– These people have taught, ropie bands of muscles in areas of pain.  Deep pain that is made worse with stretching or straining/flexing the muscle.

– Commonly causes refered pain as muscles become weak, inflexible, and stiff with a decrease in range of motion.

– Overuse, psychological stress, heavy lifting or sustained seated workstation activity (sitting at a computer all day, everyday).

– No single causative factor.

– Poor posture, sitting for long periods, lack of sleep, general fatigue, hormonal changes, menopause, smoking, and obesity.

– Typically treated with NSAIDS, analgesics, muscle relaxants, anticonvulsants, tricyclic antidepressants, and botox injections.

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