Rheumatoid Arthritis Diagnostic Criteria
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Chronic myofascial pain and fibromyalgia – often together, but Miles Apart
Many people with fibromyalgia also chronic myofascial pain or CMP (Formerly known as myofascial pain syndrome, MPS) and do not even know. It is often overlooked because it is easy to confuse the pain and its origins with that of FM. Therefore, it is missed in diagnosis. Both are related to the musculoskeletal system represents nearly 50% of our body weight, but should not be confused as being the same. Understanding FM and CMP and what motivates them, you give means to help themselves. You will be able to identify some factors that contribute to your pain, where it originated and what makes them feel better. It will help you understand the treatment and find the one (s) that work for you.
It was recently discovered is that members not really a syndrome at all, but a neuromuscular disease. This is important news! The difference? diseases are known and understood causes both for the production process symptoms. Myofascial pain due to trigger points is now considered a real illness rather than a syndrome. Fibromyalgia is a syndrome such as rheumatoid arthritis and lupus, and has points of tender (do be confused with trigger points). Even with these differences, it is considered by many researchers that can influence the other.
I have already said that I have a few experts that I follow closely and I call my "hero fibro" because they helped me through their studies and publications to understand and validate my pain. Starlanyl Devin is one of those heroes. In fact, it was my first. I read a book she co-wrote, fibromyalgia and chronic Myofascial Pain: A Survival Guide, and quickly followed by his book, The Fibromyalgia Advocate: Getting the support necessary to cope with fibromyalgia and myofascial Pain – it is incredible! She is a victim himself as a medical researcher. She began to try to give doctors a view of the patient point view and has established guidelines for diagnosis, patients with the resources of empathy you can not get elsewhere. It is at the forefront of research, news and information and share it with FM & CMP suffer in a way that we can understand. Knowing his work, was the beginning of my understanding.
What are trigger points? Trigger points are subtle, but bands who get tense muscles and causes excruciating pain. Trigger points may be in the fascia around the muscle or the muscle itself. They are extremely sensitive to pressure on the site and also cause "referred" pain – meaning pain to another part of the body. The part of the muscle fiber that does subcontracting is a tiny element called sarcomeres which can not be seen by the naked eye. Contraction occurs in a sarcomere when both parties meet and are closely linked like fingers. myofascial trigger points are confined in an area for oxygen and die, resulting in energy demand. He is a chemical reaction in the central nervous system that sensitizes the nerves nearby. This triggers the motor, the sensitivity and autonomous (not under control voluntary) reactions triggers. Muscles with trigger points are in a perpetual state of energy crisis.
Trigger points cause headaches, neck pain and jaw tunnel (ATM), back pain, tennis elbow, and carpal syndrome. They can cause pain shoulder, wrist, hip, knee, ankle and are often confused and arthritis, tendinitis, bursitis, or ligament injury.
Trigger points can also cause dizziness, earaches, sinusitis, nausea, heartburn, false heart pain, cardiac arrhythmia, genital pain, and numbness in hands and feet. Some experts believe that fibromyalgia can sometimes begin as a result of trigger points myofascial. In CMP trigger points, pain is more intense with a radiation pattern along the same muscle or muscle group. There is usually some loss of range of motion, as well as a significant weakness in muscles that have trigger points active. The pain decreases when the muscle is at rest, and the intensity of pain increases when the muscle begins to contract.
Proof myofascial trigger points has been produced by the use of imaging electromyographic (a device that converts the electrical activity associated with functioning skeletal muscle in a video recording or sound and has been used to diagnose neuromuscular disorders and biofeedback training). The researchers also used ultrasound localized twitch responses trigger points. They can even do biopsies myofascial trigger points that show the knots of muscle fibers and rounded. In an article in Starlanyl Devin, I read that as a result of this, the Journal of Musculoskeletal Pain said that the trigger points involve the nerve "terminals and the postjunctional muscle fiber" that "identifies myofascial trigger points as a neuromuscular disease. Simons DG. 1999. Diagnostic criteria of myofascial pain caused by trigger points. J Musculoskeletal Pain 7 (1-2) :111-120.
What causes trigger points? There are several factors that can be attributed to trigger points: poor posture, scoliosis, thyroid deficiency, estrogen deficiency, loss of flexibility, nerve root compression (pinched nerve), emotional stress and anxiety which leads to a lack of sleep can increase muscle tension, fatigue and pain threshold. Other factors that may cause or aggravate trigger points CMP are: nutritional deficiencies, chronic infections, muscle imbalance, inactivity (posture static).
When I hurt my left knee, which led to surgery, I developed a limp and without even thinking about it, continued to support (protected) time after knee surgery. Consequently, my left side became weak and I experienced pain emanating from my lower back to my ankle. My lower back and hip could strengthen both to offset the muscles in my leg, sometimes I could not even move. The pain felt like all my muscles from the size of this side had "seized". It was so intense, I would have to freeze in this position until softened. It still happens today, but the difference is, I know what to do about it.
After an accident Car, My FM and CMP were inflamed to a point that I was sent to a therapist for treatment continues. I was reading therapy and myofascial release really want to try it. I was pleasantly surprised to find a therapist who had practiced myofascial release under John F. Barnes, President and Director of the output of treatment centers and National Myofascial Myofascial Seminars output. Barnes developed the most incredible relief of pain that makes your fascia and muscles feel like they melt like butter and liberation and running smoothly your muscles! Of course, this is my way of non-clinical description, but that's what it felt like to me.
Being a military family, we finally had to move to another base and I immediately started searching for a therapist who knew and included the method of John Barnes. I saw several therapists (covered by my insurance) who claim to know, but I was extremely disappointed and ended up hurting more after a session when I went in. So, my recommendation is to ensure that these people have actually studied Barnes in or were trained at one of his seminars. Ask for proof. You can also find a link to his site on my site where you will find a list types of therapists.
With all the research and progress in understanding and treating chronic myofascial pain, who knows what that tomorrow will bring! I will continue to bring you more information on CMP – from diagnosis and traditional and alternative treatments. It is a great hope for people like you and me!
About the Author
Erica Thompson is a 40-year-old, Stay-at-Home mom with 3 children and a husband in the military. She was diagnosed with FMS in 1995, but suffered from it many years prior to diagnosis and later, diagnosed with Myofascial Pain Syndrome. She has done extensive research and is an expert based on her own experience, her mother’s and her grandmother’s. Her goal is to educate as many people as she can about FMS and all that goes with it. Mostly, she just wants to make FMS sufferers’ lives better – even just a little bit. http://fibromyalgiahelp4us.com
2010 Arthritis Walk Let’s Move Blount • Maryville, TN