Myofascial pain syndrome (MPS) is a chronic pain condition characterized by hyperirritable trigger points in skeletal muscle and the surrounding fascia — the connective tissue that wraps muscle fibers, organs, and joints.
Trigger points are taut bands of muscle that feel like knots or ropes under the skin. When pressed, they refer pain to other parts of the body in predictable patterns. A trigger point in the upper trapezius, for example, can refer pain to the temple. A trigger point in the masseter can mimic toothache.
Common contributors include direct trauma, poor postural patterns, repetitive strain, autonomic dysregulation, and underlying conditions such as cervical instability or TMJ dysfunction.
Dr. Pezeshkian uses an integrated approach to myofascial and trigger point therapy, drawing on multiple techniques selected based on what each patient’s presentation requires:
For many patients, myofascial therapy is one component of a multi-modal treatment plan. Trigger point work in the masseter alone won’t resolve TMJ dysfunction if the cervical spine is driving the pattern. Likewise, addressing cervical trigger points without identifying postural or structural contributors leads to short-term relief and recurring pain.
At Jawmatrix, myofascial therapy is integrated with structural chiropractic care, postural rehabilitation, and — when indicated — Dynamic Digital Radiography to identify the underlying drivers. The goal is durable resolution, not temporary symptom relief.
If you have been told your pain is “muscular” but treatments haven’t resolved it, a comprehensive myofascial evaluation may identify what’s been missed.
