However, many clinical conditions are included in the differential diagnosis of myofascial pain associated to the trigger points. In chronic cases, psychosocial intervention is required due to the high incidence of mood disorders and/or anxiety observed in these patients, who in turn present a poorer...
fatigue, and lack of sleep that occur in fibromyalgia can impair the ability to function or concentrate. Patients may also feel frustrated due to their condition, and this can lead to anxiety or depression.
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