnosed with MPS, but there’s truly nothing else it could be. Stretching and massage usually make things worse so I really felt hopeless, but knowing that there are experts working on the problem, and that it is possible to treat it makes me feel waaaaay better!

Thank you very much your introduction of MPS,,as a anual therapist I learn lot of things to develop my knoledge from this small video..

Never been officially diagnosed with MPS but I’m pretty sure I have had some version of this all my life. When I was a kid I would get bad shoulder and neck pain and big muscle knots constantly. In college it got worse and during grad school I had several flare ups that had me totally incapacitated (in a neck brace, lying on the floor, crying). For a long time I thought everyone must be in pain all the time and were just better at dealing with it than me. I am healthy and active, I studied ballet from childhood through college and have practiced yoga for nearly 20 years, but I suffer from severe DOMS if I’m not careful. Just having a name for this chronic pain makes me feel validated. For those just starting out on this journey, an anti-inflammatory diet really helps. So do supplements like magnesium and potassium, as well as drinking lots of water. I have also had great results with a combo of trigger point acupuncture, chiropractic, physical therapy, and strength training in the gym (start slow and gentle). Good luck everyone, it’s a marathon not a sprint.

This is a must watch for anyone living with or treating people with myofascial pain syndrome (MPS). Wish I had access to this 10 years ago when diagnosed with MPS. The multi modality tool box was essential for me to get a QOL, thank you Dr. Furlan.

Thank you for your videos. They are easy to understand. Lot of information. I am sure they will help. God bless you

Thank you for your very good lecture. Could you please consider making a comprehensive video about all necessary excercises and treatments of sciatica.

Dr. Furlan, I hope you are able to lecture other doctors on fibro. Unfortunately, as you know, many md’s don’t take patients affected with fibro seriously. Thank you for your VERY informative videos. Blessings to you.🙏🏽

Thank you for your video. It was indeed informative and precisely elaborative. Doctors diagnosed me with muscle spasticity and ulnar neuropathy initially and prescribed me Baclofen. After ingestion of Baclofen for a year, I have been suffering from back and neck pain to the extend I was not able to sit or stand for more than 15mins and my hands lost their functionality. I pretty much became bedridden for a year now (while doing my Master thesis). Finally, after consulting N number of doctors, I was finally diagnosed with Myofascial Pain Syndrome and I have been taking Amitriptyline along with manual therapies like ultrasound, and dry needling techniques. It's been almost 3months into dry needling and I am doing well for the first time in 2.5 years. Now I have increased my workout routine from yoga to yoga+cardio+weight-training. I hope to get well soon enough to continue my research career.

All ur videos are really great even for doctors … really appreciated

Very much informative. Your video is a quick revision of MPS for mine.

From a patient with full body type 2 CRPS and newly diagnosed Myofacial Pain Syndrome with many trigger points, thank you so very much for the excellent lecture. Understanding what’s happening with your own nervous system is empowering.

So helpful. Very easy to understand.

Very good explanation of myofasicial pain.

Thankyou so much. I am currently doing fascia release between my hip and knee after a very painful flare up which started around my SI joint. My physiotherapist showed me how to do it myself but I really did not understand exactly what I was doing until I watched this video. You explain things so well!!! Your holistic approach to looking at all the possible causes has given me a lot to think about and investigate. Thanks again.

I've been suffering with this or fibromyalgia for two years but wasn't sure what it was. With the help of chat gpt ai and this video I am finally narrowing it down to a diagnosis. I described my symptoms to Chat gpt and it gave me the term myofascial pain syndrome. I then searched for the term on youtube and found your video and I knew when I saw not only MD, but also Phd after your name, i knew I would be getting some good information. You did not disappoint. Now on to watch your video on fibromyalgia.

I’m a medical student in Thailand and i have mps on my right quadriceps for 5 month after injury in a soccer match. I’ve seen a orthopedic doctor once but he can’t dx the disease I have. I’m a lucky guy who have watched this clip of yours. Thank you so much🙇🏻‍♂️🙇🏻‍♂️ ps.sry for bad grammar

Perfect!!! Is amazing the information you share!!!! THANK YOU!!!!

Very comprehensive explanation

Thank you for this excellent lecture 👍

Lupus have my body paining every day and all day. I pray every day , if I could wake up one day without pain I will be so greatful.🙏🏽

Thanks for your exhaustive information...One question, what do you think about shock waves for the treatment of trigger point?

Excelenta prezentare! Din păcate în România, ca și în alte părți ale lumii, nu putem trata corespunzător o astfel de afectiune. Mulțumesc, M-am abonat imediat la canalul tău, doctore 🤗

Thanks for this lecture. Now I understand my own pains

Thank you

This is great! Very enlightening and helpful.

Just a very bad pain, I am experiencing it now. Thanks for your explanation.

very nicely explained doctor

Excellent presentation 👍

You have so extensive and detailed knowledge about MPS. I am suffering from it for the last 11 yrs. Nothing helped me all the techniques you mentioned

This was woderful, thank you, thank you, thank you for posting.

This is well done, woow! It reassured me to keep building my pain management toolbox. Can you please do a video on Osteitis Pubis Postpartum and treatment options. Thank you so much Dr Furlan

Amazing information! Thank you very much for being such generous and brave in sharing your knowledge and professional experiences. All this generosity in providing medical scientific information comes only from a great humane heart that a woman like you can have it👍👏😍💖❤️💐💐💐 Actually I’m having right side shoulder pain for one and half years, it gets worse during sleep and every night my sleep is kinda torture. I got many Physio therapy sessions and my physiotherapist worked on my shoulder with some movement and also gave me some exercises but it just made it worse and worse and ended up sever limited range of motion so that my hand does not go back higher than my hip😔😖 I went to chiropractor as well but didn’t get result just increased pain and motion limitation. At the height of my frustration, I saw your video (exercises for shoulder) and felt better after doing only two or three exercises and my pain was slightly reduced😀🙏❤️🌹🌹🌹 I’m going to do these exercises and I hope one day I will be free from this tribble shoulder pain☺️

Thank you so much.

Thank you doctor

Thank you so much......

Last week i’ve been diagnose by health expert with this myofascial pain syndrome. I really clueless because i never hear about this for the rest of my life. Your video help me a lot to know my own pain. I hope i will be well very soon. Thank you ❤️

That’s me using “the super ball” since mid 80s. Love you doc.✌️

Thank you doctor for giving this information ♥️ I have learned so much with your video ❤

great video thank you

Și acest videoclip este doar în limba engleza. Multumesc anticipat.

Frist of all thank you so much for sharing your experience. You are the best Doctor in my life. I followed your videies more than 22 months. It's helpful When was telling my Doctors they gave me deferent type of medication it's shortly better and again coming back. Now I'm understanding. You helped me and I never forget in my life 👌👍👍🌹🌹😍❤️❤️

Dear doctor, I cannot tell you how validated I feel from listening to you say these things. I have been working to get the kind of help I need for many, many years. I have done so much reading and listening, and also, sad to say, begging doctors to give me the kind of tests and treatments you are talking about. I cannot find one physician, no exaggeration, who will touch me with their hands. They touch a few places, and they just wash their hands of me and say the word, fibromyalgia. But you have confirmed, at least to me, my condition. I don't understand why it has been such a tremendous challenge for me to find a physician of any kind to really talk to me about my symptoms. I even present them with a list of my symptoms, categorized by system or region. I'm helping them help me. But they ignore it. They are hell bent on their own protocol and so far have been completely resistant to some basic tests that I am nearly certain that I need. Now to find out where you are located. Because maybe I need to come see your office.

thanks a lot doctor you helped me significantly

Thank you Dr

Thanks for advice - thats awesome.

Thank you💜

So informative. Thank you. Fascinating that your colleague was developing an AI system to identify trigger points! My husband is a software developer and I have fibromyalgia as well as occasional episodes of muscle spasm in my neck and back that are so intense they literally put me on the floor. If your colleague is looking for beta testers, we’re game 😁. (My daughter is also about to enter her undergraduate degree program in computer science. )We would love to hear more about this AI system.

You are wonderful.

Excellent video!!

Great informative video!

Dr. Andrea, thank you for this very informative video. It help us a lot. God bless.

Thanks for sharing

It is amazing your lecture , thank you

Thank you so much for the helpful video. I have myofacial pain and cramping in addition to spasticity. I’m on baclophen 😂for the spasticity. Would you recommend a different medication for the spasticity?

Thanks 🙏

Enjoyed the video, Do you think Rolfing is a modality that can also be used for elimination of Myofascial pain?

Andrea, my doc suggested Denosumab injection for my chronic pain. Do you know of it? If so, will it adversely affect the muscles?

Thanks

Hi dr Andrea...I have been doing massage, physical therapy, trigger point injection and exercises for MPS. I am wondering if you have any exercises for muscle knots in upper arm.

Love your videos! ❤❤❤

Thank you for such a thoughtful and thorough post. I was diagnosed many years ago with fibromyalgia, which has sadly worsened. I was initially prescribed low dose Amitriptyline, later replaced by Duloxetine. Do you have an opinion or preference between these two? I stopped taking either, due to weight gain. I definitely have several trigger points and even pressure from a B.P. monitor causes ridiculous pain. I am becoming more disabled and desperately wanting to prevent this downward spiral. Should I perhaps resume taking the low dose tricyclic antidepressant? Thank you.

This is so informative

Liked very much very informative How long muscle relaxant tobe taken?

Thank you doctor for this video. i have this chronic painon my skull after my brain surgery in 2019. Can you advise me on how to get rid of the pain

Nice presentation

Hi doctor thank you for this very informative video. I was diagnosed with MPS 2 weeks ago but I’ve been feeling this pain for more than a year now, it’s just on and off. But last month I had flare up, the worst pain that I felt in my life. I decided to go to the Rehab doctor and that’s it I was diagnosed with MPS. I’m getting better now with physical therapy and medications. My back is not that stiff anymore but there is still residual pain in the interscapular area whenever I stretch them, Is it normal to still feel residual pain? I am quite anxious because the pain is not totally gone. I am also afraid to go back to running or jump roping for the reason that it might aggravate or my symptoms will go back. I want to go back also to lifting weights but I am afraid and anxious to do so. 😟

👍🏻 Thank you!

Hi Dr Furlan, I am curious why you didn't mention a previous injury causing myofascial pain. I had scarred muscles years ago and fascia is still tight from that injury unless i keep it loose. I have no trigger points that release it though. Does this make sense?

Excelente !!!!

Hi Dr. Furman, do you provide injections into the rectus abdominis at your clinic? Thanks

Dr.Adrea , from the desert of the far east I love you thnx for the information . do have clinc !?

Love you and thank you for all your work but as a NSAM Corrective Exercise Specialist. The treatment plan is out of order. Scanning the body is something I have found to be useful. A person can self scan with fingers or a foam roller. When the halogen collagen deposit is found it is either broken up with the foam roller or a special message that I developed. My experience is that I have eliminated pain with one massage session by this techniques. It work with how them deposits foam. If one stretch a muscle with deposits an injury can happen. Foam rolling must be done before stretching and exercise. In many cases stretching a muscle with a collagen deposit is not recommended. Also posture is important but you we need to look at the entire kinetic chain. It is important to fix the feet. It may seem like people are being healed but with understanding of the kinetic chain you could see how pain can be transferred or continually come back. So once the initial pain is gone it is important to destroy all collagen deposite. One day we will make it there.

Hi Dr. Furlan, I was diagnosed with fibrositis a long time ago. Has the term changed to Myofasial pain?

thank you so much Doctor. Can you talk about the facial pain syndrome and numbness of the face and brain, and describe some medications for this numbness? thanks. 🌷🌷🌷🌷

What type of specialist should we see in the US? Thanks so much

Very nice Thanks doctor.

Thank you, for this information doctor! I was diagnosed yesterday with acute myofascial syndrome. My doctor advised me to take eperisone and gabapentin 100mg (makes me dizzy and gives mild headache) she also referred me to do blood chemistry to know if there's an underlying reason of this pain since she noticed my previous complaints were all about muscle pain. I hope to get better soon. Thank you ❤️

Great video, thanks so much! Would you recommend Trazodone? I’d say it’s similar to amytriptiline? Thanks Andrea!

Thank you for the video, well explained. I am having myofascial - neck and back shoulder. After few medications ( tablets priscribed by doctor, massages, yoga and meditation) is this curable in the long term and generally how long would it take to cure this completely?

You should do a video about TMJD, love to hear what you have to say.

hmm.....i started with myofacial....yet i was never told that is what it was. Is this also something that most doctors know little to nothing about? I now have full blown fibro. All the triggerpointing and TENS in the world no longer work. I do not have a good response to medication. I used to live an active life, but now i can barely move. And yes i understand the difference between muscle fatigue and pain. I used to love the feeling of fatigue occasionally after a particularly tough training session. It made me feel good. Now i am mentally exhausted from pushing my body to do things it doesn't want to, or hurts too much to do. I used to be mentally strong, now i cry at even the littlest things. I'm sick of it.

Hi, how do you differentiate myofacial pain from other low back pain main causes?

Thank you for mentioning what medicine not to take. I was asked to up my intake for benzo & was given opoid pain killer. I didn’t take opoid & tried naproxen instead. Amitriptyline calm my spasm n migraine but it distressed my bladder. I have yet to get the exact diagnosis but when I use my hand my neck hurts no one could give an answer on what is it. Do you think this is myofascial?

Hi , iam taking collagen type 1,3 for my hair skin etc ... Do i need to take seperately collagen type 2 for my bones and joints or collagen type 1,3 is enough for my bones and joints cartilage , plz elodorate , thankyou doctor ...

Please, any information about local glucose 5% injections for treating musculoskeletal pain and dysfunction?

Been dealing with MPS for years. I use SSAR exercises consistently, heat pad, tens machine, dry needling, Botox trigger point injections, meditation, yoga, everything you motioned. I’ve been in a pain clinic and been in multiple complex rehab programs. Temporarily relief happens but nothing more than that. Makes me wonder if this is just the way I’ll feel for the rest of my life. 😪 I have stomach problems (gerd) from all the NSAIDs. Every anti depressant you name didn’t work it gave me horrific side effects. What a nightmare! I have quite the tool box myself