Question: My question(s) relates to Myofascial Pain Syndrome. Is it possible for a relatively minor muscle sprain/strain to set off a cascade of chronic pain/ active trigger points that not only escalates in intensity, but also causes global pain/TrPs secondary to the initial injury? Additionally, since MFPS cannot be identified by labs, imaging, and many other diagnostic tests, how does a clinician arrive at objective findings consistent with the patients complaints of pain? In other words, how does a clinician objectively quantify his patients symptoms less their subjectivity? Can you point me to scientific journals that may do well at explaining MFPS, perhaps something from PubMed or alike? Lastly, can severe MFPS cause worsening of scoliosis (due to the taught bands of muscle tugging on the spine laterally? I've had moderately worsening scoliosis since the onset of this MFPS in less than 2 years (Comparative to thoracic films). Before you go the differential diagnosis route, all labs, imaging, and neurological tests are absent leads to other diagnosis (Worked up by Rheum, Neuro, etc). I have MFPS and my question is specific to that.

Thank you, sir. I do have some follow up questions for you but I am now in bed. I wish to carry on tomorrow if that is fine with you? Additionally, I clicked your name and it didnt give me your CV. I was able to see the physicians CV on other posts, why not here? Again, I will have follow up questions for you tomorrow. Thank you for your prompt reaponse to my initial questions. Very helpful! We will talk soon.