myofascial pain syndrome: the next fibromyalgia
Here be it known that "myofascial pain syndrome" may very well be replacing chronic fatigue syndrome as the in-vogue malady of idiopathic distress/pain sufferers.
- It is a (arguably) mostly subjective diagnosis
- One can subjectively use palpation in the diagnosis.
- One can use EMG, surface EMG, thermography, electrical stimulation, manipulation, and a host ofother popular things to infer diagnosis or treatmentof MPS.
- It's popularly said to be amenable to all kinds of manipulation.
- MPS has been an accepted and treated malady foryears.
- And there are eligible Medicare/Insurance billing codes for injections into body tissue for (MPS) pain that will likely elude any suspicion of illegitimate practice.
Thanks to increased use of an already well-established diagnosis, a whole host of chiropractic manipulations, massage and cranial-sacral therapy, physical therapy, and the use of loads of electrical gadgets can be rationalized. MPS injection therapy could be getting acupuncture and prolotherapy legitimized into mainstream medicine all at once, thanks to a series of billing codes for injections that all third-party-payors will accept and pay for, sometimes on a weekly basis, likely without scrutiny.
The only antagonists to the trend could be neurologists, physiatrists, office-practice anesthesiologists, and a few orthopods who have typically held exclusive (mainstream medicine) rights to trigger point/ligament/tendon injections andtreatment of MPS.
It also should not take payors too long to start trying to bump the MPS treatment trends, but with an established diagnosis and accepted treatment paths for abusive clinicians to hide behind, they will be limited in what they can do.
Beyond my own opioning and soap-boxing, I doubt any PT will be overly critical of the PT services for it. For your own social perspective related to the above, try googling "myofascial pain syndrome" and follow that up with "trigger point injection," "prolotherapy," "CPT 20550," "CPT 20552," and maybe a few other unique terms, or follow a few links discovered in the process.
-dras
- It is a (arguably) mostly subjective diagnosis
- One can subjectively use palpation in the diagnosis.
- One can use EMG, surface EMG, thermography, electrical stimulation, manipulation, and a host ofother popular things to infer diagnosis or treatmentof MPS.
- It's popularly said to be amenable to all kinds of manipulation.
- MPS has been an accepted and treated malady foryears.
- And there are eligible Medicare/Insurance billing codes for injections into body tissue for (MPS) pain that will likely elude any suspicion of illegitimate practice.
Thanks to increased use of an already well-established diagnosis, a whole host of chiropractic manipulations, massage and cranial-sacral therapy, physical therapy, and the use of loads of electrical gadgets can be rationalized. MPS injection therapy could be getting acupuncture and prolotherapy legitimized into mainstream medicine all at once, thanks to a series of billing codes for injections that all third-party-payors will accept and pay for, sometimes on a weekly basis, likely without scrutiny.
The only antagonists to the trend could be neurologists, physiatrists, office-practice anesthesiologists, and a few orthopods who have typically held exclusive (mainstream medicine) rights to trigger point/ligament/tendon injections andtreatment of MPS.
It also should not take payors too long to start trying to bump the MPS treatment trends, but with an established diagnosis and accepted treatment paths for abusive clinicians to hide behind, they will be limited in what they can do.
Beyond my own opioning and soap-boxing, I doubt any PT will be overly critical of the PT services for it. For your own social perspective related to the above, try googling "myofascial pain syndrome" and follow that up with "trigger point injection," "prolotherapy," "CPT 20550," "CPT 20552," and maybe a few other unique terms, or follow a few links discovered in the process.
-dras
posted by nawledge at
10:45 PM
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