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Muscles in the pathogenesis of musculoskeletal disorders 

Muscles in the pathogenesis of musculoskeletal disorders
Muscles in the pathogenesis of musculoskeletal disorders

Vladimír Janda

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date: 30 July 2021

The importance of muscle–joint correlation remains widely underestimated or misunderstood in clinical practice. Even in musculoskeletal medicine, muscles are not considered as an essential factor in the pathogenesis of pain. These facts are mirrored in the insufficiently precise evaluation of muscle function and in many unproven treatment programmes. Ironically, active muscle is commonly viewed from a passive aspect, such as various myofascial syndromes and/or trigger points. This chapter discusses the role of muscles in pain syndromes of the musculoskeletal system from several aspects: their role in both the pathogenesis and treatment of an acute pain syndrome; their role in development of chronic pain syndromes; their role as a predisposing cause for joint dysfunction; their role in prevention of recurrences of acute pain syndromes; the improvement of muscle function as a basis for a rational treatment programme; and alteration of muscle function in reaction to joint dysfunction, and vice versa.

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