Back Pain: Causes and Treatment Options for Myofascial Pain - Rehabilitation

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Radiating back pain


Hello Doctor: My father experienced severe vomiting due to gastrointestinal discomfort two weeks ago, which subsequently led to upper back pain.
Two days later, the pain spread to his chest as well.
I have researched related information and suspect it might be caused by myofascial pain syndrome.
Therefore, I would like to inquire if the Changhua City Hospital offers outpatient services with extracorporeal shock wave therapy for treating myofascial pain syndrome.
Thank you!

Mr. Fan, 80~89 year old female. Ask Date: 2010/04/16

Dr. Xu Yongnan reply Rehabilitation


Severe vomiting can lead to upper back pain, which may be due to a muscle strain or sprain.
If the pain spreads to the chest, it is essential to rule out any cardiac issues.
It is recommended to seek a personal consultation.
Unfortunately, Changhua Municipal Hospital currently does not have an extracorporeal shock wave therapy device.

Reply Date: 2010/04/16

More Info


Back pain, particularly myofascial pain, can be a complex issue that arises from various factors, including muscle strain, tension, and inflammation. In your father's case, the onset of back pain following severe vomiting suggests a possible connection between the two events. Vomiting can lead to muscle strain in the upper back due to the forceful contractions of the abdominal muscles and diaphragm. This strain can result in myofascial pain, which is characterized by localized muscle pain and tenderness.

Myofascial pain syndrome occurs when trigger points—tight bands of muscle fibers—develop in the muscles, leading to pain that can radiate to other areas. In your father's situation, the pain spreading from the upper back to the chest could indicate that the muscles in the upper back and chest are interconnected and affected by the initial strain. Additionally, the stress and discomfort from the gastrointestinal issue may have contributed to muscle tension, exacerbating the pain.

Treatment options for myofascial pain typically include a combination of physical therapy, medication, and alternative therapies. Physical therapy can help by providing targeted exercises to stretch and strengthen the affected muscles, improving flexibility and reducing pain. Techniques such as massage therapy can also be beneficial in releasing muscle tension and alleviating pain.

In some cases, healthcare providers may recommend the use of non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain. If the pain persists or is severe, other treatments such as corticosteroid injections or trigger point injections may be considered.

Regarding your inquiry about the availability of extracorporeal shock wave therapy (ESWT) for treating myofascial pain at the hospital, this treatment has gained popularity for its ability to promote healing and reduce pain in musculoskeletal conditions. ESWT works by delivering acoustic waves to the affected area, stimulating blood flow and promoting tissue regeneration. While it may not be universally available at all medical facilities, many hospitals and clinics are beginning to offer this innovative treatment option.

It is essential for your father to consult with a healthcare professional who can evaluate his specific condition and recommend an appropriate treatment plan. A thorough assessment will help determine whether myofascial pain is indeed the cause of his symptoms or if other underlying issues need to be addressed.
In summary, myofascial pain can arise from various factors, including muscle strain due to vomiting. Treatment options include physical therapy, medication, and potentially shock wave therapy. It is advisable for your father to seek medical attention to receive a proper diagnosis and tailored treatment plan.

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