Myofasciitis is a clinically common and often overlooked or misdiagnosed pain condition, which is essentially a sterile inflammation of muscles and fascia. When the body is stimulated by wind and cold, fatigue, trauma or improper sleep position and other external factors, it can trigger an acute attack. Acute injury or chronic strain on the muscles, ligaments and joint capsule of the shoulder, neck and lumbar region is the basic cause of this disease. If the disease is not thoroughly treated in the acute stage and becomes chronic, or if it is subjected to repeated strain, wind and cold and other adverse stimuli, symptoms such as continuous or intermittent muscle pain, soreness and weakness may occur repeatedly. The treatment of this disease is mainly symptomatic conservative treatment, if necessary, surgery. Second, the pathogenesis of 1, some patients have a history of trauma of varying degrees. After muscle and fascia injury, not timely treatment or treatment is not complete, leaving hidden problems, and the disease is prolonged. 2, some patients do not have a clear history of acute trauma, but because of long hours of sitting, little activity; or because of poor work posture, long-term in a single specific posture; or because of work tension; or persistent weight bearing; or overexertion, etc., and the disease over time. 3, wind and cold invasion, poor blood flow, affecting the nutrition and metabolism of the muscles and fascia, prolonged for a long time and disease. 4, the patient is weak, immune function is not strong; or congenital variation of the spine (deformity); or degenerative disease of the spine (osteophytes), more likely to cause disease. Clinical manifestations 1, local muscle pain: chronic persistent soreness, swelling or dull pain, pain in the form of tightness or heavy pressure, lumbar, back, sacral, hip, leg, knee, plantar, neck, shoulder, elbow or wrist, etc. can occur. 2.Ischemic pain: pain can be triggered by local cold or general fatigue, cold weather, waking up with pain during late night sleep, stiffness and pain in the morning, relieved after activity but often aggravated after long working hours or in the evening, and can be aggravated when inactive or overactive for a long time or even when emotionally upset. 3.Fixed pressure point: local muscle tension, spasm, bulge, contracture or stiffness is found during physical examination. The location of the pressure point is often fixed near the starting point of the muscle or the intersection of two groups of muscles in different directions, and painful hard nodes or painful muscle cords can be felt in the deep part of the pressure point. There may be a history of local or adjacent injury, and the incidence is more frequent in women than in men. The first is that the patient’s pain can be relieved by the physical therapy, and many mild to moderate patients can be cured by adhering to the physical therapy. 2, Western medicine treatment: anti-inflammatory and analgesic, anti-swelling and antispasmodic drugs can quickly reduce symptoms and improve the quality of life, especially for patients in the acute phase of the treatment is very good, commonly used such as fenbid, futalin, cilobal, mai zhi Ling, Lunanbite, Myona, etc.. Western medicine closed treatment is also effective for many patients with limited pain, but attention should be paid to prevent possible complications. 3.Chinese medicine treatment: Clinical experience has confirmed that many Chinese medicines or topical ointments can also achieve the purpose of decongestion, anti-inflammation and antispasmodic analgesia, as well as Chinese massage and manipulation (kneading, pressure, plucking, taking, rubbing, tapping, etc.) are also effective for many patients. 4.Interventional or surgical treatment: For a very small number of patients with stubborn symptoms that cannot be cured for a long time, interventional or surgical treatment is needed. Interventional treatment is minimally invasive, including ultrasound-guided muscle release therapy such as small needle knife or radiofrequency is effective, if the effect is not good enough to require open surgery to remove the diseased tissue. However, myofasciitis is often a multiple lesion, and surgery can only address one symptom, so surgical indications should be strictly controlled. Prevention 1. Pay attention to safety and avoid trauma. 2, pay attention to climate change, keep warm, to prevent cold and damp invasion. 3, weight control, hard board soft bed, work surface height should be appropriate. 4, do not be in the same position for a long time, do not overexert yourself, should be a combination of work and rest. 5, physical exercise should be done before the warm-up exercises, the intensity should be gradual, reduce foot impact activities. 6, in professional training or more intense sports, to take the necessary protective measures, such as wearing a belt, wrist guards, elbow pads, knee pads, ankle pads, arch pads, etc..