#010

[@AudraGibson]

The most extensive information I’ve found on MPS in 25 years. Thank you.

[@DrAndreaFurlan]

Glad it was helpful! Don't forget to subscribe and turn ON the notifications 🔔

[@omayrabruno7888]

Excellent explanation!

[@tdustonpcd5762]

I totally agree!

[@emese-tundetorok1135]

​@@DrAndreaFurlanjust found your channel. For 7 years I suffer from MPS. I have almost constant muscle tenderness and once a month I have tender knots like a bean that is painful and it radiates. I learned to live with them but when it's really unsupportable I take 1 pill of piroxicam 20mg. I will watch every video and do the exercises.

[@youknowcrimedontpay9257]

Dr. Furlan is likely the most knowledgeable pain specialist I have ever come across. I'm so blessed because this amazing lady is in my city. Thank you Dr. Furlan for helping and educating so many people.

[@DrAndreaFurlan]

Wow, thank you!

[@MarshHopper]

Thank you very much for taking the time and effort to create these extremely informative and helpful educational videos. They are improving and changing this Nurse Practitioner's clinical practice in Pain Management. I pull so much of the education and analogies I share with my patients from your videos relative to my patient's conditions. Your a fantastic educator and it's easy to follow your examples. So glad I found your page.

[@lollertenjensen2157]

Dear Dr. Furlan, As a doctor myself living with myofascial pain syndrome for 5 years now, initially due to poor posture, I must say you really amazingly summarised all that I have slowly learned about my condition over the years. Through many trials and errors I have come up with a good plethora of exercises and stretching routines i do every second day that have helped me go from 5-8 VAS pain to now 2-5. So definitely my life quality have improved tremendously but still there are some days that are harder than others, and I must say that I would not wish chronic pain on my worst enemy, even though I dont have any :).. Pre my situation I was a really energetic and outgoing personality type, but now I am more of a leaned back, normal energy level, type - and not actively seeking social engagements because of being unsure about what my pain level will be that day, and it can be a hard time being out for a day if it is one of the worse days. I still do social activities, so i dont hold back, but it sometimes just hurt and i live with it. I am by no means depressed, and I love my life and family, and I always focus on the bright side and am so happy that my life is not as bad as it used to be earlier in the pain level, and I am otherwise than my chronic pain healthy. I generally just wanted to thank you for spreading awareness about this terrible underdiagnosed condition, and you really hit the nail on the head in describing everything about it, superfiscially due to time constraints (e.g. who wants to watch a 1 hour youtube video). Your patients are lucky to have you and I wish I had seen a doctor as knowledge full as you about my condition 5 years ago to get me on the right track instead of me having to find out myself throught trial and error which exercises and triggerpoint therapy modalities worked/made it worse for me over 5 years. I have one question I hope you can help me with: You mention short term treatments with muscle relaxants is a possibility. Which specifics ones do you have good experience with, how long do you treat and in which dose, and are there any monitoring requirements (e.g. blood samples). The specialists I have been to have only had inflammatory rhemautology diseases in mind and just checked that i didnt have that, and that is nice to know, but that didnt help, that was physical therapy mainly through youtube since the therapists i have seen just had some general exercixe suggestions where some worked and some didn't, but with youtube physical therapy that is like getting suggestions from hundreds of physical therapies all at once and then keeping what is working and discarding what doesnt :) - and it can be hard because sometimes what is working initially hurts but then slowly makes things better. But stretching, range of movement exercises and full body body weight exercises is what is working know and then a general 100% focus on good ergonomics, since a bad posture hurts imideately. This was quite a long ramble but I just wanted to tell my story to a colleague who really gets it, express how impressed I am, and ask you that one clarifying question. Best regards from your fellow colleague who pretty much have the same understanding of the condition as you do by living with it, and improving it by doing many of the things you talk about. Keep doing what you are doing!

[@DrAndreaFurlan]

Dear Iollerten, thank you for taking the time to write this comment. I don't have the ability to give medical advice here. Please talk to your doctor. I hope you understand that.

[@jakobilive]

Thank you for sharing this with me! I am very happy to have met you!

[@DrAndreaFurlan]

You are welcome!

[@kawaiikamiko6674]

I was diagnosed with MPS 3 yrs ago and currently having flare for 2 months , I am not taking any pain medications, just combination of weekly therapy session and exercises. Thank you for this informative video !

[@DrAndreaFurlan]

Hi Kawaii, I hope you get better soon.

[@priyankadhiman1758]

Hey I too have pain similar pain but no doctor is able to diagnose. Can you plz tell about your pain

[@detgypsygirl]

thank you. As a family nurse practitioner who treat a lot of people who come in complaining of pain. This is helpful

[@DrAndreaFurlan]

Glad it was helpful!

[@vicentelasmarias2820]

I am lucky to have watched your video presentations which are terrific! I should have discovered your videos earlier. I can follow them and practice them at home. They mean a lot to me as I am having lots of pains in my body as part of the ageing process. Thank you very much and more power to you. The explanations are clear, devoid of the "usual medical jargon."

[@DrAndreaFurlan]

Thank you, Vicente.

[@joeschmo7957]

But she recommends you jump right up and embrace that incompetent allopathic money pit, so you will get PLENTY of that blessed medical jargon.

[@sethgoetzke]

Thanks so much for all the great info, this explains soooo much! I haven’t been diagnosed with MPS, but there’s truly nothing else it could be. Stretching and massage usually make things worse so I really felt hopeless, but knowing that there are experts working on the problem, and that it is possible to treat it makes me feel waaaaay better!

[@ГанкаДимитрова-д1з]

повторете

[@antoninaorlova2169]

I was diagnosed and I also do stretching and get massages, but it only makes it worse. Have you been able to find a solution?

[@andrearnaud2190]

What an amanzing evidence-based summary of this condition! Congratulations.

[@DrAndreaFurlan]

Thank you Andre

[@kayaker9912]

I am glad I found your videos on myofascial issues. I am a rather fit, 60 yr female, love to be active, whether building stone walls, hauling yards of dirt, running or kayaking. For me, I tore the rectus abdominus in a kayaking incident in the summer of 2020, by trying to throw myself into reverse to pick up some plastic in the water and now nearly two years later, been working on it off and on. I have a weak link in my body as just on the "other side" of this area I have a herniated disc and trigger points in that back area. So, trying to figure out how to strengthen front and back to help both. Now in the worst pain of my life, I am watching everything I can and making a document for myself, re: exercise, diet, modality treatments etc. So, a big thank you for such an organized way of describing all that pertains to this issue. I have now watched a few other videos of yours and they all bring more things into clearer focus. Thank you!

[@Bellakarybe2]

Finally I could understand what’s going on with me. I enjoy complete information, clearly explaining! Thank you so much.

[@shahdrashid]

There is any treatment you used before?

[@virginiamcintyre7517]

This is a must watch for anyone living with or treating people with myofascial pain syndrome (MPS). Wish I had access to this 10 years ago when diagnosed with MPS. The multi modality tool box was essential for me to get a QOL, thank you Dr. Furlan.

[@DrAndreaFurlan]

Thank you for your comment. My hope is that many people with myofascial pain will watch this video and show to their clinicians. We need many more healthcare professionals (doctors, physiotherapists, chiropractors, massage therapists) who understand what is myofascial pain and have the skills to examine and to treat people with this type of pain. It is one of the most common types of pain, and so easy to eliminate if treatment is started early in the course of the disease.

[@DrAndreaFurlan]

It is never too late to start treating #myofascial pain. I had patients who had pain for many years and they still got benefit. It may take longer and more effort, but there is always hope.

[@DrAndreaFurlan]

I understand your question now. Yes, pain (such as myofascial pain) can change the pain system (neuroplasticity) causing the condition of central sensitization (that can in turn become fibromyalgia). So yes, it may become chronic. There are some things that make a person more susceptible to that. I explain these in another video: kzbin.info/www/bejne/bXjWgH2oj9yDd9U

[@sylviaoesterwinter8858]

@Captain Obvious Wow! Your story is mine exactly! Even the timing. I had to double check the name to make sure I didn't post this during one of my horrible 2am pain episodes. I have virtually no life except for pain now. I'm scared about my job because I've missed so much. Trigger point injections didn't help me either. I wish you well. This has gone on way too long.... Thank you Dr. Furlan for these wonderful and informative videos.

[@antohill2516]

How were you diagnosed with MPs ? Or who diagnosed you (what specialist)

[@alexyaazhakesan9907]

Thank you for your video. It was indeed informative and precisely elaborative. Doctors diagnosed me with muscle spasticity and ulnar neuropathy initially and prescribed me Baclofen. After ingestion of Baclofen for a year, I have been suffering from back and neck pain to the extend I was not able to sit or stand for more than 15mins and my hands lost their functionality. I pretty much became bedridden for a year now (while doing my Master thesis). Finally, after consulting N number of doctors, I was finally diagnosed with Myofascial Pain Syndrome and I have been taking Amitriptyline along with manual therapies like ultrasound, and dry needling techniques. It's been almost 3months into dry needling and I am doing well for the first time in 2.5 years. Now I have increased my workout routine from yoga to yoga+cardio+weight-training. I hope to get well soon enough to continue my research career.

[@DrAndreaFurlan]

Hi Alexya, I'm happy for you.

[@ruparkyitin]

Have you checked for Cervical spondylosis?

[@blueidolon66]

Never been officially diagnosed with MPS but I’m pretty sure I have had some version of this all my life. When I was a kid I would get bad shoulder and neck pain and big muscle knots constantly. In college it got worse and during grad school I had several flare ups that had me totally incapacitated (in a neck brace, lying on the floor, crying). For a long time I thought everyone must be in pain all the time and were just better at dealing with it than me. I am healthy and active, I studied ballet from childhood through college and have practiced yoga for nearly 20 years, but I suffer from severe DOMS if I’m not careful. Just having a name for this chronic pain makes me feel validated. For those just starting out on this journey, an anti-inflammatory diet really helps. So do supplements like magnesium and potassium, as well as drinking lots of water. I have also had great results with a combo of trigger point acupuncture, chiropractic, physical therapy, and strength training in the gym (start slow and gentle). Good luck everyone, it’s a marathon not a sprint.

[@DrAndreaFurlan]

Thank you for sharing your story and the strategies that worked for you. I'll remember these when I am counselling my own patients.

[@mothermayi9545]

Wow this sounds EXACTLY like my experience! I was just telling my husband, I just realized that not everybody has this pain. I’ve been sucking it up for years now even when it is DEBILITATING wondering why no one else ever complains about having it this badly.

[@DrAndreaFurlan]

Dear Mother May I, I find that many of my colleague physicians do not even believe that muscles hurt. They don't examine the muscles because they feel embarrassed by not even knowing the anatomy of the muscles. It is a deficiency in our medical schools and residency programs. I'm trying to change that. Physicians who see patients in family medicine, emergency medicine, orthopaedics, they all need to know that Myofascial pain exists and it is real. I'm a physiatrist, and we learn this in residency. Thank you for your comment.

[@mothermayi9545]

Dr. Andrea Furlan I am so grateful that you made this video and that I found it. As a woman, I tend to avoid going to the doctors for this pain (or any pain ever) because I don’t want them to write me off as exaggerating, tell me to lose some weight, or presume I’m just seeking pain meds. It’s happened before so many times and it makes me feel awful and embarrassed. I’ve never really had good experiences with doctors as a patient. (I work in healthcare and my colleagues are great, though.) I went to a physiatrist once for this pain and he spent less than 3 mins in the room with me, did not examine me at all and told me he couldn’t help me and that I had to see a chiropractor. So I went to one for a year to get adjustments and ultrasound therapy, all of which did nothing for me. Massage seems to be the only thing that helps, though I always feel sore and bruised after them and it takes me a few days to feel what I consider “bearable” muscle pain. It never goes away completely. I’ve never met a doctor who has even taken myofascial pain seriously, never mind thoughtfully articulate what it is and the treatment for it the way you did here. Thank you again for making this video!!

[@DrAndreaFurlan]

Dear Mother May I, I am trying to change the medical education system in Canada. I am leading a project called Project ECHO, it is funded by the Government of Ontario, and there, we teach healthcare professionals about chronic pain. I teach them about myofascial pain. We already trained more than 500 professionals here in Ontario. www.ECHOontario.ca

[@ranginkaman1580]

Thank you for your very good lecture. Could you please consider making a comprehensive video about all necessary excercises and treatments of sciatica.

[@DrAndreaFurlan]

Good suggestion, Rangin

[@cloudthief8918]

Are cracking joints a part of this? Or would that indicate soem other condition

[@jacktownsley8351]

Good question, I’m wondering the same

[@chamaraindrajith6263]

Thank you very much your introduction of MPS,,as a anual therapist I learn lot of things to develop my knoledge from this small video..

[@merlysacis3572]

Very comprehensive explanation

[@DrAndreaFurlan]

Glad it was helpful!

[@agathakourtesis1244]

Thank you for the advice and information..❤

[@DrAndreaFurlan]

That is great to hear. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔 Did you know that I have a website where all of my videos are organized by topics, and you can download all my handouts, worksheets and booklets for FREE. Visit www.doctorandreafurlan.com

[@rajendrasonde8984]

Liked very much very informative How long muscle relaxant tobe taken?

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.

[@livdouglas3410]

Lupus have my body paining every day and all day. I pray every day , if I could wake up one day without pain I will be so greatful.🙏🏽

[@TonyNguyen-it7vd]

It's so hard seeking professionals who specialized in chronic muscle pain. The physios and chiros I've seen all seem to think from a body mechanics perspective.

[@Parasuniversal]

What a fantastically thorough and understandable video. Thank you 🙏🏽

[@DrAndreaFurlan]

Glad you enjoyed it! Please share with your friends.

[@mlester3001]

I've been suffering with this or fibromyalgia for two years but wasn't sure what it was. With the help of chat gpt ai and this video I am finally narrowing it down to a diagnosis. I described my symptoms to Chat gpt and it gave me the term myofascial pain syndrome. I then searched for the term on youtube and found your video and I knew when I saw not only MD, but also Phd after your name, i knew I would be getting some good information. You did not disappoint. Now on to watch your video on fibromyalgia.

[@DrAndreaFurlan]

Thanks!

[@RebeccaLynnMusic]

Dear doctor, I cannot tell you how validated I feel from listening to you say these things. I have been working to get the kind of help I need for many, many years. I have done so much reading and listening, and also, sad to say, begging doctors to give me the kind of tests and treatments you are talking about. I cannot find one physician, no exaggeration, who will touch me with their hands. They touch a few places, and they just wash their hands of me and say the word, fibromyalgia. But you have confirmed, at least to me, my condition. I don't understand why it has been such a tremendous challenge for me to find a physician of any kind to really talk to me about my symptoms. I even present them with a list of my symptoms, categorized by system or region. I'm helping them help me. But they ignore it. They are hell bent on their own protocol and so far have been completely resistant to some basic tests that I am nearly certain that I need. Now to find out where you are located. Because maybe I need to come see your office.

[@DrAndreaFurlan]

Hi Rebecca, I'm in Toronto Canada. I only see patients who are in Ontario.

[@ioanabutuc7283]

Și acest videoclip este doar în limba engleza. Multumesc anticipat.

[@DrAndreaFurlan]

Hi Ioana, I'll add Romanian subtitles to this video. I need some time to prepare that. Please come back.

[@drsksureka]

All ur videos are really great even for doctors … really appreciated

[@DrAndreaFurlan]

I'm glad to hear that Sksureka

[@michaelawillis8518]

Thankyou so much. I am currently doing fascia release between my hip and knee after a very painful flare up which started around my SI joint. My physiotherapist showed me how to do it myself but I really did not understand exactly what I was doing until I watched this video. You explain things so well!!! Your holistic approach to looking at all the possible causes has given me a lot to think about and investigate. Thanks again.

[@DrAndreaFurlan]

Wonderful! Thank you for sharing with me Michaela.

[@napatkitkhuandee4023]

I’m a medical student in Thailand and i have mps on my right quadriceps for 5 month after injury in a soccer match. I’ve seen a orthopedic doctor once but he can’t dx the disease I have. I’m a lucky guy who have watched this clip of yours. Thank you so much🙇🏻‍♂️🙇🏻‍♂️ ps.sry for bad grammar

[@DrAndreaFurlan]

Hi Napat. Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔 And please remember, I do not give individual medical advice via social media or email.

[@juliebeans7323]

hmm.....i started with myofacial....yet i was never told that is what it was. Is this also something that most doctors know little to nothing about? I now have full blown fibro. All the triggerpointing and TENS in the world no longer work. I do not have a good response to medication. I used to live an active life, but now i can barely move. And yes i understand the difference between muscle fatigue and pain. I used to love the feeling of fatigue occasionally after a particularly tough training session. It made me feel good. Now i am mentally exhausted from pushing my body to do things it doesn't want to, or hurts too much to do. I used to be mentally strong, now i cry at even the littlest things. I'm sick of it.

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here. Please talk to your doctor.

[@vickifrederick2934]

See if you can get pharmocogenetic testing to see which antidepressant or pain meds that you may have the least problem with. As a patient , this has helped . Suggesting that you research this and discuss w your pain specialist or psychiatrist, if in the US

[@Lucecitas75]

Thanks for your exhaustive information...One question, what do you think about shock waves for the treatment of trigger point?

[@DrAndreaFurlan]

Good suggestion for a future video, thanks Olga.

[@azebogubamichael7082]

Frist of all thank you so much for sharing your experience. You are the best Doctor in my life. I followed your videies more than 22 months. It's helpful When was telling my Doctors they gave me deferent type of medication it's shortly better and again coming back. Now I'm understanding. You helped me and I never forget in my life 👌👍👍🌹🌹😍❤️❤️

[@visalakshinarayanamoorthy9927]

Thank you Dr. .Your videos explaining these medical conditions are excellent. I have learnt a lot..

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@evahuang5036]

I know all the information in this video and doing them daily but I am still in pain. What else could I do.

[@lulufavs4519]

Dr. Furlan, I hope you are able to lecture other doctors on fibro. Unfortunately, as you know, many md’s don’t take patients affected with fibro seriously. Thank you for your VERY informative videos. Blessings to you.🙏🏽

[@sandymorel5410]

Dr Andrea explains so well.

[@mercurianinfinity5862]

Please, any information about local glucose 5% injections for treating musculoskeletal pain and dysfunction?

[@DrAndreaFurlan]

Thank you for your comment. That is a good question/suggestion for a future video.

[@Arshdeep1234100]

Very good explanation of myofasicial pain.

[@DrAndreaFurlan]

I’m glad you like it

[@dkp2112]

Do you know of any doctors in south Indianapolis that specialize in Myofascial pain?

[@DrAndreaFurlan]

No, I don’t.

[@peggyparks8786]

Excellent video!!

[@DrAndreaFurlan]

Thank you

[@sivabiochem8828]

Does it cause muscle stiffness and burning sensation? In chronic condition

[@drmunazza3617]

You have so extensive and detailed knowledge about MPS. I am suffering from it for the last 11 yrs. Nothing helped me all the techniques you mentioned

[@financialsavant6195]

That’s me using “the super ball” since mid 80s. Love you doc.✌️

[@Outrageous86]

Been dealing with MPS for years. I use SSAR exercises consistently, heat pad, tens machine, dry needling, Botox trigger point injections, meditation, yoga, everything you motioned. I’ve been in a pain clinic and been in multiple complex rehab programs. Temporarily relief happens but nothing more than that. Makes me wonder if this is just the way I’ll feel for the rest of my life. 😪 I have stomach problems (gerd) from all the NSAIDs. Every anti depressant you name didn’t work it gave me horrific side effects. What a nightmare! I have quite the tool box myself

[@DrAndreaFurlan]

Hi Ronnie-Lynn, I am sorry to hear about all your attempts to get rid of this pain. I know it can be very frustrating. Many of my patients find ways to adapt to their condition and enjoy their lives, despite still having some pain. Life is a blessing and each day is a gift. We all need to learn how to find meaning and purpose so we can focus on what is important and do not let our symptoms interfere with our goals --> I am basically preaching to myself here.

[@Outrageous86]

Found myself back again, watching this video. It seems that I cycle through a year of some improvement and then somehow end up spending a year suffering where of my quality of life takes a hit drastically. I’m in a season of being in constant excruciating pain. I suffered a neck and shoulder injury. More than 10 years ago. So much muscle atrophy and deterioration weakness and shortening of the muscle. I’m gonna go and do some more physical therapy and dry needling and another complex program with some CBT to see if that will help reset the pain cycle again like it did a bit in 2018. 🙏🏻🤞🏻

[@archu0078]

Just a very bad pain, I am experiencing it now. Thanks for your explanation.

[@DrAndreaFurlan]

You're welcome

[@CPaiva99]

Happy New Year Dr Andrea I am so happy that I found you and this excellent explanation I have been suffering with neck pain and I ve done facet shots ablation on C3-4-5 but not C2 , it gave me some relief but I ve telling my Pain Doctors about Triggers Points Shots but none have listened to me ! I have painful bumps on my neck and trapezius’s and are painful! Do you know anyone in the Los Angeles area that can recommend? Agora confirmei minha intuição, pois vi em um comentário que fala português ! 😂Brasil ou Portugal ? Eu acho Brasil ! Já estou seguindo vc ! muito obrigado pelo carinho e apoio nesse vídeo !Parabéns

[@mohammedelqahtani3843]

Dr.Adrea , from the desert of the far east I love you thnx for the information . do have clinc !?

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔

[@SarkisKlinik]

Hi, how do you differentiate myofacial pain from other low back pain main causes?

[@DrAndreaFurlan]

Good question! I would need a full video to answer it. Maybe in a future video.

[@jacquelyngugliotti681]

From a patient with full body type 2 CRPS and newly diagnosed Myofacial Pain Syndrome with many trigger points, thank you so very much for the excellent lecture. Understanding what’s happening with your own nervous system is empowering.

[@DrAndreaFurlan]

I am glad that I could help. Thank you for watching and taking time to comment.

[@DrAndreaFurlan]

Please help me to disseminate these videos by sharing it with people that you know.

[@joldenaliceacabatoriokot6515]

Thanks for this lecture. Now I understand my own pains

[@DrAndreaFurlan]

Glad it helped!

[@sv-luciafed7168]

@@DrAndreaFurlan thank you doctor! tell me please.... Can myofascial syndrome hurt not only the muscles but also the nerve of the leg? All is well on the MRI. There is only a protrusion of 2-3 mm. I grabbed my back as I leaned over to put on my shoes. I was taking anti-inflammatory drugs and muscle relaxants. It helped. As soon as I stopped taking muscle relaxants, the pain spread to my leg. And already tormented for more than a month. Massage and stretching slightly exacerbates the pain. The doctor prescribed duloxetine.

[@ibrahimhossain4547]

Very much informative. Your video is a quick revision of MPS for mine.

[@DrAndreaFurlan]

Glad it was helpful!

[@captainspaulding8868]

Hi Dr. Furman, do you provide injections into the rectus abdominis at your clinic? Thanks

[@DrAndreaFurlan]

Yes. Your doctor needs to make a referral to our pain clinic.

[@ranjanm8698]

Thank you doctor for this video. i have this chronic painon my skull after my brain surgery in 2019. Can you advise me on how to get rid of the pain

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please talk to your physiotherapist, as they will be able to help you with an individual program. Consider subscribing to my channel. I post videos once a week about a variety of topics on chronic pain.

[@srikanthdm3179]

Mam heavy upper back middle back pain what is problem mam eny time pain mam

[@DrAndreaFurlan]

Sorry to hear that. Please talk to your doctor.

[@priyankadhiman1758]

Hello doctor, I have chronic pain in upper back and neck, there are some trigger points when I press those points it hurts. The pain is since one year but no doctor is able to diagnose it. Some time pain is too much and some time very mild but yeah it’s always there

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor. Have you seen my website yet? Check it out www.doctorandreafurlan.com

[@bluex217]

I've had an issue for nearly 10 years since I began lifting weights as a teen with what I thought was nerve related. It goes from my wrist, inner forearm, armpit/upper arm, and my rear delt is very sensitive. I've only worked out once per week for years and don't do chest exercises because my rear delt inflames. I had an EMG and needle test where they stuck needles into my muscles ( ouch :( ) and nerves are fine, they said nothing about an impingement and said it's probably myofascial and scheduled PT

[@udanordin9210]

Hi dr,i want to ask the word you said at minutes 11.44,”…we use mulching something something….” I can’t hear it properly.thank you dr.

[@DrAndreaFurlan]

"Multi-modalities" You may turn the closed captions ON and read the words. Follow these instructions: kzbin.infoUgyrzvtZesMrcMEiQ7l4AaABCQ

[@melissanreynolds]

Can fibromyalgia cause or be caused by myofascial pain syndrome?

[@DrAndreaFurlan]

Myofascial pain can sensitize the pain system.

[@mariamarino138]

I’m 56 yrs old, and have had chronic back pain, with stabbing pains down the side of one leg. I have been diagnosed with, spinal stenosis ( lumbar) disc degeneration ( throughout spine) arthritis, osteoarthritis, sacroiliac pain and more, how do I know WHICH exercises to do? One may be good for disc degeneration, but not for stenosis, and, Visa versa. I also have lots of tight muscles down the back of both thighs, with tendinopathy , low back pain and waist area, just a mess!

[@DrAndreaFurlan]

Hi Maria, thank you for this comment and for being a subscriber.

[@nataliadagon]

Can Far Infrared light help?

[@DrAndreaFurlan]

Thank you for your comment. That is a good question/suggestion for a future video.

[@ludmilaberenzon7126]

Are you practicing in Toronto ? How can I get an Appointment with you ? Really need your help

[@DrAndreaFurlan]

Then please ask your doctor to send me a referral.

[@promilawadehra8197]

Thank you for your videos. They are easy to understand. Lot of information. I am sure they will help. God bless you

[@DrAndreaFurlan]

Thank you for watching and for writing this comment. God bless you too. Consider subscribing to this channel. I have lots of videos that you might find useful.

[@Skinnyheels]

Thank you for mentioning what medicine not to take. I was asked to up my intake for benzo & was given opoid pain killer. I didn’t take opoid & tried naproxen instead. Amitriptyline calm my spasm n migraine but it distressed my bladder. I have yet to get the exact diagnosis but when I use my hand my neck hurts no one could give an answer on what is it. Do you think this is myofascial?

[@DrAndreaFurlan]

Thank you for this comment. I just published a new video about cervical myelopathy (spinal stenosis in the neck). kzbin.info/www/bejne/jX-xfKitaqt0g5I Have you seen my website yet? www.doctorandreafurlan.com And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.

[@praveenbathula4584]

Hi , iam taking collagen type 1,3 for my hair skin etc ... Do i need to take seperately collagen type 2 for my bones and joints or collagen type 1,3 is enough for my bones and joints cartilage , plz elodorate , thankyou doctor ...

[@DrAndreaFurlan]

Thank you for your comment. That is a good question/suggestion for a future video.

[@NonaMansour-q8p]

Thank you doctor for this valuable information. But I have myofascial pain. There are problems with the vertebrae in the neck as well, and with exercising, painful spasms occur. Is this possibly a different disease?How can sprains be treated, because they are all over the body? Thank you very much

[@marykrisgregorio7295]

Hi doctor thank you for this very informative video. I was diagnosed with MPS 2 weeks ago but I’ve been feeling this pain for more than a year now, it’s just on and off. But last month I had flare up, the worst pain that I felt in my life. I decided to go to the Rehab doctor and that’s it I was diagnosed with MPS. I’m getting better now with physical therapy and medications. My back is not that stiff anymore but there is still residual pain in the interscapular area whenever I stretch them, Is it normal to still feel residual pain? I am quite anxious because the pain is not totally gone. I am also afraid to go back to running or jump roping for the reason that it might aggravate or my symptoms will go back. I want to go back also to lifting weights but I am afraid and anxious to do so. 😟

[@DrAndreaFurlan]

It is really important that you see a physiotherapist. The physiotherapist will examine your specific situation and tell you what you can and cannot do. These videos are for educational purposes only. Now that you are more knowledgeable about your condition and the types of exercises you could be doing, it will be much easier for you to discuss with your physiotherapist. You will understand what they are saying, and why they are recommending one exercise and not the other one. I think that patients who are more knowledgeable about their options are much better to adhere to the treatment recommendations. That is the ultimate goal of these videos, that you can discuss with your health care professional and be a partner in the decisions.

[@luskelurke9194]

Can this show up as tingling numbness?

[@DrAndreaFurlan]

Tingling and numbness are more commonly signs of neuropathic pain. Check my other video about "Neuropathic Pain".

[@paolagongora2285]

What strength exercises can I do?

[@mekdesarlemyr5229]

Does Gabapentin hjälps for mayofacilal pain or the back pain?

[@DrAndreaFurlan]

Hi Mekdes, I don't think so. Have you seen my other video about gabapentin? kzbin.info/www/bejne/oZKvfqBvZr-arZo

[@mekdesarlemyr5229]

@@DrAndreaFurlan Ja i have seen that i had burning processe on my left side my nevrolog Dockter gave me 3times 300 milli gram a day and I took Mri Brain and spinal it does'nt show anything my My Brain was fine even my spinal too Gabapentin took away the burning straff insted i got kronisk back pain she told me to take 600 mg gab in the morning 300 att lunch and 300 in the evenning and almost a month since i started and I informed i have no Nevro problem.

[@faithjepkosgei7116]

This is well done, woow! It reassured me to keep building my pain management toolbox. Can you please do a video on Osteitis Pubis Postpartum and treatment options. Thank you so much Dr Furlan

[@DrAndreaFurlan]

Thank you for your comment. That is a good question/suggestion for a future video.

[@faithjepkosgei7116]

Thank you for responding 😊 I am 21 months postpartum but still in alot of pain with Osteitis Pubis. Please help

[@izharulhaqmardan]

I have some question about 8 to 14 months ago. The pain came on my father upper back. It was very chronic pain as well as paralyzed al lbody in emrrgency we have done injection for pain relief. But this come today agin

[@DrAndreaFurlan]

Hi Izharul, I’m sorry to hear this. Please make sure to tell your doctor about it.

[@sigalben-tabi3340]

Hi i am on subotex because i was addicted to oxoicontin and they gave me subotex. The issue is the i am trying to reduce subotex for the last 6 months and also got an Sergey of the labrum and now i have this problem in this video. I wondered mybey it is becuse thr redusing subotex opiate or Sergey. What you think? Thank u

[@DrAndreaFurlan]

Sorry to hear that. Please follow your doctors' advice. I can't give you medical advice without you being my patient.

[@newts1964]

how do you find these around lower ribs and sides

[@DrAndreaFurlan]

There are muscles around the ribcage. The doctor has to palpate them.

[@newts1964]

Thank you....should this be done regularly by a msk physio until all are released

[@markpartoza7959]

MPS have fever? My shoulder blade is painful and have loght fever when i roll my shoulder i heard crunchy sound

[@enikotrifan369]

Excelenta prezentare! Din păcate în România, ca și în alte părți ale lumii, nu putem trata corespunzător o astfel de afectiune. Mulțumesc, M-am abonat imediat la canalul tău, doctore 🤗

[@DrAndreaFurlan]

Thank you Eniko. I am glad you like it (I used google translate to read Romanian).

[@enikotrifan369]

@@DrAndreaFurlan Oh, sorry ( for the google translation ), I thought you were romanian, considering your name. Even you are not ( romanian) thank you very much for the presentation and congrats! I also wish you a Happy New Healthy Year! 🌹

[@DrAndreaFurlan]

I speak Portuguese. I'm from Brazil.

[@drdr3752]

Can h.pylori cause myofacial pain?I don't have any h.pylori symptoms just mfps

[@DrAndreaFurlan]

Any chronic infection can cause Myofascial pain.

[@ummehabiba1499]

Excellent presentation 👍

[@DrAndreaFurlan]

So nice of you

[@captainbalding2288]

Hi Dr Furlan, I am curious why you didn't mention a previous injury causing myofascial pain. I had scarred muscles years ago and fascia is still tight from that injury unless i keep it loose. I have no trigger points that release it though. Does this make sense?

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.

[@detgypsygirl]

What is good topical relief? menthol vs capsicum

[@DrAndreaFurlan]

Hi Patricia, there is not a lot of trials of menthol or capsicum for myofascial pain. If it is just for the massaging effect, then it is probably the same effect. I know that capsaicin is used for neuropathic pain. I have another video about it: kzbin.info/www/bejne/pZKYZIZ6nJiZpJI

[@kathyhayward2228]

@@DrAndreaFurlan I don't think it's for your face

[@rf451]

I just found this video after searching for a long time. Thank you. Just a question. Is Myofacial pain affects the private like pelvic floor, clitoris to feel pain sometimes? Also, is it really normal to feel like burning from the hip to clalf and knees when in pain? Thank you in advance.

[@DrAndreaFurlan]

Thank you for your comment. That is a good question/suggestion for a future video. Have you seen my website yet? Check it out www.doctorandreafurlan.com

[@lalaniperera2124]

i have a severe knee pain and cannot walk without limping and the pain on the lower back is also there

[@mlee8428]

Does prolotherapy help with mps

[@DrAndreaFurlan]

I don't think so.

[@sandradelarbol1244]

Great video, thanks so much! Would you recommend Trazodone? I’d say it’s similar to amytriptiline? Thanks Andrea!

[@viveks378]

Thank you for the video, well explained. I am having myofascial - neck and back shoulder. After few medications ( tablets priscribed by doctor, massages, yoga and meditation) is this curable in the long term and generally how long would it take to cure this completely?

[@victoriagreen8728]

Can myocardial pain syndrome evolve into fibromyalgia? It looks like I have both. Also hyper mobility - I can undo the knots in 10-20 seconds, but then another knot or two will instantly form elsewhere. My body is throbbing all the time. How can I get this diagnosed and recognized?

[@DrAndreaFurlan]

I have another video about fibromyalgia.

[@gymnasticlife1788]

Can severe MPS eventually lead to some muscles not working at all..?? I believe my trigger points have caused loss of mobility in my shoulder but very difficult to find a doctor to properly disgnose and heal.

[@gymnasticlife1788]

P.s. you mentioned muscles shortening. This is partially what feels like is happening. I have watched it worsen over many years. I was a trained dancer as a child and have utilized many stretching exercises and home physical therapy for years to prevent this but has not stopped the progression. What type of doc to I see for this issue..?

[@DrAndreaFurlan]

Thank you for watching the video and writing this comment. Please talk to your physiotherapist, as they will be able to help you with an individual program. Consider subscribing to my channel. I post videos once a week about a variety of topics on chronic pain.

[@gymnasticlife1788]

@@DrAndreaFurlan thank u for your response and I will be happy to subscribe! So a physiotherapist is the type of doc I would want to look for this type of concerns..? Appreciate you! Thanks again.

[@devindrabalkaran3159]

Does cervical spondylosis cause headaches

[@BruceVafa]

Nice presentation

[@DrAndreaFurlan]

Glad you liked it

[@JenniferBigley]

What type of specialist should we see in the US? Thanks so much

[@deborahwallace1847]

So helpful. Very easy to understand.

[@DrAndreaFurlan]

Glad you think so!

[@Ace_plays1]

How do I know I have that because for me its been weeks and it first started with my upper back I was feeling a pain in my upper back then it went away I noticed that it would hurt when I touch it. Three weeks ago I found out that if I apply pressure on my right side body it hurts. Today I found out its the same on my left side that hurts. It hurts when I apply pressure on my back, arm pit area, shoulder blade area, legs, thighs it hurts when I press on it not all the area I just find where it hurts its weird because it hurts when I apply pressure but it doesn’t when I move. When Im laying down in my bed my back hurts from applying pressure.

[@kimba341]

Great informative video!

[@DrAndreaFurlan]

That is great to hear. Please share this video with your friends. I have lots of videos about chronic pain on my channel kzbin.info And don't forget to turn on the notifications 🔔 Did you know that I have a website where all of my videos are organized by topics, and you can download all my handouts, worksheets and booklets for FREE. Visit www.doctorandreafurlan.com

[@lorigoedken8149]

Thank you so much for the helpful video. I have myofacial pain and cramping in addition to spasticity. I’m on baclophen 😂for the spasticity. Would you recommend a different medication for the spasticity?

[@neelimashakya8164]

Hi dr Andrea...I have been doing massage, physical therapy, trigger point injection and exercises for MPS. I am wondering if you have any exercises for muscle knots in upper arm.

[@DrAndreaFurlan]

Thank you for taking the time to write this comment. I don't have the ability to give medical advice here. Please talk to your doctor. Consider subscribing to this channel.

[@i.mancuso738]

Any update on the use of AI use to detect the trigger points?

[@helenehalle3197]

It’s great to be understood but how can I find a doctor, person or whatever it is I need to help me with this.. I can’t even find a replacement doctor since I’ve moved three hrs north.I’m so lucky my doctor from Ottawa is still ok with me being a long distance patient. After all I still have so many scripts to have renewed…I’m diagnosed with fibromyalgia about ten years ago by a specialist . My life has gone downhill since. The myofascial pain I can totally relate to as well. Is there help out there Dr.Andrea Furlan???

[@hughesadam87]

This video has just put together 20 years of trial and erreor for me and suffering. Does anyone know doctors in the eastern US region that can help me with this

[@theintan5283]

how to takes those pills ? with meals or b4/after meals ?

[@DrAndreaFurlan]

Which pills?

[@blulagoone221]

Im so sad .not even a reumatologist couldent diagnose me in my country .i said I have a lot of trigger point on my back,neck .pelvis .traps .and nothing? im in so much pain i dont know what to do im not able to rotate my neck and use my hands beucuse of my trapizius.please help meeeeee.🥺🥺🥺🥺🥺

[@DrAndreaFurlan]

Thank you for this comment. I just published a new video about cervical myelopathy (spinal stenosis in the neck). kzbin.info/www/bejne/jX-xfKitaqt0g5I Have you seen my website yet? www.doctorandreafurlan.com And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.