Myofasciitis Disease Overview: Myofasciitis, also known as fibrofibrositis, can only be considered a comprehensive concept and has been used sparingly in recent years. Fibromyelitis is a condition in which some patients with low back pain have small nodules on the surface of the sacrospinous muscle or at the attachment of the iliac crest muscle, associated with pain and pressure, and sometimes found in the gluteal region.The term was formally applied by Gower in 1904, who considered the disease to be a nonspecific inflammation of the tissues, but was not able to confirm it pathologically. The nodule that is palpated clinically is essentially a confined fatty nodule, hence the name fatty hernia. This nodule may irritate peripheral nerve endings and produce local muscle spasm and pain. This nodule is closed with 1% procaine and the pain may be relieved. However, on pathological examination. There is no obvious inflammatory process visible, and it is also believed that the cause of pain is still due to degeneration of a lower lumbar disc. Etiology Fasciitis is a sterile inflammatory reaction of the muscles and fascia. When the body is stimulated by external adverse factors such as wind and cold attack, fatigue, trauma or improper sleep position, the acute onset of myofasciitis can be induced. Acute or chronic injury or strain of the muscles, ligaments and joint capsule of the shoulder, neck and lumbar region is the basic cause of this disease. As a result of the acute phase is not thoroughly treated and becomes chronic; or due to repeated strain, wind and cold and other adverse stimuli, the patient can repeatedly experience continuous or intermittent chronic muscle pain, soreness and weakness. The pathogenesis is due to poor capillary and microcirculation of inactive tendons and blood. The clinical manifestations of myofasciitis are acute and sudden, often occurring when bending over, and the pain is often severe and causes the patient to immediately stiffen due to lumbar muscle spasm. Acute symptoms often become chronic after remission, and are prone to recurrent attacks. The pain is often in the central lumbar region, but later shifts to one side. The patient lacks signs of neurological involvement, which if present would indicate a lumbar disc herniation. Fibromyelitis is not confined to the lumbar and gluteal regions, but can sometimes be found on the surface of the supraspinatus and trapezius muscles and can produce corresponding localized symptoms. More than half of the patients treated for myofasciitis can have their symptoms relieved by rest. Hot compresses and massage can dissipate the nodules, and closure of painful nodules is quite effective, but exercise of the lumbar muscles is probably still the most important. A small number of patients with stubborn symptoms that do not heal require surgery or small needle laser treatment. During surgery, fissures can be found in the local fascia, with fat herniated from the fissures, which is the nodule that is clinically retrieved. The fat is adherent to the surrounding tissue including the fascia and adjacent dermal nerve branches, which may be the cause of the pain. Surgery should be performed to remove the nodule, repair the fascia, separate the adhesions and remove the dermal nerve. The results are often good, but because the lesions are often multiple, surgery can only address one symptom, so the indications for surgery should still be strictly controlled.