
Have you been told you have myofascial pain, or are you experiencing persistent muscle pain in your jaw, face, head, neck, or shoulders that just won't go away?
Myofascial pain is one of the most common causes of chronic muscle discomfort, yet many people have never heard of it until they're searching for answers. Because the symptoms can mimic other conditions, patients often spend months—or even years—looking for relief before receiving the correct diagnosis.
At Columbia Center for Sleep Apnea & TMJ in Richland, Washington, Dr. Jared Bloxham specializes in diagnosing and treating myofascial pain affecting the head, face, jaw, and surrounding muscles. Through comprehensive evaluation and individualized treatment, our goal is to help patients reduce pain, improve function, and get back to living comfortably.
What Is Myofascial Pain?
The word "myofascial" combines two important parts of the body's musculoskeletal system:
- "Myo" refers to muscle.
- "Fascia" is the connective tissue that surrounds and supports muscles throughout the body.
Myofascial pain develops when sensitive areas within a muscle—known as trigger points—become irritated or overly tight. These trigger points can create pain directly where they occur or send pain to other areas, a phenomenon known as referred pain.
For example, a trigger point in a jaw muscle may contribute to headaches, ear pain, or facial discomfort rather than pain only in the jaw itself.
What Conditions Fall Under the Myofascial Pain Umbrella?
Myofascial pain can affect many muscles throughout the body, but in an orofacial pain practice, it most commonly involves the muscles of the:
- Jaw
- Face
- Head
- Neck
- Shoulders
Patients with myofascial pain may also experience conditions or symptoms such as:
- TMJ disorders (TMD)
- Tension-type headaches
- Facial pain
- Jaw muscle soreness
- Teeth grinding (bruxism)
- Muscle fatigue
- Neck stiffness
- Pain while chewing
- Limited jaw movement
- Trigger points within the muscles
Because these conditions often overlap, identifying the true source of pain requires a detailed examination rather than treating symptoms alone.
Common Symptoms of Myofascial Pain
Every patient experiences myofascial pain differently. Some of the most common symptoms include:
- Aching muscles
- Tender knots within muscles
- Headaches
- Facial pain
- Jaw discomfort
- Neck and shoulder tension
- Muscle stiffness
- Pain when chewing
- Difficulty opening the mouth fully
- Pain that worsens during periods of stress
Many patients also notice that their symptoms fluctuate, improving for a period before returning without an obvious reason.
What Causes Myofascial Pain?
There isn't always one single cause. Instead, myofascial pain often develops from a combination of contributing factors, including:
- Teeth grinding or clenching
- TMJ disorders
- Muscle overuse
- Injury or trauma
- Poor posture
- Emotional stress
- Sleep disturbances
- Chronic muscle tension
Identifying these contributing factors is an important part of developing an effective treatment plan.
How Is Myofascial Pain Diagnosed?
There is no single test for myofascial pain.
Instead, diagnosis begins with a comprehensive examination performed by a healthcare provider experienced in evaluating disorders of the muscles, joints, and surrounding structures.
As an orofacial pain specialist, Dr. Jared Bloxham performs a detailed assessment that may include:
- Evaluation of the jaw joints (TMJ)
- Examination of facial and jaw muscles
- Identification of trigger points
- Review of your medical and dental history
- Assessment of jaw movement and function
- Review of medications and previous treatments
- Evaluation of habits such as clenching or grinding
This thorough approach helps identify the factors contributing to your pain and guides the development of a personalized treatment plan.
Treatment Options for Myofascial Pain
Because every patient's condition is different, treatment is tailored to the individual's diagnosis and symptoms.
Depending on your needs, treatment may include:
Trigger Point Injections
For patients with painful muscle trigger points, trigger point injections may help relax tight muscles and reduce discomfort.
Medication Review
Certain medications—or the way medications are being used—can influence pain patterns. Dr. Bloxham reviews your current medications and coordinates with your other healthcare providers when appropriate.
Conservative Therapies
Treatment may also include jaw exercises, home care recommendations, education about contributing habits, and other conservative approaches designed to improve comfort and function.
Why See an Orofacial Pain Specialist?
The muscles of the jaw, face, and neck are complex and closely connected. Pain in one area can often be felt somewhere else, making diagnosis challenging.
As an orofacial pain specialist, Dr. Jared Bloxham has advanced training in diagnosing and managing conditions affecting these interconnected muscles, joints, and nerves. His comprehensive approach focuses on identifying the underlying cause of pain rather than simply treating symptoms.
Conveniently Located in Richland, Serving Patients Throughout the Region
Columbia Center for Sleep Apnea & TMJ is conveniently located in Richland, Washington, and proudly serves patients from Kennewick, Pasco, West Richland, Benton City, Moses Lake, Ephrata, Basin City, Yakima, Walla Walla, Hermiston, Pendleton, Seattle, and communities throughout Eastern Washington and Northeastern Oregon.
Many patients travel to our office for specialized evaluation and treatment of myofascial pain, TMJ disorders, chronic headaches, facial pain, and muscle dysfunction.
Find Relief from Myofascial Pain
Living with persistent muscle pain isn't something you simply have to accept.
If you're experiencing chronic jaw pain, facial pain, headaches, neck tension, or muscle soreness, Dr. Jared Bloxham can help determine whether myofascial pain is contributing to your symptoms and recommend treatment options tailored to your needs.
At Columbia Center for Sleep Apnea & TMJ, we're committed to helping patients understand the source of their pain and providing compassionate, evidence-based care designed to improve comfort, function, and quality of life.
Contact our Richland office today to schedule your comprehensive evaluation.











