When specific causes of symptoms aren’t known, doctors sometimes refer to conditions simply by naming the symptoms. Such is the case for so-called “soft tissue pain.” The term soft tissue pain simply refers to discomfort somewhere in the interconnected system of muscles, tendons, and ligaments, as opposed to the bones, and says nothing about the particular cause.

The most commonly used conventional treatments for soft tissue pain consist primarily of drugs that relieve pain and/or inflammation in general, such as ibuprofen and acetaminophen, as well as muscle relaxants. Physical therapy methods are commonly recommended for selected forms of soft tissue pain, but there is little to no reliable scientific evidence that they help. 1–511-14 Other methods, such as therapeutic exercises, may help, but most reported studies are significantly flawed by the lack of a credible placebo treatment. (For why this is important, see Why Does This Database Rely on Double-blind Studies? )

A similar lack of reliable evidence exists regarding other non-surgical, non-drug methods used to control soft tissue pain, such as injection therapy, radiofrequency denervation, and transcutaneous electrical nerve stimulation (TENS). 6–10

Surgery may be useful for certain selected forms of soft tissue pain, although again the supporting research evidence is generally very incomplete.

Proposed Natural Treatments

Natural treatments for the following forms of soft tissue pain are discussed in their own articles:

    
  • Back Pain
  • Bursitis
  • Fibromyalgia
  • Neck Pain
  • Rotator Cuff Injury
  • Sciatic Pain
  • Sports Injuries
  • Sprains
  • Tendonitis
  • Tension Headache
  • TMJ
  • Alternative therapies that may be useful for soft tissue pain in general include acupuncture , biofeedback , chiropractic , hypnosis , magnet therapy , massage , prolotherapy , and relaxation therapy .

    Herbs and supplements that may have a general pain-relieving effect include boswellia , butterbur , devil’s claw , D-phenylalanine , proteolytic enzymes , and white willow .