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dr. Nyoman Artha Megayasa

Services

Myofascial Pain & Chronic Pain

Integrated neurology approach for myofascial pain, fibromyalgia, and chronic pain syndromes through neuromodulation and dry needling.

Neurorestorative Approach

How We Approach This Condition

Chronic pain — defined as pain lasting more than three months — is far more than a symptom: it is a condition in its own right involving fundamental changes in how the nervous system processes pain signals. Central sensitisation, in which the central nervous system becomes hypersensitive to input that would not normally be painful, is a key mechanism explaining why chronic pain is often disproportionate to visible tissue damage.

Myofascial pain is one of the most common musculoskeletal pain syndromes, yet it is frequently misdiagnosed or dismissed. Trigger points — hyperirritable areas within muscles that are painful on compression and can refer pain elsewhere — can persist for years and become the source of a pain-spasm-pain cycle that is difficult to break without targeted intervention.

Neurorestorative Approach to Chronic Pain

Effective chronic pain management requires intervention at multiple levels — from the peripheral tissue where pain originates to modulation at the central nervous system level that maintains the sensitisation state. This multimodal approach is the core of the neurorestoration programme for pain.

Dry needling of clinically identified trigger points works directly to interrupt the muscle-spasm and local-dysfunction cycle, stimulating tissue healing processes and normalising motor activity. TES targeting cortical areas involved in pain processing and modulation aims to reduce central sensitisation. Neurofeedback helps train brain-activity patterns associated with better pain tolerance and stress regulation.

An educational component on pain neuroscience — helping patients understand why their brain maintains pain signals even after tissue damage has healed — has proven significant in changing pain perception and attitudes, which in turn contributes to functional recovery.

Modalities Used

Modality selection is tailored to each patient's individual clinical profile.

Treatment Pathway

Steps in Your Care

  1. Consultation & History

    In-depth clinical interview to understand the patient's history, chief complaint, and recovery goals.

  2. Data-Driven Assessment

    QEEG examination and objective neurological evaluation to map current nerve-function status.

  3. Individual Treatment Plan

    A neurorestoration protocol designed specifically from assessment results and the patient's clinical profile.

  4. Monitoring & Adjustment

    Regular progress evaluation with protocol refinement to achieve optimal recovery outcomes.

Common Questions

Frequently Asked Questions

What is myofascial pain?
Myofascial pain originates from sensitive points (trigger points) within muscle and fascial tissue. These trigger points cause local pain and can refer pain to distant areas in characteristic patterns specific to each muscle.
How does dry needling differ from acupuncture?
Although physically using the same needles, dry needling is based on modern anatomy and neurophysiology, targeting clinically identified trigger points. Acupuncture is based on traditional meridian systems. Dry needling in this context is a medical procedure performed by a trained physician.
Can chronic pain truly be resolved?
Chronic pain is a complex condition involving central nervous system sensitisation. A comprehensive approach encompassing neuromodulation, trigger management, and psychological coping strategies can significantly reduce pain intensity and improve function, even when complete pain elimination is not always achievable.
Which pain conditions can be treated?
The programme is relevant for myofascial pain syndrome, fibromyalgia, chronic neck and back pain, tension headache, and complex regional pain syndrome (CRPS), among other conditions.

Discuss Your Condition

Contact us to schedule a consultation and initial assessment.