Spinal pathologies

Dorsal Myofascial Syndrome

Dorsal Myofascial Syndrome is a musculoskeletal disorder characterized by chronic pain and the presence of myofascial trigger points in the musculature of the dorsal and interscapular region.

These trigger points correspond to localized areas of muscle hyperirritability capable of generating local pain and radiating pain towards the neck, shoulders, thoracic region or lumbar area, potentially causing significant functional limitation and postural alteration.

Dorsal myofascial syndrome is one of the most frequent causes of chronic back pain and is usually related to muscle overload, sustained postural alterations and prolonged biomechanical stress.

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What are myofascial trigger points?

Myofascial trigger points are small areas of localized contracture within the muscle that exhibit increased tension and painful sensitivity.

These muscle areas can produce:

Persistent local pain
Pain radiating to a distance
Muscle stiffness
Reflex muscle spasm
Muscle fatigue
Functional and postural limitation

Prolonged activation of these points can promote chronic pain and the development of secondary biomechanical alterations.

What are the most frequent causes?

Dorsal myofascial syndrome can develop due to multiple factors, including:

Muscle and postural overload
Prolonged work in front of screens
Physical and emotional stress
Sedentary lifestyle and muscle weakness
Ergonomic work-related problems
Scoliosis or vertebral alignment disorders
Degenerative dorsal or cervical pathology
Chronic muscle contracture
Repetitive physical overexertion

In many patients, muscular and vertebral alterations coexist, perpetuating chronic back pain.

What are the most common symptoms?

Symptoms may vary depending on the affected muscles and the intensity of the clinical picture.

Among the most common are:

Persistent dorsal or interscapular pain
Muscle contracture
Sensation of tension or pressure on the back
Chest rigidity
Muscle fatigue
Pain radiating to the neck, shoulders, or chest
Functional and postural limitation
Discomfort that worsens with certain postures or exertion

Pain often increases with sustained postures, stress, and prolonged muscle activity.

Specialized diagnosis

The diagnosis is primarily clinical and is based on detailed muscle examination and the identification of myofascial trigger points.

Correctly differentiating back pain from other causes is essential to guide treatment.

Treatment of Dorsal Myofascial Syndrome

Treatment should be individualized according to the intensity of the pain and the biomechanical factors involved.

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we take a comprehensive and multidisciplinary approach to dorsal myofascial syndrome using advanced medical, rehabilitative and interventional treatments.

Among the available therapeutic options, the following stand out:

Physiotherapy and functional rehabilitation
Posture correction and ergonomics
Specialized pharmacological treatment
Trigger point treatment
Ultrasound-guided muscle infiltration treatment
Radiofrequency and neuromodulation in selected cases
Regenerative and biological therapies
Muscle strengthening and functional stabilization

The goal of treatment is to reduce pain, relax the affected muscles, and restore normal function of the thoracic spine and postural muscles.

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we have a specialized unit for myofascial pain, back pathology and musculoskeletal pain, offering advanced and personalized treatments using high-precision techniques