• Persistent, deep muscle pain
• Trigger points—sensitive spots in the muscles that feel like knots
• Referred pain—pain felt in areas distant from the trigger point
• Muscle stiffness and restricted range of motion
• Sleep disturbances and fatigue due to chronic discomfort

It often develops after muscle injury, overuse, or chronic tension, especially in people with poor posture, repetitive strain, or emotional stress.

• Muscle overuse or repetitive strain (e.g., from work or sports)
• Poor posture—sitting or standing improperly for long periods
• Stress or anxiety—which can lead to muscle tension
• Sedentary lifestyle—reduced circulation and mobility
• Injury or trauma to a muscle group
• Nutritional deficiencies—such as vitamin D or B complex

These factors can lead to the formation of trigger points, which are hyperirritable spots in the muscle that cause pain locally and in referred areas.

• Aching, burning, or throbbing muscle pain
• Areas of muscle that feel tight or rope-like
• Localised tenderness when pressure is applied
• Reduced muscle flexibility and strength
• Disrupted sleep due to pain or discomfort
• Headaches or jaw pain (if facial muscles are involved)

Pain may worsen with activity or stress, and patients often feel frustrated by the lack of relief from conventional rest or medications.

• Improving spinal alignment and reducing biomechanical strain
• Addressing postural issues that contribute to muscle overload
• Releasing muscular tension through gentle adjustments
• Restoring nervous system balance for improved pain modulation

Manual therapy techniques, including trigger point release and mobilisation, are used alongside spinal adjustments to support the entire musculoskeletal system.

• Trigger point therapy: Direct treatment to deactivate painful spots
• Stretching and strengthening exercises: To restore muscle function
• Dry needling: To release deep muscle tension and improve circulation
• Postural re-education: To prevent recurrence
• Electrotherapy or ultrasound therapy: For pain relief and healing
• Breathing and relaxation techniques: To reduce chronic muscle tension

With a consistent and customised plan, physiotherapy can help break the cycle of pain and muscle guarding that defines Myofascial Pain Syndrome.

• Relieve pain and muscle tightness
• Improve posture and biomechanics
• Build resilience through strength and flexibility
• Educate you on prevention and self-care strategies