Myofascial pain syndrome is a regional condition of muscle pain and stiffness and is classically characterized by the presence of trigger points in affected musculature. Nicol, Andrea L Wu, Irene I Ferrante, F Michael PMID:22135529īotulinum toxin type a injections for cervical and shoulder girdle myofascial pain using an enriched protocol design.

This case report serves to create awareness about the existence of the syndrome and to highlight the potential morbidity due to clinical misdiagnosis. We present two cases of unilateral scalene myofascial pain syndrome that significantly impaired the patientsâ€™ functioning and quality of life. Because the clinical findings in scalene myofascial pain syndrome are â€œpathognomonicâ€, clinicians should be aware of ways to recognize this disorder and be able to differentiate it from other conditions that present with neck pain and rediculopathy. In the worst-case scenarios, patients may be subjected to unjustifiable surgical intervention. Because scalene myofascial pain syndrome mimics cervical radiculopathy, this condition often leads to mismanagement, which can, in turn, result in persistent pain and suffering. Although scalene myofascial pain syndrome is a well known medical entity, it is often misdiagnosed as being some other neck pain associated with radiculopathy, such as cervical disc prolapse, cervical spinal stenosis and thoracic outlet syndrome.

This condition may present as primary or secondary to underlying cervical pathology. Scalene myofascial pain syndrome is a regional pain syndrome wherein pain originates over the neck area and radiates down to the arm. Scalene Myofascial Pain Syndrome Mimicking Cervical Disc Prolapse: A Report of Two CasesĪbd Jalil, Nizar Awang, Mohammad Saufi Omar, Mahamarowi

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