Diagnosis
We rule out treatable structural and inflammatory causes first, then map tender and trigger points to guide treatment.
Treatment
Trigger point injections, centrally acting medication, graded aerobic activity and sleep restoration form the core of care.
Realistic expectations
Progress is measured over months in energy, sleep and daily activity — not in a single pain score.
What this may include
- Trigger point and dry needling-style injections
- Centrally acting medication
- Graded exercise and pacing program
- Sleep and stress management guidance