Alternative myofascial pain Therapies N (%) Non-invasive Treatments: •SSRI or SNRIs •Muscle relaxants (including cyclobenzaprine, carisoprodol, tizanidine, metaxalone) •GABA analogues (pregabalin, neurontin) •NSAIDs (ibuprofen, acetaminophen, naprosyn, diclofenac, meloxicam, ketoprofen, rofecoxib, nabumetone, celecoxib) •Opiate-derivatives •Topical non-narcotic analgesic patches (lidoderm, diclofenac) 33 (45%) 33 (45%) 23 (21%) 22 (29%) 22 (29%) 14 (19%) Invasive Treatments: Botulism derivatives (rimabotulilnumtoxinBonabotulinumtoxin A, •abobotulinumtoxin A-Dysport) •Trancutaneous electrical nerve stimulation (TENS) •Steroid injections (intraarticular and epidural) •Surgical intervention •Acupuncture 11 (15%) 4 (5%) 13 (18%) 17 (23%) 1 (1%) Summary of study patients’ alternative chronic myofascial pain treatment modalities, divided into Invasive and non-invasive measures and further subdivided into distinct classes of treatments

Table 3: Alternative myofascial pain Therapies.