I. Common myofascial pain in the head and neck Some people generally attribute myogenic headache in the head and neck to “muscle tension headache” and often prescribe non-steroidal anti-inflammatory painkillers or muscle relaxants to solve the problem, which can temporarily stop the pain, but patients often suffer from recurrent symptoms. From a pathological point of view, different parts of the head and neck muscles have their own specific causes of pain. Proper identification of the problematic muscles and the application of appropriate local treatment and instruction of correct therapeutic stretching exercises can completely solve the patient’s problem. In this section, we will discuss the common myofascial pains in the head and neck: 1, trapezius muscle: stiff neck, drop pillow, plagiocephaly, chronic temporal headache, all because of it. 2, sternocleidomastoid muscle: headache, dizziness, tinnitus, tinnitus, eye pain, ear pain, blurred vision, but can not find the cause, probably because of it… 3, scapular muscle: neck stiffness, is the blood turbidity, hypertension? 4.Head pinch muscle and neck pinch muscle: head pain, pain into the bone, it turns out to be it… 5.Back neck muscle group: stiff neck, Sun Wukong golden hoop type of headache, it turns out to be it… 6.Lower occipital muscle: another accomplice of golden hoop type of headache 7.Temporal muscle: unilateral temporal headache, not necessarily migraine! 8.Expression muscles of the face and chewing muscles: pseudo-trigeminal neuralgia, temporomandibular joint pain and difficulty in opening and closing the teeth may be it! Common shoulder, chest and back myofascial pain Pain in the shoulder, chest and back is a common complaint of patients in the clinic, individual muscles have different points of agonizing pain and different areas of distribution of transfer pain. 1, oblique angle muscle: the most common source of finger soreness and weakness, occasionally see finger joint pain and morning stiffness, and be misdiagnosed as rheumatoid arthritis, have to be cautious. 2.Upper shoulder spine muscle: the secret guest of the 50 shoulders, difficulty in the internal movement of the shoulder joint and inability to lift laterally. 3.Lower shoulder spine muscles: Shoulder joint pain that cannot sleep sideways, backward, and forward with difficulty. 4.Little round muscle：Posterior shoulder pain, not moving than moving pain. 5.Expanding back muscle: malignant mid-thoracic back pain, 6.Large round muscle: posterior shoulder pain, moving is more painful than not moving. It is especially obvious when operating a large truck without power steering. 7.Rhomboid muscle: pain into the heart rather than the disease into the heart. 8.Deltoid: the most common muscle of shoulder sports injury. 9.Pectoralis major and minor muscles: non-anginal anterior pectoral muscles, especially the left pectoralis muscle pain is often misdiagnosed as angina pectoris. 10.Sternocleidomastoid muscle: pain under the sternum that is not affected by activity, and is persistent pain unrelated to rest or exercise. 11.Anterior and posterior serratus: Chest pain after a violent cough or a long cough. The pain pattern is like a lateral stitch on the side of the chest. 3. Common myofascial pain in the lumbar and hip areas Low back pain is a common problem in modern people, and is also a common problem in primary care. Many patients with back pain are often accused of “long bone spur” or “lumbar disc prolapse”. In fact, it is a normal degenerative phenomenon and most bone spurs are not painful. The most common cause of low back pain is myofascial pain. In some muscles, myofascial pain can even cause neurological compression, which can be a problem for clinical diagnosis. This section will talk about common myofascial pain in the waist and hip: 1, thoracolumbar paraspinal muscle: lumbar bone pain weakness, standing for a long time also pain, is it … 2, lumbar square muscle: lumbar tendon pain is bad kidney? So that you can not stand up, nor sit up. 3, iliopsoas muscle: low back pain of the hidden mirror people, serious will also cause femoral nerve compression symptoms. 4, gluteus minimus: the culprit of pseudosciatica. 5, gluteus medius: hip pain, walking more pain. 6, gluteus maximus: hip pain, pain to fidgeting, is because of it. People who often swim in freestyle, more likely to have this problem. 7, pear-shaped muscle: another culprit of pseudosciatica, standing and sitting for a long time, more pain, more acidity, more numbness after walking away, it is likely to be it. Myofascial pain in the upper and lower extremities is a common problem for modern people, most of which is due to myofascial pain syndrome, which is easily misdiagnosed because it is similar to joint lesions. 2, hand extensor: easily misdiagnosed as wrist joint pathology, pain is often reflected to the upper external humerus, often diagnosed as tennis elbow. 3.Quadriceps femoris: easily misdiagnosed as knee joint pathology, tightening of the quadriceps muscle can cause anterior thigh pain and knee pain. 4.Posterior hamstring muscle: easily misdiagnosed as knee pain, which also causes pain on the posterior side of the thigh, and must be distinguished from sciatica. 5.Gastrocnemius muscle: easily misdiagnosed as electrolyte imbalance, easily causing calf cramps at night. 6. Flounder muscle: can cause heel pain. Five, self-test 18 pain points Common myofascial pain syndrome has 18 pressure pain points, patients may wish to DIY pressure look. First, from the front of the body, from top to bottom, respectively: 1, under the occipital bone: muscle attachment points, that is, Tianzhu acupuncture point Fengchi acupuncture point finish bone and other points. 2, the shoulder: the supraspinatus muscle. That is, the shoulder well point Bingfeng point giant bone and other points. 3, Upper back: the central part of the upper edge of the oblique muscle. That is, the large loom point Fengmen point Lung Yu point Shoulder Central Yu shoulder outer Yu with points such as Padua point Ankylosis. 4, lower neck: at the anterior aspect of the transverse process of the fifth to seventh cervical vertebrae. That is, the large vertebrae point, fixed asthma points. 5, the second rib: at the cartilage junction. That is, the Yufu point of the anterior chest, the Shenzang point, the Yu Zhong point. 6, lateral elbow: 2 cm distal to the condyle. That is, the elbow wren point Tianjing and other points. 7, buttocks: outer upper quarter. That is, the cellular region point Jui wren and other points. 8, the posterior edge of the greater trochanter of the femur. That is, the Chichiban point Huanjiao and other points. 9, medial proximal end of the knee. That is, the blood sea point Ququan point.