Skip to main content
Blue Ridge Pain Management Associates

Chronic Conditions

Musculoskeletal Pain

Pain of the muscles, tendons, ligaments and joints throughout the body.

What musculoskeletal pain is

Musculoskeletal pain covers the broad set of problems affecting the moving parts of the body: joints, tendons, ligaments and muscle. It may follow injury, overuse or degeneration.

Because several structures often contribute at once, we work systematically — examining, using diagnostic injections when useful, and treating the confirmed source rather than the general area.

Common symptoms

  • Aching or sharp pain localized to a joint or muscle group
  • Pain with specific movements or loading
  • Stiffness and reduced strength
  • Symptoms that migrate as you compensate

Common causes

  • Overuse or repetitive strain of a tendon, ligament or muscle
  • Degenerative changes in a joint or tendon that develop over time
  • A specific injury, such as a sprain, strain or tear
  • Poor movement mechanics that overload one structure to compensate for another
  • Prior injury that healed with altered mechanics, predisposing to further problems

How it is diagnosed

Because musculoskeletal pain can come from muscle, tendon, ligament or joint, the evaluation systematically examines each structure near the area of pain rather than assuming a single cause.

Imaging such as X-ray or ultrasound can be useful for specific joints or tendons when the exam suggests a structural injury, while MRI may be used for more detailed evaluation of soft tissue.

When more than one structure could be responsible, a diagnostic injection into the specific joint or around the specific tendon can confirm which one is actually generating your symptoms before treatment is planned.

When to see a specialist

  • Aching or sharp pain localized to a specific joint or muscle group for more than a couple of weeks
  • Pain reproducible with specific movements or loading
  • Stiffness or reduced strength affecting daily tasks
  • Pain that seems to migrate as you compensate for the original area
  • Sudden inability to bear weight, significant swelling, or deformity, which needs prompt evaluation

Common questions

How is musculoskeletal pain different from arthritis?
Musculoskeletal pain is a broad category that includes arthritis as one possible cause, along with tendon, ligament and muscle problems that do not involve joint cartilage wear at all.
Do I need an MRI for musculoskeletal pain?
Not always. Many musculoskeletal problems can be diagnosed with a careful exam, and imaging is reserved for cases where the exam suggests a specific structural injury that needs to be confirmed.
Can musculoskeletal pain spread to other areas?
Yes, when one area is painful, people often shift how they move to protect it, which can place new strain on nearby muscles or joints and create a second area of pain.
What treatments are typically used first?
Depending on the specific structure involved, initial treatment often includes activity modification, targeted joint or trigger point injections, and a structured strengthening or rehabilitation plan.

Ready to get a real diagnosis?

Most patients are seen within two weeks. Call our office or send a request and our staff will help you choose the most convenient location.