The importance of making an accurate diagnosis cannot be overstated. Frequently, comorbid myofascial dysfunction can become a primary pain source. Patients with back pain can develop severe muscle spasms that then become the primary pain problem. When this occurs, underlying pain generators as well as the myofascial dysfunction need to be treated. Myofascial disease can be corrected with injections (myoneural blocks), stretching exercises, strengthening exercises, application of heat and cold, and correction of gait abnormalities. Other therapies, including the application of electrical stimulation and ultrasound, are commonly used to release muscle spasms.
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