Category: Fibromyalgia Symptoms

A detailed guide to understanding Fibromyalgia symptoms, early warning signs, and how they are diagnosed.

  • Why Fibromyalgia Pain Feels Different. Is This True For You?

    Why Fibromyalgia Pain Feels Different For Amy Mullholand, simple chores like washing the dishes or making breakfast can be incredibly challenging.  “On a good day, I can get through the cups and the silverware, then I must sit for at least 15 to 20 minutes. Then I tackle the bowls. Then I sit and rest,” said Mullholand. “On a bad day, I have literally cried from the pain of standing long enough to fry an egg.

    ”Before she was diagnosed with Fibromyalgia Pain two years ago, Mullholand — like a lot of people — thought the disorder’s symptoms were mild aches and pains. “How could I be in so much pain and have it just be Fibromyalgia Pain?” The main symptom is chronic, widespread pain, but it can also cause headaches, sleeping problems, fatigue, and irritable bowel syndrome.

    Mullholand, 42, has severe pain in her shoulders, neck, back, and hips. She constantly feels like she doesn’t have any energy. “I wish people knew more about the day-to-day life that people with Fibromyalgia Pain have to live, and understood the real pain and sickness that we feel,” she said. As many as 12 million Americans know what it means to live with Fibromyalgia Pain, according to the American Chronic Pain Association (ACPA).

    Doctors don’t know what causes it, though stress, infection, or physical trauma can sometimes trigger symptoms. The fact that 9 out of 10 people with Fibromyalgia Pain are women suggests that female hormones may be a contributing factor. Research points to changes in the pain pathways throughout the body of patients with Fibromyalgia Pain. An August study in the journal Pain found that half of a group of 27 Fibromyalgia Pain patients had damage to nerve fibers in their skin.

    “This provides some of the first objective evidence of a mechanism behind some cases of Fibromyalgia Pain, and identifying an underlying cause is the first step towards finding better treatments,” said study author Anne Louise Oaklander, MD, PhD, director of the Nerve Injury Unit at Massachusetts General Hospital.

    Fibromyalgia Pain Diagnosing it can be tricky because symptoms often come and go and resemble other conditions such as rheumatoid arthritis and osteoarthritis. An ACPA survey found that 77 percent of cases take three years or more to be properly diagnosed. Mullholand’s primary care doctor at first suspected she had the autoimmune condition lupus.

    Why Fibromyalgia Pain Feels Different 

    To diagnose Fibromyalgia Pain, doctors typically rely on certain guidelines from the American College of Rheumatology: The total number of tender points on the body that hurt when pressed. There are 18 (or 9 pairs of) points, such as the elbows and knees, that doctors examine. At least 11 of the 18 points must be painful to diagnose Fibromyalgia Pain. The level of fatigue a patient is feeling if they’re waking up feeling tired or having cognitive problems. If the symptoms persist for at least three months. Whether another health condition may be causing the symptoms

    Being able to spot differences in symptoms and ruling out other possible diseases is key to diagnosis, according to Dr. Danehower. For example, someone with rheumatoid arthritis will have trouble moving their joints and have swelling in the hand and wrist, whereas Fibromyalgia Pain has a good range of motion. Osteoarthritis patients feel more pain exercising, while Fibromyalgia Pain patients feel worse when they’re at rest.

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    People with lupus also typically have shortness of breath, chest pain, and a butterfly-shaped rash over the bridge of their nose.“There’s a misconception among some patients that Fibromyalgia Pain is a phony disease. It goes back to the idea that so much of the diagnosis is subjective,” said Danehower. “Some patients will get to me and say their original doctor doesn’t think it exists, and they’re glad to get a diagnosis and understand it.”

    Once diagnosed, Fibromyalgia Pain can’t be cured. But there are medications that can help lessen its symptoms. Your doctor may prescribe antidepressants or anti-seizure drugs, and recommend over-the-counter medicines like ibuprofen or acetaminophen to manage the pain.

    According to the American College of Rheumatology, Fibromyalgia Pain relaxation techniques such as yoga, cognitive behavioral therapy, and alternative treatments like acupuncture may help. Mullholand found that hot water eases her pain, so she takes frequent baths. There isn’t much research to support many of these methods’ effectiveness, and patients should discuss any treatment options with their doctor.

    “For many people with Fibromyalgia Pain, they will exercise for a week or two and then start hurting and think that exercise is aggravating their pain, so they stop exercising,” said senior author Dennis Ang, MD, associate professor of internal medicine at Wake Forest Baptist. “We hope that our findings will help reduce patients’ fear and reassure them that sustained exercise will improve their overall health and reduce their symptoms without worsening their pain.

    ”Even with treatment, Fibromyalgia Pain is a reality that people like Mullholand have to face every day.“The most misunderstood thing about Fibromyalgia Pain is that it’s real, it isn’t in our heads,” said Mullholand. “We may not look sick on the outside, but we are sick on the inside.”

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  • Main Fibromyalgia Causes In Women That No One Knows Yet

    Women are far more likely than men to get Fibromyalgia Causes —a disease that causes pain and tender points throughout the body. Between 80 and 90 percent of people who are diagnosed with this condition are women, according to the National Institutes of Health. The reason for this gender inequality may have to do with hormones, immune system differences, or genes. But researchers still aren’t exactly sure why women get Fibromyalgia Causes in much greater numbers than men.

    Fibromyalgia Pain

    Fibromyalgia Causes a very specific kind of pain. Women often describe it as a dull ache that starts in the muscles. To be diagnosed with Fibromyalgia Causes, the pain must be on both sides of your body. And, it must affect both the upper and lower parts of your body. The pain may come and go. It can be worse on some days than on others, which can make it hard to plan for daily activities.

    Main Fibromyalgia Causes In Women

    Fibromyalgia Tender Points Fibromyalgia Causes: In addition to more widespread pain, causes fibromyalgia tender points around the body. They’re called fibromyalgia tender points because when you press on them, they hurt. There are 18 possible fibromyalgia tender points. You may have pain in some or all of these places:

    • back of the head
    • area between the shoulders

    Main Fibromyalgia Causes In Women

    • front of the neck
    • top of the chest
    • outside of the elbows
    • top and sides of the hips
    • insides of the knees

    Fatigue

    Fibromyalgia Causes: The pain from fibromyalgia can make it very hard to sleep. Conditions that often occur with Fibromyalgia Causes—such as restless legs syndrome and sleep apnea—can also keep you awake at night. A lack of sleep night after night can make you feel tired and cause you to have trouble concentrating during the day. In a vicious cycle, a lack of sleep can also make your pain worse.

    Fibro Fog

    Fibromyalgia Causes in Women who may start to notice that they have trouble remembering and concentrating. They may mix up words when they speak, or get confused more easily than they used to. These thinking problems are sometimes called “fibro fog” because the mind feels foggy. Although doctors aren’t sure what’s behind “fibro fog,” it may be caused by a lack of sleep or by the effects of fibromyalgia pain on the brain.

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    Headaches

    About half of fibromyalgia Causes in women develop headaches, according to a study in the journal Clinical Rheumatology. Many women get migraines—a throbbing type of headache that can cause nausea, vomiting, and flashes of light. Why fibromyalgia women are more likely to get headaches isn’t clear. But experts think fibromyalgia Causes in women and headaches may stem from the imbalance of chemicals like serotonin and epinephrine in the brain.

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    Painful Periods

    fibromyalgia Causes in women: In general, menstrual period cramps can be mild or painful, depending on the woman. But women with fibromyalgia report having more painful periods than usual. Some women with fibromyalgia also have endometriosis. In this condition, tissue from the uterus grows in other parts of the pelvis. Endometriosis can cause uncomfortable periods too. Women with fibromyalgia Causes may also find that sexual intercourse becomes more painful.

    Irritable Bowel and Bladder (IBS)

    Main Fibromyalgia Causes In Women: Irritable bowel syndrome (IBS) is another health condition that is more common in women, according to the U.S. Department of Health and Human Services. And women with fibromyalgia are more likely to have IBS. Researchers don’t know the reason why IBS and Fibromyalgia Causes are connected. IBS causes symptoms such as stomach cramps, bloating, constipation, and diarrhea, which can also have a big impact on a woman’s life.

    Restless Legs

    Many women with fibromyalgia get a creepy, crawly feeling in their legs that wakes them from sleep. This condition is known as restless legs syndrome (RLS). RLS is much more common in people with fibromyalgia. About 33 percent of people with Fibromyalgia Causes have RLS, compared to only 3 percent of those who don’t have fibromyalgia. RLS disturbs sleep, and it can lead to daytime drowsiness.

    Sensitivity

    Fibromyalgia Causes If you have fibromyalgia, you might notice that you have to put on a sweater every time the temperature drops, or that you break into a sweat whenever the mercury rises. Temperature sensitivity is very common in women with this condition. Some women with fibromyalgia are also more sensitive than usual to other things, such as loud noises or bright lights.

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  • Dyskinesia And Fibromyalgia: Causes and Treatment

    We still don’t know what causes fibromyalgia. But we often treat it with a class of drugs that are usually used to treat disorders like seizures. While these drugs can help manage the symptoms of fibromyalgia, they can also cause a range of side effects, including dyskinesia.

    Dyskinesia is a condition that causes frequent, uncontrollable movements of the limbs. And it can become very difficult to manage if you suffer from it for a long time. So what exactly is dyskinesia, what’s the link to fibromyalgia, and what can you do to treat it?

    What Is Dyskinesia?

    Tardive dyskinesia, or TD, is a common side effect of drugs used to treat seizures. One in particular that we should look at when it comes to fibromyalgia is Gabapentin. Gabapentin works by calming the interaction between nerves in the brain. This is effective for treating seizures which are caused by rapid-firing interactions between these nerves. But it’s also frequently used to treat fibromyalgia.

    Gabapentin can work to manage many of the symptoms of fibromyalgia. Interestingly, in addition to the pain, it’s often prescribed to treat some of the chronic itchings that come along with fibromyalgia. It’s a symptom we don’t often think of when it comes to fibromyalgia, but chronic itching can be one of the worst elements of the condition if you suffer from it.

    Because chronic itching seems to be the result of interactions between the nerves, Gabapentin can help to treat the itching.

    But it can also lead to dyskinesia. Dyskinesia is basically an uncontrollable tendency to jerk your legs or arms. But it can also include other less obvious things like a tendency to purse or smack your lips together. The condition is usually worse when you have been resting, which can make the sleep issues caused by fibromyalgia even worse. But in addition, TD can cause you to jerk your head, blink your eyes, or even stick out your tongue without really realizing that you are doing it.

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    Dyskinesia And Fibromyalgia

    It’s believed that TD is caused by low levels of a neurotransmitter called dopamine. Low levels of dopamine are actually quite common in people with fibromyalgia, though we don’t know why. But TD seems to be more of a side effect of medications used to treat fibromyalgia than a complication of fibromyalgia itself.

    The most likely reason that someone would develop TD is if they’ve been taking a drug like an SSRI or anti-seizure medication for at least three months. And we know that the majority of people who suffer from both TD and fibromyalgia tend to be older women.

    So, people who have fibromyalgia currently being treated with these kinds of drugs have an elevated risk of developing it. And there are many anecdotal accounts of people who have developed it as a result of their fibromyalgia medication. If you’re interested, you can likely ask around within the fibromyalgia community and find people who have had a similar experience.

    How Is It Treated?

    The best way to cure TD is to simply stop taking the medications that cause it. Of course, this isn’t always an option. Many people depend on those medications to keep their fibromyalgia symptoms in check. And you should never stop taking a medication on your own without first consulting a doctor.

    If you think you’re suffering from TD, you can go to a doctor for a test. The doctor will determine if you’re suffering from involuntary movements. They may decide that it is the result of your medication, or it’s possible that you’re suffering from another condition that causes involuntary movements. There are a number of these conditions including cerebral palsy, brain tumors, or Parkinson’s disease. Going to a doctor is a good way to eliminate some of these other possibilities.

    There’s no medication that’s currently approved by the FDA to treat TD, but some psychiatric drugs might help. Others have reported success with treating the condition with dietary supplements like Gingko, but the scientific evidence for this is somewhat limited.

    If the TD is really debilitating, you may have to judge with your doctor whether the benefits you get from the medication are worth the side effects. It’s an unfortunate position to be in, but we don’t really have any other good alternatives at the moment.

    So, let us know. Do you suffer from TD? Is it related to your fibromyalgia medication? How did you decide what you needed to do? Did any supplements help you? Tell us in the comments.

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  • Link Between Achalasia and Fibromyalgia. Have a Look.

    Achalasia is a rare disease. So rare in fact, that you may never have heard of it. But for people who suffer from the condition, it’s very real and often extremely painful. And it actually has a fair amount of relevance for people with fibromyalgia.

    That’s because people with fibromyalgia often deal with persistent heartburn. and achalasia can mimic many of the symptoms of that condition. So it’s possible that if you have fibromyalgia and you’re dealing with frequent chest pains, you may actually have achalasia. And learning to recognize the signs can help prevent misdiagnoses and help you get effective treatment.

    So, what is Achalasia? Why is it a concern for people with fibromyalgia? And what can you do to treat it?

    What Is Achalasia?

    Achalasia is a condition where the muscles in the lower esophagus lose the ability to relax and contract. The ability of the esophagus to relax and contract is important in the process of digestion. When you swallow food, the esophagus expands to allow it to pass into the stomach. When you have achalasia, this normal process stops functioning correctly. And food can essentially get stuck in the esophagus. Obviously, this is often quite painful.

    We don’t fully understand what causes the condition, but it probably has something to do with damage to the nerves that control the muscles in the esophagus.

    The condition leads to a number of uncomfortable symptoms. There’s the obvious difficulty swallowing food or liquids. And when food gets trapped in the esophagus, your body may naturally regurgitate it. If this regurgitation occurs when you are lying down, the food may actually travel into the lungs, which can be dangerous.

    And achalasia can also lead to sharp chest pains with no clear cause. This pain is a little different from heartburn, but people with the condition can have heartburn as well. That fact can sometimes make it difficult to diagnose the condition.

    Achalasia is quite rare, but heartburn is very common. So, if you’re experiencing pain in the chest, a doctor will likely assume that you’re suffering from acid reflux. Luckily, there are a few tests that can determine if you have Achalasia. The doctor can take X-rays of the esophagus to look for contractions, or use an endoscopy tube to visually examine the esophagus.

    People with fibromyalgia also have a higher risk of heartburn, which means that you may experience symptoms similar to achalasia.

    Achalasia And Fibromyalgia

    Having fibromyalgia makes you more likely to develop heartburn. The most likely explanation for this link is that having fibromyalgia makes it difficult to exercise. A condition that causes chronic fatigue and constant pain obviously makes getting regular cardio a challenge.

    As a result, people with fibromyalgia often struggle with obesity. Those extra pounds put pressure on the stomach and esophagus, which can lead to acid reflux. Acid reflux causes chronic chest pain, which can sometimes be quite sharp. And these symptoms can be difficult to distinguish from achalasia.

    If you’re experiencing chest pain, it’s always a good idea to see a doctor. It may even be a symptom of a more serious condition like heart problems.

    What Are Your Treatment Options?

    Your treatment will depend on which condition you have. If you have achalasia, there are a few options. Your doctor may perform a procedure where a balloon is inserted into the esophagus and inflated, forcing it to open. This procedure may need to be repeated several times if the condition reoccurs.

    In addition, the doctor can inject muscle relaxants directly into the esophagus. This procedure may also need to be repeated regularly for best results.

    There are also more permanent surgical procedures. The most common procedure is called a Heller myotomy and involves cutting away a portion of the esophagus, expanding the space for food to pass through. But this procedure can increase your risk of developing acid reflux. So, it may need to be combined with a procedure where a portion of the stomach is wrapped around the lower part of the esophagus, tightening the muscles to prevent reflux.

    If you’re just suffering from acid reflux, your best bet is to lose weight. Losing just a few pounds can significantly improve your symptoms. But there are also a number of effective medications that reduce the amount of stomach acid you produce. Your doctor will be able to advise you on the best treatment program for you.

    So, do you suffer from heartburn? Do you think it’s related to your fibromyalgia? Have you ever had achalasia? What did you do to treat it? Let us know in the comments.

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  • How Amitriptyline May Help People With Fibromyalgia

    Over the years, various medications have undergone evaluation for use in the treatment of fibromyalgia. Those medications include muscle relaxants, corticosteroids, non-steroidal anti-inflammatory medications (NSAIDs), sedatives, and tricylic antidepressants.

    Tricylic antidepressants actually have some history in the treatment of fibromyalgia. In fact, several of these antidepressants are used in the treatment of the condition. Nortriptyline, doxepin, and amitriptyline are all used in the treatment of fibromyalgia. When used for fibromyalgia, in particular, it has been demonstrated in studies to be the most efficient antidepressant for treating the condition.

    About amitriptyline for fibromyalgia

    Amitriptyline is, as mentioned, a type of tricyclic antidepressant (TCA) used for treating clinical depression. As a result, it’s considered the most common TCA used around the world.

    The antidepressant was originally developed by Merck and was first synthesized in 1960. It was later approved by the Food and Drug Administration in April 1961.

    This medication works as an inhibitor of the brain chemicals serotonin and norepinephrine. The medication’s mechanism of action acts strongly on the serotonin transporter, while it causes a moderate effect on the norepinephrine transporter. It doesn’t do anything to affect the dopamine transporter, however.

    Amitriptyline is used for several medical conditions, including its FDA-approved use for major depressive disorder. That doesn’t stop other medical resources from claiming it plays a role in assisting recovery from other similar conditions.

    Amitriptyline is even said to act more efficiently than other antidepressants when treating disorders. Interestingly enough, it is actually passed over for other newer antidepressants, since it is known to cause side effects and can get very toxic if consumed to overdose.

    Antidepressants and fibromyalgia

    Various medications are used to treat symptoms of fibromyalgia. The most common medications include painkillers, sleeping pills, and various antidepressants. Antidepressants are said to help treat fibromyalgia symptoms originating from the dysfunction of the brain’s regular functions.

    Antidepressants, especially tricylic antidepressants, have been used in the treatment of fibromyalgia for years. Tricylic antidepressants are actually some of the oldest antidepressants on the market and have been utilized in fibromyalgia treatments for years.

    Tricylic antidepressants like amitriptyline work by boosting the levels of the brain’s chemicals or neurotransmitters. When the levels of neurotransmitters are boosted, it prevents the brain from succumbing to impairment in its natural function. These antidepressants mainly boost the neurochemicals serotonin and norepinephrine. After taking these antidepressants, people with chronic pain typically feel much better, since they are known to have lower levels of those aforementioned neurotransmitters present in their brain.

    Tricylic antidepressants also play a role in helping relax pain-ridden muscles. It also boosts the body’s natural painkiller, also known as endorphins. Even though these medications have positive results for conditions like fibromyalgia, they have various side effects that might make them hard to take on a regular basis.

    Interestingly enough, the tricylic antidepressants that are prescribed for fibromyalgia include duloxetine, milnacipran and venlafaxine. Both duloxetine and milnacipran are already approved by the Food and Drug Administration for fibromyalgia treatment.

    Venlafaxine has less research and, therefore, evidence supporting it as an effective treatment. Other antidepressants that have been studied and proposed as potential fibromyalgia treatments include citalopram, paroxetine, and fluoxetine.

    Amitriptyline falls in the category of relative untested tricylic antidepressants without further support as a fibromyalgia treatment. Though, it hasn’t stopped researchers from studying it and its potential as an effective treatment for fibromyalgia.

    Studies on Amitriptyline

    Antidepressants have been used to treat chronic pain disorders for years. Even though that’s true, only a limited amount of studies exist covering how tricylic antidepressants help people treat their fibromyalgia symptoms.

    According to information collected about fibromyalgia and antidepressants, antidepressants like tricyclic antidepressants ‘produced mild to moderate improvements in [fibromyalgia] symptoms.’ In controlled studies, it was found that as much as ‘one-third to half of the monitored patients responded to medication-based treatment.

    There was one study that had tested the effects of amitriptyline and fluoxetine on patients with fibromyalgia. Patients in that study were given 25 mg of amitriptyline, while others were given 20 mg of fluoxetine.

    As a result, the patients found that either medication helped reduce their fibromyalgia symptoms. Patients who took both medications found that the combination was actually ‘twice as effective than just taking one medication alone.

    The dosages used for amitriptyline for fibromyalgia are much lower than the usual doses for treating depression. In most cases, the dosage can be started at as low as 10 mg each day, taken 2 to 3 hours before going to sleep. This allows the patient to take advantage of the medication’s sedative effects without experiencing those same effects when awake.

    Another study of amitriptyline followed 70 different patients with the condition with fibromyalgia. The study’s main purpose evaluated the effectiveness of a regular 50 mg dose for fibromyalgia.

    The results of the study revealed some interesting data. The patients who had received the regular 50 mg dose for fibromyalgia saw a ‘significant improvement in their sleep quality, morning stiffness, and pain thresholds.’ The ‘tender point score’ taken at the time didn’t improve.

    Newer studies concerning the drug for fibromyalgia patients follow the newest iteration of fibromyalgia criteria. A complication of data from other studies about the medication found that ‘amitriptyline for fibromyalgia can continue to be used for [neuropathic pain] treatment, but most patients won’t achieve enough pain relief.’

    Various studies collected in the complication lasted as long as 6 weeks (on average). They also tested anywhere from 15 to as many as 100 participants, with four of the studies hosting over 100 participants. Each study administered doses between 15 mg to 125 mg.

    Some studies gradually increased the dose during selected intervals of the study trial. Overall, no concrete evidence was found to support amitriptyline as an effective treatment for fibromyalgia. Some studies did find that it may play a role in reducing some neuropathic pain, such as the pain associated with fibromyalgia.

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  • Fibromyalgia and Chronic Pain Harms The Brain: Northwestern University Research

    Summary: People with unrelenting pain are often depressed, anxious and have difficulty making simple decisions. Researchers have identified a clue that may explain how suffering long-term pain could trigger these other pain-related symptoms. Researchers found that in people with chronic pain, a front region of the cortex associated with emotion fails to deactivate when it should. It’s stuck on full throttle, wearing out neurons and altering their connections.

    People with unrelenting pain don’t only suffer from the non-stop sensation of throbbing pain. They also have trouble sleeping, are often depressed, anxious and even have difficulty making simple decisions.

    In a new study, investigators at Northwestern University’s Feinberg School of Medicine have identified a clue that may explain how suffering long-term pain could trigger these other pain-related symptoms.

    Researchers found that in a healthy brain all the regions exist in a state of equilibrium. When one region is active, the others quiet down. But in people with chronic pain, a front region of the cortex mostly associated with emotion “never shuts up,” said Dante Chialvo, lead author and associate research professor of physiology at the Feinberg School. “The areas that are affected fail to deactivate when they should.”

    They are stuck on full throttle, wearing out neurons and altering their connections to each other.

    This is the first demonstration of brain disturbances in chronic pain patients not directly related to the sensation of pain.

    Chialvo and colleagues used functional magnetic resonance imaging (fMRI) to scan the brains of people with chronic low back pain and a group of pain-free volunteers while both groups were tracking a moving bar on a computer screen. The study showed the pain sufferers performed the task well but “at the expense of using their brain differently than the pain-free group,” Chialvo said.

    When certain parts of the cortex were activated in the pain-free group, some others were deactivated, maintaining a cooperative equilibrium between the regions. This equilibrium also is known as the resting state network of the brain. In the chronic pain group, however, one of the nodes of this network did not quiet down as it did in the pain-free subjects.

    This constant firing of neurons in these regions of the brain could cause permanent damage, Chialvo said. “We know when neurons fire too much they may change their connections with other neurons and or even die because they can’t sustain high activity for so long,” he explained.

    ‘If you are a chronic pain patient, you have pain 24 hours a day, seven days a week, every minute of your life,” Chialvo said. “That permanent perception of pain in your brain makes these areas in your brain continuously active. This continuous dysfunction in the equilibrium of the brain can change the wiring forever and could hurt the brain.”

    Chialvo hypothesized the subsequent changes in wiring “may make it harder for you to make a decision or be in a good mood to get up in the morning. It could be that pain produces depression and the other reported abnormalities because it disturbs the balance of the brain as a whole.”

    He said his findings show it is essential to study new approaches to treat patients not just to control their pain but also to evaluate and prevent the dysfunction that may be generated in the brain by chronic pain.

    The study will be published on Feb. 6 in The Journal of Neuroscience. Chialvo’s collaborators in this project are Marwan Baliki, a graduate student; Paul Geha, a post-doctoral fellow, and Vania Apkarian, professor of physiology and of anesthesiology, all at the Feinberg School.

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  • Fibromyalgia and Hip Flexor Pain: Dr Sher Bailey

    It is not uncommon to have hip flexor issues or pain in this area when living with fibromyalgia. The hips, hip flexors, and lower back correlate with fibromyalgia pain areas due to tender areas around the lower back, many more trigger point areas and other conditions that affect the surrounding areas.
    The hip flexor muscles allow your hips to move with flexibility. You are engaging these muscles whenever you move your legs, and that means your hips are involved in most of the movements that you make throughout the average day.

    A healthy person may not realize how often they use their hip flexors, but anyone living with fibromyalgia who experiences hip flexor pain will be well aware of this on a more regular basis.

    I have personally dealt with hip flexor pain and then later re-strengthening of these areas while developing more fibrosafe exercises after my full hysterectomy three years ago. Yes, I do get it. I will address more of this later in the lower part of this article.

    While there are some known injuries and medical conditions that can cause pain in the hip flexors, it can be difficult to identify a direct cause of this pain in someone with fibromyalgia, except for the many daily activities that I often refer to.

    We might treat the pain as another symptom of the diagnosed condition or take more time to determine an exact cause for the pain. Either way, fibromyalgia, and hip flexor pain are often debilitating if not treated efficiently and promptly.

    Understanding Fibromyalgia and Hip Flexor Pain 

    The psoas is responsible for a lot of general back and leg pain because the sitting positions that most people hold throughout the day cause the muscle to shorten for a long period of time. When you stand up and start moving around again, that muscle doesn’t want to lengthen and function properly.

    Hip flexor pain is often referred to as flexor tendinosis. The pain from this condition typically comes from one or both of the following muscles: Illicacus and Psoas. These muscles are often lumped together as one unit, referred to as the iliopsoas.

    For those suffering from fibromyalgia, the pain may come from other muscles that help the hips move. This includes the quadriceps, even though those muscles are lower than most hip flexor muscles.

    While flexor tendinosis caused by an injury or issue not related to fibromyalgia may focus on one particular muscle or area of the hip, fibromyalgia patients may experience pain that spreads out throughout this region of the body. The cause of the pain is often unexplainable, as is typically the case with fibromyalgia pain.

    Treating Fibromyalgia and Hip Flexor Pain 

    One simple way to prevent some fibromyalgia and hip flexor pain is to avoid sitting in one position for a long period of time. Get up and move around periodically so that your muscles don’t have time to set in one position.

    Hip Flexor Stretch

    You often hear me recommending safe and effective exercise and the importance of participating in some level of exercise in order to keep your body strong and more flexible, and this is another recommendation for hip flexor pain as well.

    The more you learn how to move and how angles and over compensation do matter, the easier it is to prevent some causes of muscle pain.  You can follow me on the Fibro Fit People page to learn more ways to safely and gently work these more vulnerable areas. In the video section there you will see exercises like my “side to side” exercises that help to gently work the hips and lower back, piriformis and more.

    I also work with women after hysterectomy and other abdominal surgery to gently strengthen these vulnerable areas. I have been there, and yes, it is possible to feel strong after a hysterectomy and while living with the complexity of fibromyalgia and co-conditions.

    The stretch I am performing here is great to do anytime, especially after sitting. We draw one leg up to the knee (no shoes) placing the foot gently on the inside of knee or lower if needed (this loosens the hips) then draw the arm up on the same side and feel the light stretch from your hips through your obliques.

    If you spend much of your day sitting at a desk, invest in an office chair that is highly adjustable. Set the chair higher, allowing your hips to rest above your knees. This position is healthier for your hip flexors and may eliminate pain caused by the shortening of those muscles in the typical office chair position. You may also want to consider a standing desk that allows you to easily lift your work space.

    I started using a standing desk last year and find it very helpful, in fact, I do more standing at my desk now than I do sitting. (note: some standing desks can be difficult on the shoulders to put up and down so it might be necessary to get a standing desk that uses an electric control for moving positions)

    Regular strength training and very gentle stretching (done safely) may help keep those muscles strong and flexible. Again, be sure to avoid excessive sitting or this can sabotage efforts to incorporate effective exercise.

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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

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  • Fibromyalgia Caused By Malfunctions In Two Key Body Systems – Autonomic Nervous System and Hypothalamus-Pituitary-Adrenal Axis

    A recent study threw up an interesting notion on the root of fibromyalgia. The study suggests that fibromyalgia could be caused by malfunctions in two chief body systems – the Autonomic Nervous System (ANS) and the Hypothalamus-Pituitary-Adrenal Axis (HPA). These two body systems are key in regulating the production of important hormones and managing stress responses by the body. Imbalance in the two-body systems can lead to sleeplessness, lack of energy, higher pain sensitivity, mood changes, digestive problems, etc…

    Autonomic Nervous System (ANS)

    The Autonomic Nervous System is a large network of multifaceted neurons that maintain homeostasis in the body. This network includes cardiovascular, ophthalmologic, thermoregulatory, genitourinary, and gastrointestinal systems in the body.

    The ANS contains both the Sympathetic and Parasympathetic nervous systems. The former controls the response called “fight or flight” when one gets into seemingly dangerous situations, whereas the Parasympathetic nervous system lowers the heart rate and slows down the muscles to save energy.

    Fibromyalgia is linked to a malfunction in the ANS. Patients with fibromyalgia find that their Sympathetic Nervous System functions at an elevated pace and that their Parasympathetic Nervous System works at a much lower rate. Such individuals always face this inevitable “fight or flight” response. When such individuals are in a hyperactive state, they have an escalated heart rate. Women with this problem suffer from dysfunctional ANS.

    Hypothalamus-Pituitary-Adrenal Axis (HPA)

    The HPA axis is a network of stress responses by the brain, pituitary, and adrenal glands. The main function of the hypothalamus is to maintain the body’s balance. It receives and sends messages from the nervous system via hormones through the circulatory system. The hypothalamus regulates and controls blood pressure, digestion, sleep cycles, sex drive, body temperature, coordination, heart rate, and sweating.

    The pituitary gland is responsible for the secretion of certain important hormones for the body while the Adrenal Gland produces hormones for the entire body and controls chemical reactions and the “fight or flight” response to stress.

    How ANS and HPA Lead To Fibromyalgia Pain

    Together, the ANS and the HPA axis are major paths for body responses during stressful conditions. These responses include pain, trauma, infection, low blood sugar, and low blood pressure.

    Due to certain malfunctions in the ANS and HPA, the body can struggle to maintain homeostasis. External factors such as persistent daily stress, injury, or other stressors can further knock the body’s equilibrium off-balance. The body systems and stress response regulated by the ANS and HPA respectively can go haywire.

    Studies conducted have shown that fibromyalgia patients are prone to either inactivity or overactivity in the HPA, causing abnormal levels of important hormones and hence leading to various symptoms of fibromyalgia.

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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

  • Finally Morgan Freeman Opens up his ‘Struggle’ about Fibromyalgia

    Every so often he grabs his left shoulder and winces. It hurts when he walks when he sits still when he rises from his couch, and when he missteps in a damp meadow. More than hurts. It seems a kind of agony, though he never mentions it. There are times when he cannot help but show this, the fallout from a car accident four years ago, in which the car he was driving flipped and rolled, leaving Freeman and a friend to be pulled from the car using the Jaws of Life.

    Despite surgery to repair nerve damage, he was stuck with a useless left hand. It is stiffly gripped by a compression glove most of the time to ensure that blood doesn’t pool there. It is a clamp, his pain, an icy shot up a relatively useless limb. He doesn’t like to show it, but there are times when he cannot help but lose himself to a world-ending grimace. It’s such a large gesture, so outside the general demeanor of the man, that it feels as if he’s acting.

    “It’s the fibromyalgia,” he says when asked. “Up and down the arm. That’s where it gets so bad. Excruciating.”

    This means Morgan Freeman can’t pilot jets the way he used to, a hobby he took up at sixty-five. He can no longer sail as well. There was a time when he would sail by himself to the Caribbean and hide out for two, three weeks at a time. “It was complete isolation,” he says. “It was the best way for me to find quiet, how I found time to read.” No more. He can’t trust himself on one arm. He can’t drive, not a stick anyway, not the way he used to — which is to say fast, wide open, dedicated to what the car can do.

    And he can’t ride horses as much, though once he rode every day.
    He never mentions any of it as a loss, though how could it be anything else? He never hints around about the unfairness of it. “There is a point to changes like these. I have to move on to other things, to other conceptions of myself. I play golf. I still work. And I can be pretty happy just walking the land.”

    Wait. How can he play golf with a clipped wing like that? How can you swing a club when you can’t lift one of your arms?

    “I play one-handed,” he tells me. “I swing with my right arm.”
    How does that work out for you?
    “See for yourself,” he says. “I’m playing at 3:00 today.”

    Freeman’s revelation that he has fibromyalgia spread like wildfire through the FM community.  Finally, here was an A-list celebrity acknowledging he had been diagnosed with FM.  A handful of other celebrities have had the courage to speak up about their FM, for which we are extremely grateful, but as yet none have had the super-star power of Morgan Freeman.

    Almost immediately FM patients and advocates began calling on Freeman to speak out on behalf of others with fibromyalgia.  It’s even been rumored that a large national FM organization has approached him about being their spokesperson.  While most in the FM community seem to strongly support that idea, a few have questioned the wisdom of Freeman being an FM spokesman.

    From what I have read, those who are hesitant about Freeman representing the FM community appear to have three concerns:

    Does he really have fibromyalgia since he only mentioned pain in his left shoulder and arm?
    He is still very active and therefore would present an inaccurate picture of how debilitating FM can be.
    Since most people with FM are women, as a man he would not be representative of the majority of patients.
    Let’s take a closer look at each of these concerns.

    Does he really have fibromyalgia? – I have to admit the first time I read the article I, too, wondered whether he had been diagnosed correctly.  But when I reread it, I noticed that he said, “Up and down the arm. That’s where it gets so bad. Excruciating.”  His statement, “That’s where it gets so bad” sounds like he probably has other pain but it’s the pain in his arm that is the worst.  For many years, I could have made a similar statement about my left hip.  Although I had body-wide pain almost all the time, it was the pain in my hip that was usually the worst.

    We also have to remember that the purpose of this interview was not to discuss Freeman’s fibromyalgia.  The author simply noticed Freeman grimacing several times and asked him about it.  It’s logical that Freeman would only mention the pain he was experiencing at the time.  Or perhaps he did go into more detail but when composing the article, Chiarella chose to include only what he felt was most important.

    So is whether or not Freeman really has fibromyalgia a valid concern? Absolutely.  When we’re talking about someone being a spokesperson for a disease, it’s legitimate to want to be sure they actually have the disease.  We just shouldn’t jump to any conclusions based on one isolated statement.

    Morgan Freeman opens up his ‘struggle’ about fibromyalgia

    His activity level doesn’t paint an accurate picture of FM.–  People with FM fall into a wide range of functioning abilities.  Freeman appears to be fairly high-functioning since he continues to work and play golf.  The article did note, however, that he has had to give up several activities that he loved.  On the other hand, some people with FM are completely disabled, unable to handle even basic self-care tasks.  The rest of us fall somewhere in between.  While Freeman’s activity level should not preclude him from representing people with FM, I would hope that part of his message would be to describe just how debilitating FM can be and to explain that different patients have different levels of disability.

    As a man, he is not representative of the average FM patient.– Frankly, I think the fact that he is a man with FM is a positive thing.  Whether we like it or not, when it comes to health issues, men are still given more credibility than women.  Studies have shown that health care professionals are more likely to take a man’s symptoms seriously, but attribute a woman’s symptoms to emotional causes.  Although the acceptance of FM has come a long way in recent years, there are still some people, including some medical professionals, who don’t believe it is real.  Therefore, having a well-known and highly respected man like Morgan Freeman speak out about FM might help improve our credibility among the doubters.

    Given the repeated urgings to step up and be a spokesperson for fibromyalgia, I sometimes wonder if Freeman wishes he had never mentioned it.  He probably never dreamed uttering that one word in the middle of a multi-hour interview would ever garner so much attention.

    In our enthusiasm to have a prominent celebrity like Morgan Freeman speak out on our behalf, I think we need to keep in mind how doing so could impact his life.  Years ago celebrities did everything in their power to keep any health problems secret because revealing an illness could ruin their careers. 

    Although Hollywood seems to be a little more accepting these days, I suspect there is still some hesitation about casting an actor who has a known health issue.  And even if his career is not a major concern, Freeman strikes me as the kind of man who prefers not to dwell on his pain and what he can’t do but rather to push ahead and focus on what he can do.

    Yes, it would be wonderful if Morgan Freeman would decide to become an advocate for fibromyalgia.  The entire FM community would welcome him with open arms.  His support could do wonders for increasing awareness and raising money for research.  But ultimately it’s a personal decision – each of us has to decide what is best for our lives at any given point in time.  While I hope he’ll choose to use his celebrity to help others with FM, I’ll respect his decision either way.

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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

  • Music Therapy can Reduce Fibromyalgia Pain

    In fibromyalgia patients, music therapy can reduce pain, depression, anxiety, and improve sleep. The findings come from researchers at the University of Granada who found that music therapy combined with relaxation techniques can help improve many areas in the lives of fibromyalgia patients. With improved depression, anxiety, sleep, and reduced pain, a patient’s quality of life can greatly improve.

    Study participants were fibromyalgia patients from Spain who underwent a basal test prior to treatment, a post-basal test four weeks after the treatment, and another one eight weeks after the treatment.

    The researchers applied a relaxation technique based on guided imagery and music therapy led by a researcher. Patients were also given a CD to listen to at home. Researchers measured variables associated with the main symptoms of fibromyalgia and then the patients were given an opportunity to participate in their own treatment.

    The researchers suggest that guided imagery and music therapy is a cost-effective, easily implemented, and overall effective treatment for fibromyalgia patients. The researchers noted, “Further empirical research studies are needed to address other physiological variables associated with the well-being generated by these two techniques, and that analyzes patients’ self-efficiency and personal power to get involved in their own treatment.”

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    Manage fibromyalgia pain through music therapy

    Music therapy is an effective mode of treatment for fibromyalgia patients. It is carried out by a music therapist who assesses the patient’s needs in order to create an individualized treatment plan that can involve singing, listening, composing, and moving to music.

    Music therapy has been around for many years and isn’t just effective for fibromyalgia. In fact, music therapy can be utilized for many ailments in order to improve patients’ quality of life by helping to reduce stress, alleviate pain, and improve overall well-being.

    A patient does not need to be musically inclined in order to benefit from musical therapy and there isn’t a specific type of music that needs to be used. A music therapist works closely with the patient to understand their own unique needs and picks music based on those needs. Although working with a therapist is recommended, there is also the so-called prescriptive music that consists of 50 to 60 beats per minute. This recorded version of music therapy also has been found to help lower blood pressure and reduce pain.

    If you have been struggling with the symptoms associated with fibromyalgia and want to try an alternative mode of treatment, speak to your doctor about a referral for music therapy as it could very well offer you benefits.

    Music can be beneficial to the management of chronic pain, as it can cause physiological changes within the brain in the regions associated with language, memory, and attention. These changes also affect the way the brain processes pain, which can lead to an overall change in the way a patient experiences pain.

    Music therapy benefits in fibromyalgia treatment

    Music therapy is especially effective for those with fibromyalgia, as it is something that can be done in the comfort of their own home. Fibromyalgia patients are sometimes too fatigued or in too much pain to make the journey to a doctor’s office, meaning therapy that can take place with minimal or no travel is especially favored. It can be completed in your own time, on your own schedule, and is cost-effective, meaning that it is easily accessible for all.

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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