<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152016000100219</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome Miofascial]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Murillo]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alpizar Rodríguez]]></surname>
<given-names><![CDATA[David E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,juanpa.8.mm@hotmail.com  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>219</fpage>
<lpage>227</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152016000100219&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152016000100219&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152016000100219&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome de dolor miofascial es un complejo de síntomas sensoriales, motores y autonómicos causados por puntos gatillo miofasciales y estos como puntos de exquisita sensibilidad e hiperirritabilidad localizados en una banda tensa palpable, en músculos o su fascia, que producen una respuesta de contracción local de las fibras musculares por un tipo específico de palpación y si es lo suficientemente hiperirritable, da lugar a dolor, sensibilidad y fenómenos autonómicos, así como la disfunción en zonas por lo general distantes de su sitio de origen. Con una alta prevalencia en la población general, y responsable de gran parte de discapacidades y disfunciones en ámbitos laborales y actividades de la vida cotidiana. Presenta factores precipitantes de índole mecánico, estructural, postural, nutricional y endocrino, e involucra una fisiopatología específica, con la participación de múltiples factores proinflamatorios y sustancias neuro-vasoactivas. Su diagnóstico es fundamentalmente clínico, y existen diversos tratamientos para evitar su cronicidad y avance, que usualmente involucra tratamientos accesibles y costoefectivos, los cuales pueden brindar al paciente una solución o manejo a un dolor crónico, muchas veces subdiagnosticado e infratratado, si el médico cuenta con los conocimiento adecuados sobre esta entidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Myofascial pain syndrome is compoused by sensory, motor and autonomic symptoms that are generated by myofascial trigger points that are exquisite in sensitivity and irritability. These trigger points are located in a palpable taut band in muscle or fascia, which produce a local twitch response of muscle fibers for a specific type of palpation and if there is enough hyperirritability results in pain, tenderness and autonomic phenomena and dysfunction that appears usually in distant areas from its site of origin. With a high prevalence in the general population, myofascial síndrome is responsible for disability and dysfunction in work areas and daily life activities. It presents precipitating factors, such mechanical, structural, postural, nutritional and endocrine, and involves a specific pathophysiology, involving multiple pro-inflammatory factors and neuro-vasoactive substances. Diagnosis is mainly clinical, and there are various treatments to prevent chronicity and development, which usually involves easy and económica access to treatments, which may give the patient a solution or managing a chronic pain, often underdiagnosed and undertreated, if it has adequate knowledge about this entity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndromes del dolor miofascial]]></kwd>
<kwd lng="es"><![CDATA[puntos gatillo]]></kwd>
<kwd lng="es"><![CDATA[puntos disparadores]]></kwd>
<kwd lng="es"><![CDATA[puntos desencadenates]]></kwd>
<kwd lng="es"><![CDATA[dolor referido.]]></kwd>
<kwd lng="en"><![CDATA[Myofacial syndrome]]></kwd>
<kwd lng="en"><![CDATA[triggger points]]></kwd>
<kwd lng="en"><![CDATA[referred pain.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iturriga]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Bornhardt]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Hermosilla]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Avila]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de Dolor Miofascial en Músculos de la Masticación y Cervicales en un Centro Especializado en Trastornos Temporomandibulares y Dolor Orofacial]]></article-title>
<source><![CDATA[Int. J. Odontostomat]]></source>
<year>2014</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>413-7</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome miofasciales]]></article-title>
<source><![CDATA[Reumatol Clin]]></source>
<year>2009</year>
<volume>5</volume>
<numero>S2</numero>
<issue>S2</issue>
<page-range>36-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cervicalgia miofascial]]></article-title>
<source><![CDATA[Rev. Med. Clin. Condes]]></source>
<year>2014</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>200-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villaseñor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[De la Lanza]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Guizar]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de dolor miofascial. Epidemiología, fisiopatología, diagnóstico y tratamiento]]></article-title>
<source><![CDATA[Rev. Esp. Méd. Quir]]></source>
<year>2013</year>
<volume>18</volume>
<page-range>148-57</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[De la Llave]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zarco]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Galán]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Svensson]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characteristics of referred muscle pain to the head from active trigger points in women with myofascial temporomandibular pain and fibromialgia syndrome]]></article-title>
<source><![CDATA[J. Headache Pain]]></source>
<year>2012</year>
<volume>13</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>625-37</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Estévez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dolor miofascial]]></article-title>
<source><![CDATA[MedUnab]]></source>
<year>2001</year>
<volume>4</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>161-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Akamatsu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anatomical Basis of the Myofascial Trigger Points of the Trapezius Muscle]]></article-title>
<source><![CDATA[Int. J. Morphol]]></source>
<year>2013</year>
<volume>31</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>915-20</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Demers]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lavelle]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Puntos dolorosos miofasciales]]></article-title>
<source><![CDATA[Anesthesiology Clin N Am]]></source>
<year>2007</year>
<volume>25</volume>
<page-range>841-51</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[J. P]]></given-names>
</name>
<name>
<surname><![CDATA[Gilliams]]></surname>
<given-names><![CDATA[E. A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uncovering the biochemical milieu of myofascial trigger points using in vivomicrodialysis: an application of muscle pain concepts to myofascial pain syndrome]]></article-title>
<source><![CDATA[J Bodywork Movement Ther]]></source>
<year>2007</year>
<volume>12</volume>
<page-range>371-84</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nadador]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Riquelme]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Benito]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dolor de origen muscular: dolor miofascial y fibromialgia]]></article-title>
<source><![CDATA[Rev. Soc. Esp. Dolor]]></source>
<year>2007</year>
<volume>1</volume>
<page-range>36-44</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Aldaya]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de dolor miofascial de la cintura pélvica]]></article-title>
<source><![CDATA[Rev. Soc. Esp. Dolor]]></source>
<year>2007</year>
<volume>5</volume>
<page-range>358-68</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cummings]]></surname>
<given-names><![CDATA[T. M]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[A. R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Needling therapies in the management of myofascial trigger point pain: A systematic review]]></article-title>
<source><![CDATA[Arch Phys Med Rehabil]]></source>
<year>2001</year>
<volume>82</volume>
<page-range>986-92</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<collab>Alicante</collab>
<article-title xml:lang=""><![CDATA[Dolor miofascial: tratamiento rehabilitador, manual y fisioterapico]]></article-title>
<source><![CDATA[Jornada de Medicina Musculoesquelética]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borrelli]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mechanism of action of oxygen ozone therapy in the treatment of disc herniation and low back pain]]></article-title>
<source><![CDATA[Acta Neurochir Suppl]]></source>
<year>2011</year>
<volume>108</volume>
<page-range>123-5</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Baíz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Eficacia de la infiltración de ozono paravertebral lumbar y en puntos gatillos como coadyuvante del tratamiento en pacientes con dolor lumbar crónico y lumbociatalgia crónica en el síndrome doloroso miofascial aislado o acompañado de otras patologías]]></article-title>
<source><![CDATA[Rev. Soc. Esp. Dolor]]></source>
<year>2014</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-38</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aranha]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bérzin]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gavião]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efficacy of electroacupuncture for myofascial pain in the upper trapezius muscle: a case series]]></article-title>
<source><![CDATA[Rev Bras Fisioter, São Carlos]]></source>
<year>2011</year>
<month>,</month>
<volume>15</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>371-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
