Dear Fibromyalgia

Category: Fibromyalgia Pain

A comprehensive look at Fibromyalgia pain, its symptoms, triggers, and effective strategies to manage and alleviate discomfort.

  • How to avoid injuries while exercising with chronic pain?

    How to avoid injuries while exercising with chronic pain?

    Exercise is an effective way for pain patients to manage the symptoms of many conditions, including fibromyalgia, back pain, and arthritis. Depending on the condition you have, though, exercise will affect you differently, and you may want to approach activity in a different way. Here’s how to avoid injuries if you’re exercising with chronic pain.

    What’s so important about exercise? 

    Most pain patients, just as with the general population, will benefit from a mixture of cardiovascular activity, strength, and flexibility training. However, specific exercises can be added to address specific conditions.

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    For example, pain patients experiencing discomfort in specific areas of the body, the back or shoulder, for example, may need to strengthen correlating muscles and perhaps stretch others. Meanwhile, patients with more widespread pain that’s symptomatic of altered nervous system functioning, like fibromyalgia, may find it helpful to adopt a more generic form of activity, such as bicycling.

    The nature of being a pain patient is that pain may make it difficult to exercise. However, not exercising often worsens pain. We’ll talk about the best ways for exercising with chronic pain conditions like arthritis, fibromyalgia, and back pain, as well as how to prevent and treat sports injuries.

    Exercising safely with arthritis

    Exercising with chronic pain is particularly difficult for people with arthritis. The nature of this condition results in reduced mobility. However, not moving at all may worsen pain and can further diminish mobility, according to the American Academy of Orthopaedic Surgeons (AAOS).

    Exercise promotes blood flow to the affected area, which delivers vital nutrients and helps to keep the joint as healthy as possible. Activity also strengthens the muscles surrounding joints. As the muscles strengthen, they support more of the body’s weight, leaving less of it for the bones to support. This re-distribution protects damaged cartilage, which can decrease pain.

    For those with advanced arthritis, limited mobility can bring challenges. It’s a good idea to precede exercising with a visit to the doctor or a physical therapist. They can design an appropriate fitness program for you. Good exercises include those that:

    • Require the entire range of motion
    • Support flexibility and reduce stiffness
    • Build strength

    Good options might be swimming, yoga, or bicycling. Start slowly and then work your way up as your strength and mobility increase. While some amount of soreness is normal the day after exercising, significant pain is an indication that you’ve gone too far, according to AAOS.

    Best exercises for fibromyalgia

    Fibromyalgia results in widespread pain and fatigue, both of which can be impediments to exercising. However, exercise is one of best ways to treat pain for fibromyalgia patients, according to webmd.

    If you can’t get out of bed, start there. Fibromyalgia patient and founder of the National Fibromyalgia Association Lynne Matallana was essentially bedridden after her diagnosis. Her doctor suggested exercise, so she began with 30-minute stretching sessions while lying down, followed by a rest period, she tells webmd.

    Eventually, the stretching sessions turned into walks to the mailbox, and then she turned to the treadmill. Start with whatever type of physical activity you can do, and then evolve from there. Although exercise is generally fine for fibromyalgia pain patients, it’s still a good idea to check with your doctor before beginning any type of exercise.

    Good options include walking, yoga, and strength training. Water activities in particular—especially in heated water—benefit people with fibromyalgia because the warm water relaxes muscles and can ease pain, according to Prevention magazine.

    Keep in mind that it could be more effective and healing to exercise in short bursts of activity rather than engage in longer workouts. A 30-minute walk could be broken up in 10-minute increments, spread throughout the day.

    Stretching is also beneficial for fibromyalgia pain patients, but try stretching after some light physical activity when the body is warm, recommends Prevention. Stretching cold muscles could lead to injury.

    Exercising with back pain

    Back pain is increasingly common, affecting up to 50% of working adults, according to the American Chiropractic Association. Back pain frequently develops from sitting too much, poor posture, or injury.

    Alleviating back pain requires a mixed approach of strength building, flexibility, and cardiovascular exercises. If you’re overweight, losing those extra pounds through running, biking, or hitting the elliptical will reduce the amount of weight supported by the spine and skeletal system, which could help to alleviate pain. Be sure to talk with your doctor before starting an exercise routine.

    Although many people initially think of stretching the back when pain strikes, it’s important to strengthen the low back muscles and those in the abdomen, which help to support the back. Core and abdominal strength-building exercises such as planks, which resemble the top of a pushup, are good to hold for as long as you can, but preferably from one to three minutes.

    Another good back strengthener is called a superman, which resembles the yoga pose shalabasana. The goal is to lie on the stomach and, using the back muscles, lift the legs, chest, and arms off the floor with the abdomen remaining on the ground.

    Modifications include leaving the legs on the ground and lifting the chest, or leaving the chest on the ground and lifting the legs. You might clasp the hands behind the back and lift you chest and legs, or for a more advanced option, extend your arms in front of you while lifting the legs, chest, and arms off the ground.

    Back stretches to improve flexibility

    Gentle stretches that can be done include the bottom to heels stretch, which resembles child’s pose in yoga, recommends the UK’s National Health Service. Kneeling on all fours with hands under shoulders and knees under hips, slide your bottom back toward the heels until it rests on them, allowing the arms to stretch in front of you.

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    To work on flexibility, try a bridge. Start out by laying on the back, knees bent and feet on the floor close to the buttocks, recommends the Mayo Clinic. Press the arms into the ground and then lift the hips off the ground by pressing into the feet, gently arching the back. Stay for a few breaths before lowering and repeating.

    The goal for back pain patients who exercise is to strengthen and gently lengthen the muscles and connective tissue, so it supports the body.

    How to prevent injuries

    Playing sports and exercising carries with it innumerable health benefits, but also the risk of sports injuries. Most athletes have sustained an injury at one time or another, with severity ranging from minor sprains to more serious tears or broken bones.

    Fortunately, many minor sports injuries do not require professional medical attention and can be cared for at home. The length of recuperation varies depending on the injury and a person’s medical history. For example, a recurring injury may take longer to heal.

    With minor injuries, a person may be able to return to normal activity within a few days. If pain persists or worsens, or extreme swelling is present, visit a doctor for professional medical advice.

    Prevention is the best treatment

    The best treatment of sports injuries is preventing them in the first place. Damage can result from overuse or an accident, such as landing on a twisted ankle or jerking the knee in an unnatural way.

    People of all ages are at risk of injury. For example, a study from the Radiological Society of North America found that young baseball pitchers had a higher risk of an overuse injury that increased the likelihood of further problems, including torn rotator cuffs.

    Researchers studied 2,372 pitchers who ranged in ages from 15 to 25. Those most at risk for the shoulder injury threw more than 100 pitches each week. Study author Johannes Roedl says:

    “More and more kids are entering sports earlier in life and are overtraining… It is important to limit stress to the growing bones to allow them to develop normally.”

    Warm up, especially if you’re exercising with chronic pain

    Taking care to ramp up physical activity and abstain from excess is important for preventing overuse injuries. Warm up before each exercise session and take care to cool down afterward, recommends Harvard Health Publications.

    Also, take care to ramp up the rigor of an exercise program. If you’re out of shape or haven’t exercised for some time, ease into fitness instead of pushing your body to its maximum limit right away. Even people already in good shape will want to alternate rigorous workouts with more leisurely ones to avoid overtaxing the body.

    Using proper form is also essential, particularly when lifting weights or using the body weight to work out, with lunges, for example. Using good equipment is key, with properly fitting and supportive shoes along with any knee or wrist braces as needed.

    Overusing muscles is a leading cause of sports injuries. Play it safe and listen to your body.

    If you do feel pain, even if it’s just a twinge, recognizing the pain early and easing off the affected muscle or limb can decrease the odds of that area sustaining a full-blown injury.

    Common types of sports injuries

    The most common types of sports injuries include:

    • Sprains: Sprains involve damage to ligaments, which are the tissues that connect bones to each other. Sprains range in severity from first degree, marked by stretched ligaments, to third degree, which involve torn ligaments.
    • Strains: Strains are similar to sprains, but affect muscles or tendons instead of ligaments. They also range from first to third degree.
    • Tendonitis: Often caused by overuse, tendonitis is marked by inflammation of a tendon.
    • Bursitis: A collection of small sacs known as bursa surround joints, muscles, and bones to absorb shock and offer protection. Bursitis is when these sacs become inflamed, usually from repetitive motions.

    Treating sports injuries

    If the worst happens and you sustain an injury while exercising with chronic pain, remember the acronym RICE—rest, ice, compression, and elevation. This method works for most minor sports injuries and supports the body as it works to repair itself.

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    Rest is essential for allowing the body to regenerate damaged tissue. With most sports injuries, your mobility will be limited anyway, so listen to your body instead of trying to push yourself.

    If your specific injury allows, you may be able to continue exercising. For example, if you’ve injured an arm, you could still go for a hike or run, according to Harvard Health Publications. Above all, however, make sure to avoid engaging in activity that aggravates the injury.

    Ice will help to limit swelling and reduce pain. Avoid placing ice directly on the skin. Instead, wrap an ice pack in a towel, applying it to the injured area as soon as possible. For the first day, ice the area for ten to 15 minutes every hour for four hours. For the next two to three days, apply ice four times each day, again for ten to 15 minutes each time.

    Try to avoid using heat until the injury begins to heal. Heat could exacerbate swelling and delay the process of healing. Once the injury passes the acute phase, perhaps after the first week, it’s usually fine to use heat, such as taking a bath or applying a heating pad.

    Compression refers to elastic bandages wrapped snugly without being too tight. Compression gives the area support and promotes healing.

    Elevation helps any fluid that accumulates around the injured area from swelling to drain. You might place an arm or a leg on a pillow, allowing it to rest slightly above the rest of the body.

    Be cautious after an injury

    After the acute phase of the sports injury passes and you feel well enough to return to activity, make sure to do so slowly. You may want to begin with gentle stretching and strengthening exercises. The area will likely have lost some strength while recuperating, so it’s important to work both strength and flexibility. Harvard Health Publications recommends using heat and ice during rehabilitation, as well.

    During rehabilitation, use a heating pad to warm the injured area before stretching. Then, apply ice afterward to reduce any swelling.

    If pain lingers or worsens, be sure to seek professional medical advice. For severe injuries marked by intense pain, substantial swelling, or discoloration, seek medical advice promptly. Seeking a doctor’s care early on can help to reduce healing time and the risk of long-term damage.

    Some people may also find it helpful to visit a physical therapist to plan a rehabilitation program, depending on the type and severity of the injury sustained.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • The most common shoulder pain causes, and their treatments

    Do you suffer from pain in your shoulders? Finding out the shoulder pain causes that are affecting you can be the first step towards treatment. Here are the

    What causes shoulder pain?

    Shoulder pain originates in the shoulder joint, which includes the collarbone, shoulder blade, humerus, and the four groups of muscles within it. The shoulder has a huge range of motion. It’s is one of the largest joints in the human body, which also makes it one of the most vulnerable to pain. Here are the five most common shoulder pain causes, along with treatments you can use to find relief.

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    Shoulder pain can come in a variety of different forms and can occur for a myriad of reasons. This includes simple overexertion, fractures, arthritis, and even infections or tumors. The most common symptoms include:

    According to the CDC, about 9% of all pain episodes in joints are shoulder-related, so knowing the cause and treatments can be invaluable knowledge.

    13 common shoulder pain causes and treatments

    If you’re from pain, there’s a number of shoulder pain causes that could be contributing to it. Some types of pain have an obvious origin–an injury or overexertion during exercise. For others, the cause may not be so apparent. For example, it could be due to an underlying chronic pain condition. Others may suffer from repetitive stressors in their environment. Something as simple as using your computer mouse everyday in an incorrect way could actually lead to pain.

    Nevertheless, there are a few more common causes of pain. These include:

    1. Rotator cuff injuries and tears
    2. Osteoarthritis
    3. Adhesive capsulitis, or frozen shoulder syndrome
    4. Shoulder dislocation
    5. Thoracic outlet syndrome
    6. Fractures
    7. Whiplash
    8. Fibromyalgia
    9. Neck pain
    10. Spinal stenosis
    11. Arthritis
    12. Lupus
    13. Tendon sheath inflammation

    Let’s talk about each of these in more detail, along with suggested treatments.

    1. Rotator cuff injuries and tears

    The rotator cuff is the group of four muscles that inhabit the shoulder. They are help stabilize the shoulder and assist in its movement. It is also one of the most common spots for injury, although the rotator cuff can be damaged for months or years before symptoms start to surface. Common symptoms include limited range of motion, difficulty sleeping due to shoulder pain, tenderness when reaching up, and pain in the shoulder especially at night.

    There are three main categories of rotator cuff injuries:

    • Bursitis is caused by inflammation of the bursa, which are fluid-filled sacs that help the shoulder move and typically occurs after an injury
    • Tendinitis is an injury caused by overuse of the shoulder muscles, which causes them to become inflamed
    • Finally, there are tears in the shoulder that can be caused by untreated tendinitis or an acute injury

    As familydoctor explains, you’ll know when the rotator cuff is hurt if:

    “If the rotator cuff is involved, the pain is usually in the front or outside of the shoulder. This pain is usually worse when you raise your arm or lift something above your head. The pain can be bad enough to keep you from doing even the simplest tasks. Pain at night is common, and it may be bad enough to wake you.”

    Treatment for a rotary cuff injury depends on the severity of the damage done and which category it falls into. Over 50% of injuries can be fixed using specific exercises and various at-home care options. However, in the worst-case scenario, surgery will be required to fix the tear as range of motion and shoulder strength will not improve without it.

    2. Osteoarthritis

    Osteoarthritis (OA) is a disease of aging that is the most common type of arthritis. It is the leading cause of disability in adults in the U.S. In fact, over 1/3rd of adults over the age of 65 suffer from this disorder.

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    Osteoarthritis occurs in the shoulder when the cartilage that covers the joint starts to break down, although it can occur in any joint. With the breakdown of this protective layer, there comes an increase of friction as the bones of the socket have more direct contact, which can lead to bone damage. Many people experience pain, swelling, stiffness, and a limited range of motion due to this shoulder pain condition.

    The treatment for this condition is highly dependent on the person. Some can manage their symptoms with exercise, physical therapy, and medication. Others, however, may require more drastic care in the form of surgery. The surgical treatment can range from cleaning damaged tissue to replacing the joint all together.

    3. Adhesive capsulitis

    Adhesive capsulitis, also known as frozen shoulder, is a condition that limits the range of motion in the shoulder. It typically occurs when the tissue in the shoulder thickens and scars, which leaves little space for the joint to rotate properly. The risk of developing this condition increases if you are recovering from other medical conditions that prevent movement of the arms. Signs of this disorder usually start gradually and worsen over time. The symptoms for this condition are swelling, pain, and stiffness.

    Frozen shoulder is a condition that becomes worse the less you use your shoulder. While this disorder can go untreated, it can take as long as three years for it to heal naturally. Standard treatment will speed the healing process up tremendously. Treatment includes physical therapy and medications. Physicians will often try interventional procedures such as steroid injections, joint distension, and shoulder manipulation as well. If none of these work, generally surgery is the only other viable option.

    You can watch a steroid injection in the following video. This procedure was done on the lower back, but the principles are similar.

    4. Shoulder dislocation

    Dislocation is another severe cause of shoulder pain that can occur from a forceful impact or fall. When a shoulder is dislocated, the humerus bone is jarred loose from the socket, which can tear ligaments and tendons. This event is extremely painful and you should seek medical attention if it occurs as soon as possible. Improper care can lead to nerve damage and once you dislocate a shoulder, it is much more likely that it could happen again.

    Treatment involves a medical professional putting the dislocated shoulder back into the socket, which is called reduction. Afterwards, a standard RICE procedure is recommended and a physician will likely immobilize the arm in a sling for several weeks and prescribe rehabilitation exercise. If shoulder dislocation becomes a chronic condition, surgery might be required to repair the ligaments.

    5. Thoracic outlet syndrome

    Thoracic outlet syndrome is a group of disorders that develop when the blood vessels or nerves in the thoracic outlet become compressed. This outlet is a small space that is located between the collarbone and the first rib. This typically causes pain in the shoulders and neck along with some numbness in the fingers, and discoloration in the extremities due to inadequate blood flow. These symptoms can worsen when the arm is placed above the shoulders or fully extended.

    The exact cause of thoracic outlet syndrome is not always known, but certain conditions can trigger its development it. These include muscle enlargement due to weightlifting, repetitive movement or injuries, severe impacts such as from car accidents, weight gain, and pregnancy.

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    The treatment for this disorder consists of physical therapy and medication. Doctors will also recommend that you make certain lifestyle changes as well. These can be frequent stretching, avoiding carrying heavy objects, and strengthening the muscles around your thoracic outlet. If none of these approaches work, a doctor will likely recommend surgery.

    More shoulder pain causes

    In addition to these causes of shoulder pain, some people also suffer from this pain because of:

    • Fractures or other injuries
    • Whiplash
    • Fibromyalgia
    • Neck pain that’s linked to shoulder issues (also called schneck pain)
    • Spinal stenosis
    • Arthritis
    • Lupus
    • Tendon sheath inflammation

    Click each of the links above to learn more about these conditions. Each page discusses symptoms of these conditions, as well as potential treatments for relief.

    How do you stop shoulder pain? 

    If you suffer from pain in your shoulders, there are treatment that can help. Further, the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) reports that they’re actively looking for better treatments for pain in the shoulder. They note that they’re studying ways to:

    • Improve surgery
    • Improve function and reduce pain
    • Correct movement patterns that cause shoulder pain in some people with spinal cord damage
    • Develop new medicines that help muscles and tendons heal
    • Prevent and treat rotator cuff tears

    Organizations and healthcare professionals working every day to find better options for patients. Overall, though, the most important thing is to get a diagnosis for your condition. That way you can ensure you’re applying the right treatments to your condition, for the most effective results. A pain specialist can help determine what’s causing your pain and lay out a few treatment options that could work for you.

    https://fibromyalgia-6.creator-spring.com/
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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Why fibromyalgia tender points are important for diagnosis

    Fibromyalgia is a neurological disorder that affects approximately 12 million people in the U.S. This chronic disorder causes aches and pains in the body that are severe enough to impact normal activity and disrupt sleep. A person with fibromyalgia may feel pain in the muscles, tissues, joints, and tendons in different areas of the body. Along with these physical symptoms, people suffering from fibromyalgia also experience mental issues as a result of fibromyalgia, including depression and anxiety. Fibromyalgia can also cause deep fatigue and exhaustion, even with very little activity. Even with so many people suffering from fibromyalgia, it remains a difficult disorder to diagnose. One of the most valuable tools for diagnosis was defining fibromyalgia tender points.

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    The history of a fibromyalgia diagnosis

    Fibromyalgia is a term that has only been used in the last few decades to describe a condition of widespread pain throughout the body that also includes fatigue, poor sleep quality, and mood issues. It is possible, however, that mentions of a fibromyalgia diagnosis date all the way back to the 1600s.

    Fibromyalgia has had many names throughout the years including:

    Since physicians could not find any evidence of inflammation, these names were replaced with fibromyalgia in 1976. This translates from its Greek roots into “pain in the muscles and tissue.” While a fibromyalgia diagnosis is still difficult to establish today, there have been many recent advances. Research has led to promising tools and guidelines to help pain doctors and patients alike. One of the earliest was the fibromyalgia tender points scale.

    Understanding fibromyalgia

    Fibromyalgia affects about 4% of the U.S. population (~ ten million people) and is predominately found in women.

    Fibromyalgia is not a condition of exclusion, but its symptoms are common in many other illnesses. To make things more complicated, fibro symptoms can appear on their own or in tandem with another disorder. Identifying the cause of each can be problematic. This situation is exacerbated since fibro is a waxing and waning condition, making patterns more difficult to recognize even with thorough tracking.

    Although researchers agree that there is a neurological component to the disease, many previously believed that it was all in a person’s head. Some studies have pointed to risk factors such as a genetic predisposition to feeling pain more intensely. Other evidence connects the development of fibromyalgia to a stressful or traumatic event, repetitive injury, or other disease. Sometimes fibromyalgia has no clear cause or trigger and develops on its own.

    Women are three times more likely to develop fibromyalgia as men, and people with certain illnesses already present may have an increased risk. Autoimmune disorders such as lupus and rheumatoid or spinal arthritis sufferers develop fibromyalgia at a higher rate than those without these conditions.

    There is no simple, scientifically-supported test to identify if someone has fibromyalgia. According to the National Fibromyalgia Association, it takes the average person five years to be diagnosed with fibro and this is generally after extensive other treatments have occurred. Misdiagnosis can still occur, but there are far more developed and data backed approaches that physicians use today.

    Fibromyalgia diagnosis – developing the modern view

    In 1981, the first clinical study was published that confirmed that symptoms and tender points of fibromyalgia could be found in the body. This study also established the first data-driven criteria for this condition.

    In 1990, the American College of Rheumatology (ACR) created the first set of guidelines to help diagnose fibromyalgia. These guidelines set forth the following formal criteria for a fibromyalgia diagnosis in a research context:

    • The patient must have a history of widespread pain lasting more than three months
    • This pain must affect both sides of the body and be present above and below the waist
    • Of the 18 tender points designated on the human body, at least 11 of them must be in pain

    Before these guidelines were released, a fibromyalgia diagnosis was completely subjective and many were skeptical that the disorder even existed. Even with these new guidelines, fibromyalgia is a condition that can come and go, so using the fibromyalgia tender points criteria can be misleading or change from day-to-day.

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    Fibromyalgia tender points 

    Although most of the population has a spot or two on their body that may be more sensitive than others, people with fibromyalgia often experience excruciating tenderness in very specific locations that are spread across their body. Tenderness is generally mirrored on both sides of the body and is located at nine specific places on the body.

    The nine fibromyalgia tender points locations are as follows:

    • Low cervical region: Front neck area just below the chin near the C5-C7 vertebrae
    • Second rib: Front chest area below the collarbone about 2 inches from the shoulder joint
    • Occiput: Back of the neck at the base of the skull
    • Trapezius muscle: Back shoulder area where this large muscle drapes over the top of the shoulder
    • Supraspinatus muscle: Shoulder blade area just at the top of the shoulder blade
    • Lateral epicondyle: Elbow area in the inside of the arm crease
    • Gluteal: Rear end at upper outer quadrant of the buttocks
    • Greater trochanter: Rear hip in the back
    • Knee: Knee area on the inside where the fat pad sits

    These nine areas are also sometimes called fibromyalgia tender spots. Because fibromyalgia cannot be diagnosed with a lab test, counting fibromyalgia tender points and taking a detailed patient history were often the best ways to get a clear diagnosis. Scroll to the infographic at the end of this post to see these.

    You can also see these in the following video.

    The Symptom Intensity Scale 

    To build on the fibromyalgia tender points scale, the Symptom Intensity Scale was developed using survey results from nearly 12,800 patients with osteoarthritis, rheumatoid arthritis, or fibromyalgia. These patients located pain in 38 anatomic areas of their body and then also completed a fatigue visual analogue scale. The fatigue analog scale requires a patient to mark their level of fatigue on a ten-centimeter line on the day they identified their pain symptoms.

    In 2006, Frederick Wolfe and Johannes J. Rasker completed an evaluation of 25,417 patients using the Symptom Intensity Scale and found that it was the best and clearest diagnostic tool for fibromyalgia. They also found that higher Scale scores indicated increases in hospitalization, disability, serious medical issues, and death.

    Because of this relationship, the Scale can be used to measure overall health and also predict outcomes for patients with a number of diseases. It uncovers “hidden” illness that accompanies the presenting illness, such as depression or anxiety in a patient with rheumatoid arthritis.

    Updated 2010 criteria 

    While the fibromyalgia tender points are still helpful, they’re not the only path to diagnosis for medical professionals. In 2010, the American College of Rheumatology published another set of criteria for fibromyalgia. It eliminated the fibromyalgia tender points count and replaced it with the widespread pain index (WPI) and symptom severity scale (SS).

    The WPI calculates if a person has experienced pain in the last two weeks in 19 separate general body areas. Each body area is assigned a one if there is pain or a zero if there is no pain and these are added together to reach a score between 0 and 19.

    The SS measures the severity of the person’s fatigue, sleep quality, cognitive symptoms, and somatic symptoms. Each of these four categories is given a score of 0 – 3 and added together for a total possible score of 12.

    Using these new scales, the ACR changed the diagnosis guidelines to:

    • WPI ≥ 7 and SS ≥ 5 OR WPI 3–6 and SS ≥ 9
    • Symptoms have been persistent for at least three months
    • There is no other disorder that could explain the pain

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    Getting a fibromyalgia diagnosis

    Physicians must rely on a patient’s communicated symptoms to make a fibromyalgia diagnosis. Therefore, the first thing a doctor will do is conduct a thorough physical examination of the muscles and joints. After doing this, she or he will then discuss any symptoms a patient is currently having.

    Some of main symptoms of fibro include:

    • Pain: Constant full body pain with pain at the fibromyalgia tender points
    • Unrefreshing sleep: Even after an uninterrupted eight hours
    • Fatigue: Chronic fatigue or exhaustion after strenuous activity
    • Memory loss: Short-term memory problems coupled with bouts of confusion and inability to concentrate
    • Increased pain sensitivity: Hyperalgesia or allodynia
    • Depression

    Fibromyalgia often is present with other health issues, so a doctor will likely ask about other conditions such as irritable bowel syndrome, headaches, restless leg syndrome, frequent urination, and anxiety.

    Since fibro can occur with other illnesses, the next step is to start eliminating more serious medical conditions that could be causing your symptoms. The doctor will run tests on your blood, thyroid, and vitamin D levels. Other tests that could be required are X-rays, computed tomography (CT), and magnetic resonance imaging (MRI). Finally, a biopsy and a physiological exam could be necessary to rule out any suspected mental health issues.

    Helping along the diagnosis process

    Since fibromyalgia is mainly based off the symptoms that patients share, there are some smart things you can do if you believe you are suffering from fibromyalgia. These tips could save you time, money, and lots of frustration. And, they can help get you back on the path to being healthy and happy faster.

    • Make sure to communicate any mental or physical trauma that has occurred to you. A major event like this is sometimes associated with the development of fibro symptoms.
    • Keep a pain diary that includes the location of your pain, how it feels, severity, and the length of time it lasts. This can be a perfect tool to parse out fibro from other health issues.
    • Choose the right doctor. The stigma around fibromyalgia is fading as more research comes out, but some physicians will be reluctant to diagnose it. Make sure you go to a doctor who is specialized in pain management and has the experience to help you find the right diagnosis.

    Finding fibromyalgia treatments

    Treatment of fibromyalgia is best approached as a team, with doctors, physical therapists, and other alternative practitioners working together to treat the physical and mental symptoms.

    Some treatments include:

    • Dietary changes to eliminate anything that causes inflammation or triggers a pain response (e.g., sugar and red meat)
    • Changes to exercise plans, including exercises for days when pain is present, and exercise that includes meditation
    • Prescription medicines as needed
    • Sleep counseling to develop proper sleep habits to combat fatigue
    • Changes to work schedules to accommodate good and bad days

    Families also play an important role in the treatment of fibromyalgia. Suffering from an “invisible” but chronic illness such as fibromyalgia can be socially isolating. It is important that the family members are supportive of treatment and are understanding when their loved one needs to rest.

    The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) is sponsoring more research on fibromyalgia to better understand this disease, specifically in relation to diagnosis, causes, and better treatments.

    To get a fibromyalgia diagnosis, click here to find a certified pain specialist in your area. They have dedicated experience working with fibromyalgia patients and will use the latest diagnostic guidelines to help you diagnose your condition.

    https://fibromyalgia-6.creator-spring.com/
    https://www.teepublic.com/stores/fibromyalgia-store

    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • How to relieve shoulder pain at night

    Shoulder pain at night is a very common issue among chronic pain sufferers. The shoulder is one of the most vulnerable joints as it has such a wide range of motion, which opens it up to various injuries and problems. So, why are you experiencing shoulder pain at night and what can you do to find relief? We discuss five treatment options ranging from shoulder stretches to chiropractic to interventional procedures.

    Issues associated with shoulder pain at night

    On top of the pain, most people with shoulder pain at night sleep poorly, which a completely different set of problems has associated with it. These can include:

    Sleeplessness can become a vicious cycle of decreasing sleep and increased pain, which will only make your condition worse.

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    Causes of shoulder pain when night

    Although many shoulder disorders can cause pain, the most common cause of shoulder pain at night comes from rotator cuff tendinitis. It usually is caused by irritation of the shoulder tendons leading to inflammation and pain. This condition can be caused by many things, including:

    Rotator cuff tendinitis is known to affect millions of people in the U.S. each year and is a major cause of shoulder pain when sleeping.

    Some of the other causes of shoulder pain at night are:

    Why exactly does the pain increase at night even though it might be fine during the day?

    Why do I have shoulder pain at night only? 

    While this nighttime shoulder pain cannot always be explained, a lot of the pain comes down to:

    • Being still at night
    • Unrelieved tension and stress from the day
    • The sleeping position you choose
    • Your mattress

    During the day, the shoulder is being actively used while you are in a vertical position. The tendons engage and are pulled downward by gravity, which allows space to be made in the muscle groups in the shoulder. This additional space allows for an increase in blood flow and oxygen that alleviates the stiffness and pain that would be present otherwise.

    When you lay down to rest or sleep at night, you are generally in a horizontal position. This removes the effect of gravity and allows the shoulder muscles to relax. The lack of movement and the relaxation of the muscles allows the fluids in your joints to settle and decreases the flow of blood, allowing the joint to become inflamed. People also tend to lie on their shoulder while sleeping, which can compress the joint even further, and thereby worsening the inflammation.

    How-to relieve shoulder pain at night

    If your shoulder pain is worse at night, there are ways to ease your pain.

    1. Find a better sleeping position 

    The first course of action to relieve shoulder pain at night is to find a good sleeping position for you. Tossing and turning at night is normal for most people, but can agitate your shoulder if you land on it wrong. Sleeping on the opposite shoulder can help avoid this pain, but try not to sleep on your back.

    If the pain persists, you can always trying wrapping your arm or wearing a sling to assist in preventing movement during sleep. Sleeping with a pillow under your knees can help alleviate any associated back pain.

    2. Stick to a sleep schedule 

    Along with fixing your position while sleeping, always make sure to try to stick to a sleeping schedule. Good sleep hygiene can make all the difference in your sleeping patterns. Having a consistent bedtime ritual that helps wind you down at the end of the day can do wonders in terms of reducing stress and tension, and improving sleep length and quality.

    Try something relaxing before bed like a shower and make sure you fall asleep in a dark room with no electronics. Medication can also help you sleep, but be cautious of how often you use them. Constantly requiring sleep aids can be a major sign of a problem and the more you use over-the-counter drugs, the more you will need to be effective. In addition, if you’re using other medications, they may react poorly with the sleep aids.

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    3. Perform stretches for shoulder pain at night 

    Exercising a few hours before bed can also be useful as it will increase blood flow throughout the whole body. This can alleviate pain, but also relax you enough to ease sleeping troubles. Try something low impact like a brisk walk or a bike ride, and then allow your body to cool down again before going to bed.

    Further, certain shoulder stretches can help you reduce the tension and stress that has built up during the day. Not only are shoulder stretches an easy option, but they take only a few minutes at night. Stretching has huge health benefits like increasing flexibility, range of motion, and blood flow. Another big plus is that they are simple to do in your own home and require no special equipment. Before you go to bed, try these seven shoulder stretches to alleviate some tension and reduce your stress.

    Shoulder stretch basics

    If you start to feel pain at any time during a stretch, stop immediately. Stretching should be done to the point of mild strain. If you experience pain, you are going too hard and could injure yourself. This is especially true if the pain is sharp or sudden. It is a good idea for chronic pain sufferers to consult a pain doctor before starting too strenuous of a stretching routine as overexertion could exacerbate certain conditions.

    For best results, always warm your muscles up a little before stretching. For the following stretches, it is best to do each for approximately 30 seconds to one minute for maximum effect. Also, make sure you are steadily breathing in and out in a controlled manner.

    Chin retractions

    This is a quick stretch that is great if you spend way too much time staring at a computer monitor. Slowly extend your neck outward, making sure your keep your chin parallel with the floor. Then, pull it back in to a neutral position that is straight with your spine, slightly tucking the chin in. Repeat.

    Eagle arms

    Sit in a cross-legged position on the ground. Extend your arms in front of you and place your left elbow in the crook of the right arm. Now, bend your elbows back so your hands are touching. Hook one hand over the other so that your palms are facing each other.

    For this stretch, you should keep your palms together, elbows lifted in a 90 degree angle, and your hands in front of your face. Try to keep your shoulders relaxed and down. You should feel a powerful stretch in your shoulder blades as well as the lower part of your neck. After this, change arms by placing your right elbow in the crook of your left arm and repeating.

    Cow-face pose

    Take your right arm and reach over your shoulder aiming to lay your palm in-between your shoulder blades. Then take your left arm and reach up your back (not over the shoulder) also placing the hand between the shoulder blades. Try to interlock your hands and pull slightly.

    If you are having trouble interlocking your hands, you can modify this stretch. Keep a towel or something similar in your top hand, and then grasp it with your bottom hand instead of clasping the hands together. Gently pull with each arm to feel your shoulders start to open up.

    Standing wall stretch

    While standing tall, reach out and place both of your hands on a wall. Walk your feet back until the arms are straight, but don’t let your arms reach too far above your head. Make sure you keep the shoulder blades open and relaxed downwards during the whole stretch. Also, avoid pushing against the wall and don’t allow your shoulders to press up and into your neck.

    Shoulder blade stretch

    Start by spreading your feet, so they are shoulder-width apart. Raise your arms above your head as far as possible and bring your palms together. Now, simply twist your waist by bringing one shoulder forward and simultaneously pulling the opposite shoulder back. Hold this stretch and then switch sides.

    Half-dragon fly

    This stretch begins by lying face down on your stomach. First, place your right hand palm down on the floor like you are starting a pushup. Next, lift your chest slightly and slide your left arm under your chest. Finally, square your chest with the floor and lower on top of your arm. Hold this position and then switch your arms.

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    If you want a deeper stretch in this position, you can move on to the full dragonfly. This is accomplished by lying on your stomach face-down. Crisscross both arms near the collar bones and straighten your arms out as far as possible. Then, allow your body to drape onto your arms.

    Triangle

    Stand your feet hip-width apart. Turn your right foot forward. Turn the left foot so it is perpendicular with the right and raise both arms to shoulder level straight out from the body. Stretch your right arm up and forward, pulling your body up slightly. Then slowly lower the chest forward over the right leg until it is parallel with the ground. Place your hand on your thigh or calf, while avoiding placing it on the knee directly. Try to keep as little weight in your hand as possible, focusing on keeping yourself upright with your core instead. Extend the left arm completely upward towards the ceiling, if it feels comfortable. Finally, turn your head upwards towards the ceiling or down towards the ground for an additional neck stretch.

    4. Try yoga poses for neck pain

    Since shoulder pain at night is often related to neck pain, trying the following yoga poses for neck pain could also help relieve your pain. This video also demonstrates the triangle shoulder stretch.

    5. Talk to a pain doctor about interventional therapies 

    If these natural treatments don’t work to relieve your shoulder pain at night, it may be time to talk to a pain doctor. They can help diagnose the exact cause of your shoulder pain. If your pain isn’t due to an acute injury or fracture, they may suggest interventional treatments for chronic pain.

    These shoulder pain at night treatments include:

    • Physical therapy to increase flexibility and reduce pressure on your joint
    • Chiropractic care to increase mobility and loosen tension
    • A regimen of non-steroidal anti-inflammatory medications
    • Regenerative medicine approaches, including PRP injections 
    • Joint injections that can relieve nerve irritation
    • Surgery, but only for the most severe cases of shoulder pain at night

    If more conservative treatments like chiropractic care or physical therapy haven’t worked, a joint injection provides a minimally-invasive treatment that doesn’t require surgery. You can learn more about this approach in the following video (while not a shoulder injection, it does showcase a knee joint injection using a similar approach).

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  • Recent research that untangles pain

    Pain is an unavoidable fact of life, especially for those with a chronic pain condition. There are dozens of potential treatments for pain already, but researchers are always searching for a deeper understanding of pain to help them devise even better treatments.

    One group of researchers has found a way to cut off the communication of pain in the brain.

    At the University of Calgary’s Hotchkiss Brain Institute, neuroscientist Gerald Zamponi, phd, and his team have found a way to shut off pain signals. Calcium channels in the brain and peripheral nervous system are part of the line of communications to transmit pain signals. Because of this, calcium channels have been a focus of pain research for quite a while. Zamponi and his team have found that by interfering with a specific enzyme’s communication with the calcium channels, the nerve impulses are interrupted.

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    The researchers in this study are currently looking at more than 100,000 molecules. They’re trying to find one that will successfully stop the communication between the enzyme and the calcium channel, thereby stopping the pain signal. Two viable molecules have already been identified as painkillers in animals.

    If these researchers are able to isolate the correct molecule to create the same effect in humans, it could potentially be turned into a drug. A drug like this could provide a new pain-relief option for people who suffer from all sorts of pain conditions, such as arthritis or neuropathic pain.

    A better understanding of how different populations experience pain can help physicians manage their patients’ pain more effectively.

    A few factors that decrease an individual’s pain tolerance have been identified. These include:

    There are also a few odd factors that influence an individual’s ability to tolerate pain. For example, one study suggested that right-handed people were more tolerant of pain than left-handed people. Some research also suggests that natural redheads may be more sensitive to pain.

    Additionally, gender has an effect on pain sensations. More women report pain than men, and women are generally believed to be more sensitive to pain. It’s been assumed that women may be more tolerant of pain, as well, but a new study challenges this assumption.

    First it’s important to understand the difference between pain sensitivity and pain tolerance. Pain sensitivity refers to the pain threshold, or when an individual begins to perceive stimulation as painful. Pain tolerance is the level of pain an individual is able to tolerate.

    Researchers at Malaga University have found that there is no difference in pain tolerance between men and women. Rather, the characteristics of each individual determine his or her ability to tolerate pain. Resilience was identified as the most important factor in determining pain tolerance. People who are resilient are more likely to accept their pain. Accepting the pain, rather than focusing on it to the exclusion of everything else, allows individuals to focus on increasing their quality of life instead. Resilient people generally feel less pain, stay more active, and have a better overall mood.

    In addition to acceptance of pain and individual resilience, fear of pain was identified as a central variable in people’s pain experiences. People who are afraid of pain experience more anxiety and depression. This ties into the only difference identified between men’s and women’s pain experiences: in men, a fear of pain also related to a greater degree of pain.

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    Another study has identified several specific genes that affect an individual’s pain tolerance.

    A group of researchers looked at 2,721 people who have been diagnosed with chronic pain. Participants rated their pain perception on a scale that was divided into low, moderate, and high pain groups. Researchers then checked the participants for specific genes, COMT, DRD2, DRD1, and OPRK1, and found the following statistics:

    • DRD1 variant was 33% more prevalent among the low pain group than the high pain group
    • COMT variant was 25% more prevalent among the moderate pain group than the high pain group
    • OPRK1 variant was 19% more prevalent among the moderate pain group than the high pain group
    • DRD2 variant was 25% more common among the high pain group than the moderate pain group

    According to Tobore Onojjighofia, MD, MPH, with Proove Biosciences and a member of the American Academy of Neurology, this research could have two major benefits for pain patients. First, finding out if an individual possesses these particular gene variants could provide his or her physician with a way to evaluate his or her perception of pain. This could help physicians manage patients’ pain according to each individual’s pain tolerance. In addition to this, the identification of genes that influence pain perception could play a role in developing new, targeted pain therapies.

    New brain imaging has identified a brain abnormality that may explain the overly sensitive response to stimuli in people with fibromyalgia.

    Magnetic resonance imaging (MRI) scans provide detailed pictures of the body’s tissues. When an MRI scan is done on the brain, the result is series of images that allow physicians to visualize the anatomy of the brain. A functional MRI (fmri) maps the brain’s function by showing the amount of oxygen (and therefore the amount of oxygenated blood flow) in different areas of the brain. In other words, an MRI is similar to a very detailed snapshot, while an fmri is like a flipbook showing brain activity.

    A study published in Arthritis & Rheumatology used fmri to study brain response to stimuli among people with fibromyalgia. The fmri showed reduced activation of certain areas of the brain, namely the primary and secondary visual and auditory areas. There was also increased activation in the sensory integration regions.

    These brain function abnormalities are responsible for the often painful hypersensitivity experienced by people with fibromyalgia. In fact, the researchers in this study believe these abnormalities might be part of the pathology, or key components, of fibromyalgia. This is significant because research in this area might eventually offer new neuro stimulation targets for fibromyalgia treatment.

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  • How we treat head pain

    How we treat head pain

    Nearly everyone will experience head pain at some point during their lives, but for some people, head pain can become chronic. Chronic migraines and headaches can range in severity from annoying to debilitating. Thankfully, a wide range of treatment options are available for head pain, providing lots of potential options to try when managing head pain.

    Oral medications are usually the first type of pain management attempted to treat head pain.

    The most common reason that people purchase over-the-counter pain medications is head pain. These medications are non-steroidal anti-inflammatory drugs (nsaids), like aspirin, acetaminophen, or ibuprofen. These over-the-counter pain medications often fall short when it comes to treating severe or chronic head pain. For instance, nsaids are considered most effective for people who suffer episodic migraines ten or less days per month.

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    For more severe types of head pain, a physician may prescribe an opioid, such as oxycodone. Anticonvulsant drugs are also sometimes effective when treating head pain. Different medications may be indicated depending on the type of head pain being experienced. Explain what type of pain you’re experiencing as clearly as possible to your physician so he or she can prescribe the right medication.

    Oral medications generally provide short-term, as-needed pain relief. Some injected medications can provide short-term pain relief, as well. Sumatriptan in oral form is commonly used to treat migraines, but subcutaneous (injected) sumatriptan is used to provide short-term relief from cluster headaches.

    Other types of injected medications can potentially provide medium-term pain relief, or pain relief that’s not permanent but could last for several weeks to months.

    Nerve block injections can act both as pain management and as a diagnostic tool for head pain.

    These types of injections deliver medications directly to the inflamed nerves causing head pain. The injections will typically include a local anesthetic to block pain. Corticosteroids might also be included to reduce inflammation.

    The exact location of the injection will depend on which nerves are causing the head pain. To relieve chronic migraine or cluster headaches, for example, a nerve block injection will be applied to the trigeminal or occipital nerves.

    The physician will determine which nerve location is most likely to provide relief. If the injection is delivered to the nerve that’s causing the head pain, relief can occur fairly quickly and may last for weeks or months. If the injection is delivered to the incorrect nerve, it will have very little effect. In this way, the injection can be used as a diagnostic tool to identify exactly which nerve or nerves are to blame for the head pain.

    Once the nerves causing the head pain have been identified, other types of treatments can be applied directly to the nerves.

    Radiofrequency ablation (RFA) can be used on nerves that have been identified as causing head pain, but it can also be used as a potential treatment for severe, persistent headaches that don’t respond to nerve block injections.

    During RFA, a local anesthetic is applied. Then thin probes are passed through the skin until they reach the targeted nerve or nerve group. The probes emit radiofrequency, or electrothermal impulses, on the nerve or nerve group. This selectively damages the nerve, causing the formation of a lesion, which blocks the pain signals that the nerve conducts.

    Another type of nerve therapy is spinal cord stimulation (SCS). During SCS, flexible, thin devices are implanted next to the spinal cord, close to the nerves causing the head pain. The devices are attached to external leads, which are attached to a control device that allows the patient to operate it. When the devices are activated, a mild electrical impulse is emitted. This impulse interrupts the pain signals being transmitted along the nerves. When head pain occurs, the patient can then control his or her own pain relief.

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    Alternative and complementary therapies, used in conjunction with traditional therapies, may be effective in controlling head pain, too.

    Acupuncture originated in traditional Chinese medicine. It involves the insertion of small, sterile needles into strategic places on the body. This is believed to cause the body to release endorphins, increase blood circulation, and reduce inflammation. Acupuncture can be effective when used in conjunction with other pain management techniques. In fact, for some people, acupuncture is more effective than traditional pain management therapies.

    Chiropractic manipulation might also be an effective treatment for head pain. It involves the application of targeted force to correct the body’s spinal alignment. Massage therapy, which focuses on the release of muscle tension and stress, can potentially reduce head pain as well, especially when the myofascial muscles are massaged.

    Another technique called biofeedback might be particularly effective at teaching patients how to control their own head pain. Readings are taken of brain activity, muscle tension, and galvanic skin response, all of which are impacted by headache triggers like stress. People with head pain can then study these measurements to understand the physiological effects linked to their headaches. This understanding can then be applied toward relaxation techniques to enhance control over the physiological effects linked to head pain.

    Keeping a pain diary can also enhance understanding of the triggers behind head pain, as well as make it easier for a physician to decipher exactly which type of head pain is being experienced and how best to treat it.

    To track head pain with a migraine or headache diary, take note of all the factors surrounding the head pain, such as:

    Although tracking all of this information won’t necessarily reduce head pain, it can shed light on what causes the pain. For instance, it might suddenly become clear that headaches worsen after drinking caffeine, or that migraines occur more frequently after a short night’s sleep. This clearer understanding of what can lead to or worsen head pain can allow you to avoid the things that trigger head pain.

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  • Does a pain diary work

    It has long been a common recommendation that chronic patients maintain a pain diary. The idea behind a pain diary is simple. Using either an electronic device or a paper journal, pain patients keep track of:

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    The theory behind the recommendation is that doctors and patients can gain a better understanding of certain chronic pain syndromes than they might with simple patient reporting at a visit. Keeping track of pain levels allows a patient to give a more accurate reporting than trying to remember them on the day of the visit, especially if the patient is feeling particularly good or bad on the day they see the doctor. In theory, this allows doctors and patients to identify triggers and potentially avert painful episodes by changing behaviors.

    But there is evidence that pain diaries might actually be making pain worse.

    A small-scale study by the University of Alberta Faculty of Medicine & Dentistry found that keeping a pain diary actually lengthened the time of recovery for study participants who were recovering from lower back sprains. For four weeks, 58 patients in the study were divided into two equal groups, one of which was asked to keep a pain diary, documenting pain levels, and one of which did not. When patients were re-assessed at the four-month mark, the differences in the two groups were clear.

    Robert Ferrari, a clinical professor in the Faculty of Medicine & Dentistry’s Department of Medicine and a practicing physician in several Edmonton medical clinics explains the results:

    “What we found is that the group who kept the pain diary — even though we didn’t ask them to keep an extensive diary, and even though many of them didn’t keep a complete diary — had a much worse outcome. The self-reported recovery rates were 52% in the group that kept a pain diary and 79% recovery at three months in the group that did not keep a pain diary. That’s a fairly profound effect. There aren’t many things we do to patients in terms of treatment that affect the recovery for a group by 25%.”

    These results are mirrored in study by Luis F. Buenaver, phd, an assistant professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine. This study included 214 patients suffering from jaw and face pain due to temporomandibular joint disorder (TMJ). This condition can be acute or long-term but is very painful and can lead to sleep disturbances and other painful issues in the neck and upper back.

    Buenaver and his colleagues examined each patient and then distributed questionnaires to ascertain participants’ pain levels, quality of sleep, and emotional response to pain. They were trying to see if patients tended to dwell on pain or exaggerate it. Those patients who did dwell on the pain were unable to shift their focus away from it when winding down for sleep, their pain was rated as much more severe, and patients’ sleep was more disturbed than those patients who did not focus on their pain.

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    So why do pain specialists continue to recommend keeping a pain diary when it seems as if it may make pain worse?

    A pain diary can be a remarkable communication tool for you and your doctor. If you are living with chronic pain that has yet to be diagnosed, keeping a pain diary can help identify triggers or things that make pain worse. Keeping a pain diary can also identify times of day that pain is most prevalent, and it may be helpful in seeking reasonable work accommodations under the Americans with Disabilities Act (ADA).

    There are many different ways to keep a pain diary. One of the easiest seems to be using apps for tracking chronic pain, widely available for free or a nominal fee for both iphones and Android operating systems. If you choose to keep a pain diary and want to make it positive and forward-thinking, try these four tips:

    1. Add gratitude: Make a list of five things you are grateful for at the end of every day.
    2. Don’t make pain the focus: Think of it more as a daily journal. When pain symptoms are tracked or specifics are added, circle them or highlight in another color for easy reference, but focus more on telling the whole story of the day.
    3. Think outside of the page: Frida Kahlo, a painter who lived her entire life in excruciating pain, often painted her experiences while lying down. Your pain diary doesn’t have to be just words. You can illustrate your day or create a collage. Add photographs or bits of flotsam from your day (e.g., a key you found on a walk, a ticket stub from a movie, or a note from your child).
    4. Make it totally you: You are not your chronic pain. Yes, pain is part of your daily experience, but it does not make up the entire person you are. Use your pain diary as a way to explore your inner self, not just document an experience from one to ten.

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  • Diagnosing Fibromyalgia: Past to Present

    The term “fibromyalgia” may be relatively new, but the condition itself has been around for quite a while. After several name changes, a definite set of diagnostic parameters are finally established for fibromyalgia.

    History of fibromyalgia

    The first known mention of fibromyalgia was in the 1800s, but at the time it was simply called “muscular rheumatism.”

    When “muscular rheumatism” was first written about, doctors noted that it caused stiffness, aches, pains, tiredness, and difficulty speaking. In 1824, a doctor in Scotland first described the tender points that characterize fibromyalgia.

    A psychiatrist in the United States described a condition called “neurasthenia” in 1880, which he believed was caused by stress. He ascribed the symptoms of widespread pain, fatigue, and psychological problems to neurasthenia.

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    The term “fibrositis” was introduced in 1904 by Sir William Gowers. “Fibro” refers to the body’s connective tissues. “Itis” indicated inflammation or swelling, so “fibritis” meant inflammation of the connective tissues. In 1913, a physician wrote more about fibritis, describing a worsening of symptoms as air pressure fell and rains came on. He also described temperature variations and fevers.

    In the 1970s, Hugh Smythe described fibritis in papers and medical textbooks. This was the clearest, most cohesive description of the disease and its symptoms so far. The name was changed from “fibritis” to “fibromyalgia” in 1976, since inflammation was no longer believed to be the cause. “Myo” means muscles and “algia” means pain, so “fibromyalgia” means pain in the muscles and connective tissues.

    Certain antidepressants were found to be effective in treating fibromyalgia in 1986. The Journal of the American Medical Association (JAMA) published an article about fibromyalgia in 1987. Also in that year, fibromyalgia was recognized by the American Medical Association (AMA) as a defined disease and cause of illness and disability. The American College of Rheumatology first published diagnostic criteria for fibromyalgia in 1990.

    Diagnosing fibromyalgia

    Diagnosing fibromyalgia today is still difficult.

    There is no definitive test for fibromyalgia, so it’s typically a diagnosis of exclusion, meaning that a person can only be diagnosed with fibromyalgia when every other possibility has been excluded.

    The Mayo Clinic website explains why diagnosing fibromyalgia is so difficult, stating:

    “Fibromyalgia symptoms include widespread body pain, fatigue, poor sleep and mood problems. But all of these symptoms are common to many other conditions. And because fibromyalgia symptoms can occur alone or along with other conditions, it can take time to tease out which symptom is caused by what problem. To make things even more confusing, fibromyalgia symptoms can come and go over time.”

    Tender points are still used by many specialists during diagnoses. There are 18 potential tender points on the body, and the physician must be able to elicit a response on at least 11 of these tender points. However, knowing precisely where the tender points are and how much pressure to apply can be tricky, so general doctors use a different set of diagnostic criteria.

    The criteria used by general doctors includes:

    • Widespread pain that’s lasted for at least three months
    • Presence of other symptoms, such as fatigue, waking up tired, or trouble thinking (often called “fibro fog”)
    • No other conditions that could be causing the symptoms

    Additionally, some physicians may score patients’ responses to a series of questions to judge the severity of the widespread pain being experienced. For instance, several symptoms are given a score as far as symptom severity. Zero means no problems at all, while three means severe, pervasive, or life-disturbing. Then the scores for all the symptoms are added together. If this score is above a certain level, it’s considered positive for fibromyalgia. This positive result, in addition to other positive results and the absence of any other conditions that could explain the symptoms, will usually lead to a diagnosis of fibromyalgia.

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    Fibromyalgia might also be accompanied by symptoms such as:

    Causes of fibromyalgia

    It’s still unclear what causes fibromyalgia.

    Gender, health condition, genetics, and trauma are all thought to play a role in fibromyalgia. However, it’s not known if all or any of these are the actual cause of the condition. It’s only known that these factors play a part in determining an individual’s risk for developing fibromyalgia.

    External triggers, such as viral infection or repetitive strain, and some preexisting conditions, such as rheumatoid arthritis or lupus, may make people more likely to develop fibromyalgia. Depression, post-traumatic stress syndrome, or other mental illnesses are often found in people who have fibromyalgia. Additionally, being overweight, being inactive, or smoking might increase the risk for fibromyalgia. Women are also much more likely to develop fibromyalgia, although men and children can develop the condition, too.

    Studies have been conducted looking at the role of stress in triggering fibromyalgia. Employees in a stressful job environment tended to experience more pain. Also, women who’ve experienced relationships with violent abuse are at an increased risk for fibromyalgia. People who feel as though they have very little support or who had a poor psychological response to pain also seem to be an increased risk for fibromyalgia.

    Even though the cause behind fibromyalgia is still unknown, and diagnosing it remains a challenge, it’s thanks to the collective history of fibromyalgia that we have any understanding of it today. The symptoms and tender points described in the 1820s, the psychological (cognitive) problems acknowledged in the 1880s, and the issues with temperature regulation noted in the early 1900s all helped define the condition as it’s understood today.

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  • Does medication for lower back pain actually work?

    In the fight against lower back pain, many people and their doctors reach for the same weapons: common over-the-counter (OTC) and prescription medications. New research on commonly recommended and prescribed lower back pain medications has found that many may actually be virtually ineffective for treating lower back pain and that medication for lower back pain may actually do more harm than good.

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    Over-the-counter medication for lower back pain

    Nsaids are a standard go-to medication for lower back pain, but their effectiveness is being called into question. The common over-the-counter pain medications Tylenol, Advil, and Aleve are all types of nsaids. More powerful nsaids are also available by prescription from your physician. For many people with chronic back pain, it’s not unusual to keep a bottle of over-the-counter nsaids on hand to treat pain as needed.

    A great many medications fall into the classification of nsaids, but all of them function in a similar way. Nsaids block an enzyme called cyclooxygenase (COX), which in turn inhibits the production of certain inflammatory responses like fever, swelling, and pain. Since many instances of pain are caused by inflammation or swelling, inhibiting inflammatory responses should reduce pain.

    However, COX enzymes also aid in protecting the stomach lining, which is why using nsaids can sometimes lead to ulcers or bleeding in the stomach. Potential side effects of nsaids include digestive symptoms like heartburn, diarrhea, vomiting, or stomach pain.

    Research on Tylenol

    Tylenol in particular has been widely advertised all over the world as a catch-all OTC medication for aches and pains of every variety. From acute back pain to achy knees and chronic pain, advertisements would have you believe that Tylenol is effective and safe for pain. A study from the BMJ (formerly the British Medical Journal) found that Tylenol’s claims of efficacy in the treatment of both back and knee pain were false.

    A meta-analysis of randomized controlled studies focusing on Tylenol’s ability to relieve spinal pain and pain due to osteoarthritis found that for spinal pain, Tylenol showed no effect on pain in either short- or intermediate-term follow-ups. For osteoarthritis, the short-term efficacy of Tylenol for spinal pain was more pronounced than for intermediate use, but pain reduction was still rated as moderate. Any pain relief reported was clinically insignificant and similar to the placebo group. The studies included in the meta-analysis focused on just over 5,300 patients with lower back pain and knee pain and excluded any patients with previous surgeries for either condition.

    Side effects of non-steroidal anti-inflammatory drugs

    While some patients suffering from chronic and acute back pain may find that any minor reduction in pain is worth the risk, the side effects may not be worth it. Since 2011, the Food & Drug Administration has required medications that use acetaminophen to carry a “black box” warning that highlights its risk for liver failure.

    Many who take Tylenol for pain do not realize that other medications (e.g. Cold medicines) also contain acetaminophen. Exceeding the maximum daily dose by even a small amount can cause serious side effects and may even cause death. For anything other than acute, short-term pain, taking Tylenol is not recommended as a medication for lower back pain.

    Opioid medications

    Opioids are a narcotic pain reliever. Previously used primarily for short-term relief of acute pain, or for pain relief in patients with a chronic condition like cancer, opioids have become part of mainstream pain management over the last two decades. The number of prescriptions written for oral opioid medications, such as hydrocodone, oxycodone, or hydromorphone, has more than tripled over the last 20 years. Despite the risks associated with opioid medications, they are becoming increasingly widespread as a prescribed medication for lower back pain, even though new research suggests opioids aren’t very effective for this type of pain.

    Opioids and spinal surgery risks

    While the risks of opioids have been well-documented, a study by the American Academy of Pediatrics found that the use of prescription opioids is linked to fewer positive outcomes after spinal surgery. The study of just over 500 patients used patient reporting to measure health preoperatively and at three, six, and 12 months post-operatively. Differences in recovery, mental health, and decreased pain was significantly influenced by opioid use in the following ways:

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    • Patients who increased opioid use before spinal surgery did significantly worse post-operatively at three and 12 months
    • For every ten milligrams of increase in opioid use, the study found a significant decrease in mental and physical health scores
    • Patients who also suffered from comorbid conditions such as depression and anxiety were more likely to take opioids

    Lead study author Clinton J. Devin, MD, assistant professor of orthopedic surgery and neurosurgery at the Vanderbilt Spine Center had this to say about the treatment implications of study’s findings:

    “Our work highlights the importance of careful preoperative counseling with patients on high doses of preoperative opioids, pointing out the potential impact on long term outcome and working toward narcotic reduction prior to undergoing surgery.”

    Even for those patients who choose not to undergo surgery, opioids have very little effect on chronic low back pain. While there seems to be some short-term analgesic benefit, the risk of dependence and other side effects likely outweighs the minimal benefit in intermediate- and long-term use for this medication for lower back pain.

    Opioids for chronic pain

    Researchers have also been reevaluating the trials and evidence that support the effectiveness of opioid pain medications, and the evidence doesn’t hold up. The National Institutes of Health (NIH) convened a seven-member panel to examine the evidence for opioid medications. An article by the University of Connecticut summed up the results, noting:

    “A National Institutes of Health white paper that was released today finds little to no evidence for the effectiveness of opioid drugs in the treatment of long-term chronic pain, despite the explosive recent growth in the use of the drugs.”

    Additionally, a University of Colorado Boulder study showed that opioid use (specifically morphine) actually prolonged neuropathic pain in rats, suggesting that it could have the same effect on humans.

    Opioids for lower back pain

    Finally, the BMJ published a clinical review of the efficacy of opioids as a medication for lower back pain. The conclusions in this article include:

    • Opioids don’t speed injured workers’ return to work
    • Opioids don’t improve functional outcomes of acute back pain in primary care
    • There is little evidence of opioid efficacy for chronic back pain

    It was also pointed out that controlled trials of opioids for back pain tend to experience a high dropout rate among participants. The trials also have a short duration (generally four months or less) and have highly selected patients. This all suggests that the controlled trials that do support opioid efficacy for back pain are perhaps not reliable, or at least are not thorough enough.

    Opioids also have a high risk of abuse and dependence. Using opioids before spinal surgery has been linked to a higher risk of negative surgical outcome. Slow-acting opioids, which have been assumed to be safer than fast-acting opioids, have been shown to make men five times as likely to develop low testosterone. More and more evidence continues to point to the fact that opioids are not a suitable medication for lower back pain, unless used for highly-controlled, acute cases.

    Oral steroids

    Steroids are commonly used to treat inflammation associated with back pain, but they may not be as effective as previously believed. Steroids, also called corticosteroids, are a synthetic (man-made) version of a hormone naturally found in the body. Steroids are used to treat many different conditions, largely because they are cost-effective and can be applied in many different forms (oral, injected, inhaled, topically, etc.). Long-term or illicit use of steroids is associated with several potentially-serious side effects, but when used as directed, steroids are generally considered safe.

    In a randomized controlled trial of 267 people with herniated disc, researchers found that there was no significant difference in pain relief between the group receiving oral steroids (prednisone) and the group receiving a placebo. Both groups saw improvement, but even after a year, there was no difference between the two (except in rate of disability, which was slightly lower in the prednisone group).

    Likewise, a study originally published in the Journal of the American Medical Association (JAMA) looked at the efficacy of the oral steroid prednisone in treating sciatica-related back pain. In this study, half the participants were given a 15-day course of prednisone to treat sciatica resulting from a herniated disc, while the other half were given placebos to treat the same condition. Although both groups’ symptoms improved, there were no statistically significant differences in pain or disability by the end of six weeks.

    Again, this is a case of the side effects outweighing the negligible benefits. In addition to headache, mood swings, and irregular heartbeat, long-term use of prednisone is a risk factor for osteoporosis, which may increase the risk of spinal injury leading to pain. Steroid injections, on the other hand, provide a targeted approach to using these medications which may work more powerfully for lower back pain patients.

    What are non-medication options for lower back pain? 

    With these common back pain medications increasingly debunked in the research, there are other treatment options to consider.

    First, don’t stop your medication for lower back pain

    Even with this research, this does not mean that you should stop your medication for lower back pain, especially if they’ve been prescribed by a physician.

    If you’re taking a medication that relieves your symptoms of back pain, that’s great. Keep taking it. If your current medication doesn’t seem to be doing the job, keep taking it until you’re able to talk to your pain doctor and get an alternative medication or treatment (or are given the go-ahead to stop taking it). Stopping a medication prescribed by your doctor could be unsafe if you haven’t discussed it with them before.

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    And keep in mind that pursuing alternative, complementary, or interventional pain management techniques – either in conjunction with or (with your physician’s permission) instead of medication – might help you control your pain much more effectively than medication for lower back pain alone.

    Exercise

    Staying physically active is an important treatment option for lower back pain. While it may seem counterintuitive to move when you are in pain, keeping your muscles strong and engaged can be the key to a healthy back. Focus on stretches and core work, but don’t forget low-impact cardiovascular exercise such as biking, swimming, and hiking.

    Dietary changes

    Although it may not work as quickly as medication for lower back pain, eating a healthy diet full of anti-inflammatory foods can make a tremendous difference in treating chronic back pain. Adding these foods while eliminating common inflammation-causing foods like sugar, wheat, and dairy can help you manage pain.

    Weight management

    The more weight we carry on our bodies, the more stress there is on our joints. Maintaining a healthy weight with diet and exercise can be an important part of treatment for back pain, especially in cases where back pain is due to compression injuries such as herniated discs or inflammation caused by spinal stenosis.

    Complementary medicine

    Acupuncture is gaining traction as an effective treatment for low back pain. Chiropractic care can also be an excellent first-line treatment that minimizes the chance of spinal surgery in the future. Mindfulness meditation and biofeedback have both been shown to diminish the perception of pain. All of these treatments are nearly side-effect free, and many are now covered by insurance.

    Interventional pain management

    Finally, if your pain doesn’t respond to medication for lower back pain or these complementary approaches, you could try more targeted therapies for resolving your back pain. This will involve identifying the underlying causes of your back pain and finding a therapy that can work to resolve or treat the symptoms of your pain. Once a correct diagnosis is made, your doctor may recommend any of the following therapies:

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

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    Official Fibromyalgia Blogs

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    Fibromyalgia Stores

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  • My personal top 10 favorite posts on pain doctor

    It’s been about a year since we became Pain Doctor and began sharing information with you about everything pain- and health-related. In that time, we’ve covered a lot of information, but we’ve tried to make sure that all of it is centered around the topics that you, as a health–conscious pain patient, might care about the most. It was tough, but we narrowed down a year’s worth of information into our top ten favorite posts from Pain Doctor, covering everything from resources to lifestyle changes.

    In no particular order, here are our top ten favorite posts on Pain Doctor.

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    1. Exercising With Pain 

    It can be hard to start a new exercise routine, especially if you’re in pain, but the payoff will be worth it. In this post, we touched on a few studies that looked at the benefits of exercise for people with chronic pain, noting:

    “Several studies have looked at the effects of exercise on chronic pain conditions. The results are often very similar: decreased pain and a better quality of life.”

    We also gave you some suggested types of exercise, along with a few tips, to get you started on your fitness journey.

    2. The Importance of Self-Care: Why You Should Pamper Yourself

    We’ve mentioned several times on Pain Doctor that stress is bad for you, particularly if you live with chronic pain. Self-care is one of the absolute best ways to combat chronic stress and, by extension, improve your health and reduce your pain. Also, the more often you allow yourself a few minutes of self-care, the better, because your body will eventually come to associate a certain activity or routine (like the motions of brewing a pot of tea for an afternoon break) with relaxation. Once your body has built up this association, you’ll begin to experience the physiological signs of relaxation more quickly. If you need ideas for self-care or relaxation, look no further: this post has plenty.

    3. Health Literacy Online: Finding Good Resources

    Health literacy is all about knowing how to find and understand health information so you can make informed decisions about your own healthcare. Pain conditions, like lots of medical conditions, can get confusing and overwhelming very quickly, so having the health literacy skills to do research, find information, and know what questions to ask your physician is vital. This post breaks down how to judge the reliability of an online resource by asking five simple questions:

    1. Who is in charge of this website?
    2. What is being said?
    3. When was it published or updated?
    4. Where is the information coming from?
    5. Why does this website exist?

    4. How To Manage Your Medications

    After you’ve been dealing with a chronic pain condition or medical condition for long enough, managing your medications will become almost automatic. If you’re newly diagnosed, or if your medication regime has changed recently, it can be scary trying to keep all those pills (and maybe even injected medications) straight. Here we gave you some tips and tricks about medication management, like using a medication sheet and letting your everyday activities (such as meals or bedtime) act as reminders. The bottom line is to make sure you talk about your medications with your physician and then take them as directed.

    5. Snoozing Your Way To Health 

    Sleep might not seem like that much of a deal, but it is. Getting enough sleep can have big benefits on your health, just as being chronically sleep deprived carries some serious risks. If you deal with pain on a regular basis, sleep can be a struggle. Hopefully this post convinced you that, if your pain is interfering with your sleep, you should talk to your physician about it. After all, as we noted:

    “Sleep deprivation lowers the pain threshold. This means that the more tired an individual is, the more likely he or she is to experience sensations as painful. The increased pain can make falling asleep and staying asleep difficult, which often leads to more sleep deprivation. This becomes a repeating cycle, until it’s difficult to tell which came first – the sleep deprivation or the pain.”

    6. Untangling Connections Between Chronic Pain And Depression

    There are a lot of surface similarities between chronic pain and depression. For instance, people suffering from these conditions often face similar misconceptions, like the problem being “all in your head” or that you can “just get over it.” With both chronic pain and depression, though, this is certainly not the case. Both conditions are serious, diagnosable medical conditions that need attention from a physician. And the similarities go even deeper, right down to some of the same centers of the brain being involved in both chronic pain and mood disorders.

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    7. How Do Opioids Work?

    This post is a must-read for anyone who takes opioids (or who has a family member or friend who takes opioids). It covers all the nuts and bolts of opioids, from how they work to the different types to what they treat best to the risks involved.

    8. New Opioid Restrictions: Part Of The Solution To Opioid Abuse?

    A common opioid painkiller, hydrocodone, was reclassified last year, along with hydrocodone-based painkillers. We know that for a lot of people with chronic pain, opioids are commonly used for as-needed or breakthrough pain relief, until a less risky pain management technique can be found. In this post we delved into why hydrocodone-based painkillers have been reclassified and how it might impact you.

    9. Celebrating Dogs On National Dog Day

    Dogs are good for your health in lots of ways, and they can even help you manage your pain. For some people, it’s only thanks to their assistive or service dogs that they’re able to function independently. Therapy dogs can make a huge difference to people who are hospitalized or living in assisted care. What it boils down to, though, is that no matter the breed, age, size, or training, your canine best friend does more for you than you realize.

    10. Disease-Sniffing Dogs: The Next Stage Of Diagnostic Medicine?

    Hopefully this post was as interesting to read as it was to write. Dogs’ super-sensitive noses have been used for jobs like search and rescue or bomb-sniffing for years, but now they’re being trained and put to work in the medical field. Some of these amazing dogs can detect oncoming seizures, allergic reactions, or blood sugar fluctuations in their owners. Others are taught to identify infections or cancers. The really amazing thing is that oftentimes, the dogs are more sensitive than modern medical equipment.

    At Pain Doctor, we try to help you live your best life possible, and we truly think that part of that is arming you with all the knowledge you need to make the best decisions about your lifestyle and healthcare. We hope we’ve accomplished that for you, and we hope that we can continue to help you control your pain and enjoy your life to the fullest.

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    https://www.teepublic.com/stores/fibromyalgia-store

    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store