Fibromyalgia Fact or Fic on i ITandB

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ibromyalgia syndrome FMS and debate over some disorders to the cause and treatment of the. is a widespread muscu which cannot be universally disorder while a third group of. loskeletal pain and fatigue proven even though the symptoms researchers and medical practi. disorder for which the cause is are undeniable tioners reject the existence of. still unknown Ongoing investiga In recent years many common fibromyalgia altogether 1. tions continue as medical and diseases have been named and Simply put one camp believes. manual therapy offices are flooded treatments discovered This applies that FMS is a mental health issue. with increasing numbers of to mental health as well as physio without a biological origin. reported fibromyalgia cases but logical disorders Today s society Whereas the other camp is firmly. like the oft quoted analogy of the seems to be more open now than convinced that it is a physiological. blind man and the elephant we ever before to the possibility that disorder even though researchers. currently know more about the,components of FMS than we. know about the beast as a Today s society seems to be more. whole Now that rheumatologists, have granted legitimacy by label open now than ever before to the. ing and classifying this vague and, controversial syndrome current possibility that there exists mental. beliefs regarding possible origins, must be discussed and physical dysfunctions not yet. Fibromyalgia primarily manifests, as pain in muscles ligaments and recognizable through medical.
tendons the fibrous tissues in, the body FMS was originally testing but real just the same. termed fibrositis implying the,presence of muscle inflammation. but contemporary research proved there exists mental and physical have yet to identify definitive diag. that inflammation did not exist dysfunctions not yet recognizable nostic criteria While each side. Some in the complementary med through medical testing but real squabbles over the fibromyalgia. ical community believe that just the same conundrum thousands of. fibromyalgia should be a primary Part of this acceptance comes Americans each year suffer diverse. consideration in any client patient from mankind s history of disease and sometimes disabling symptoms. presenting with musculoskeletal discoveries It was not so long ago with little help coming from the. pain that is unrelated to a clearly that people with epilepsy were medical and insurance industry. defined anatomic lesion believed to be possessed by the Meantime the debate as to the. Conversely many researchers ques devil Today it is an accepted dis true reality of the disorder carries. tion the very existence of the syn order with known biological caus on as scientific evidence continues. drome since fibromyalgia sufferers es and medical treatment options to accumulate in favor of the. typically test normal on laboratory The historical fact that symptoms physiological aspect of fibromyal. and radiologic exams dysfunctions and diseases often gia Currently traditional and. For more than a century medical appear long before researchers are complementary medicine success. science has continued to move for able to devise reliable diagnostic rates in treating the disorder. ward in its ability to recognize cat testing procedures to identify and points to the fact that it is prima. egorize and name painful patient treat the malady makes it appear rily a physiological condition with. disorders Technological advances unreasonable that the existence of biological origins. have made it much easier for med the condition would be doubted or In the face of the debate as to the. ical doctors to rule out specific mal debated but this is the case origin of disorder the American. adies from a variety of symptoms with fibromyalgia College of Rheumatology comprised. presented in the clinical setting a list of criteria for the purpose of. Additionally modern testing meth Psychosomatic or classifying fibromyalgia The list. ods have allowed researchers to Physiologic includes classic symptoms such as. become more confident in their ibromyalgia has come under having a history of widespread pain. ability to determine what is and,what is not a disorder or disease. F fire in many circles including,medical psychological and manu. for more than three previous,months The college went on to.
However this newfound confi al therapy There are two camps define a series of 18 checkpoints. dence has created controversy firmly divided on their beliefs as tender points for the pain sites. F E B R U A RY M A R C H 2 0 0 6 M A S S A G E B O DY WO R K 61. fibromyalgia,See Figure 1 A client is required to,have pain in 11 or more of the 18. sites to be considered a true case of,fibromyalgia 2 Since the symptoms. are relatively simple to recognize,why the continued debate Part of. the trouble lies in the fact that the,symptoms are sometimes vague and. reminiscent of other musculoskeletal,complaints,Confusing Symptoms.
rom the massage therapist s office,F to the traditional medical facility. clients patients are presenting in,increasing numbers with a variety of. unexplained symptoms However,there are definitely some shared. symptom commonalities such as pre,dictable tender points extreme. fatigue poor sleeping patterns and,whole body pain upon awakening.
Regrettably musculoskeletal pain,research generally lags behind well. funded scientific projects with possi,bilities for more lucrative outcomes. It often takes years to definitively Figure 1 American College of. confirm and classify conditions Rheumatology s tender point list for. with vague widespread classifying fibromyalgia Clients. symptoms like fibromyal are required to have pain in 11. gia This confusing dis or more of the 18 sites to be. order continues to be considered a true,poorly understood fibromyalgic case Adapted. and clients often from John W Karapelou with,permission 2000. suffer for several,years before a,medical diagno weather changes.
sis is made overexertion and,Figure 2 illus stress Many clients. trates an inter report symptomatic,esting biological pain reduction with. explanation hot baths heating,detailing the pads and warm. downward degener weather,ative spiral seen in Fatigue and lethargy. many fibromyalgia are also on the following list,clients of symptoms see page 64 for.
Fibromyalgic symptoms the disorder Clients commonly. have been described as steady complain of feeling extremely. radiating burning and spread fatigued and unable to muster the. Figure 2 Biological cellular breakdown, ing over large areas of the body diagram details the downward degenerative energy to do the things that they. The pain often involves the spiral seen in many fibromyalgia clients need to get done This can entail a. neck shoulders back and lack of energy for cleaning house. pelvic girdle Clients report that getting to work performing at. pain seems to emanate specifically from muscles ten work participating in social outings etc Poor sleeping. dons ligaments bursa and joints Most identify pain as patterns are another classic symptom of the disorder. their cardinal symptom Fibromyalgia pain appears to Many report that they wake several times each night and. worsen with cold temperatures increased humidity often have a difficult time returning to sleep 3. 62 M A S S A G E B O DY WO R K F E B R U A RY M A R C H 2 0 0 6. fibromyalgia, Irritable bowel syndrome IBS Contrary to popular belief many. is another commonality that in the medical field do not believe. fibromyalgia clients tend to share MPS symptoms arise from taught. It is interesting that IBS is an myofascial trigger point bands but. accepted medical disease even instead from peripheral nerve pain. though there is no concrete medical at motor end plates 4 Much of the. proof of its origin or existence Yet neurological literature today does. IBS is widely accepted by the field not include the trigger point taut. of medicine while fibromyalgia is band theory as a recognized. still under scrutiny The reduced anatomical cause of entrapment. ability to concentrate as well as fre neuropathy Since the connective. quent bouts of depression also tops tissues of human peripheral nerves. the fibromyalgia symptom list are well innervated some. researchers believe peripheral nerve, Physical Examination pain aching tingling and numb. areful examination reveals ing best describes the symptoms. C areas of pain on palpation but,without the classic inflammatory. occurring in many myofascial pain,syndrome cases MPS is said to.
signs of redness swelling and heat result from hyperexcited chemore. in the joints and soft tissues Skill ceptors activated by inflamed dis. in palpating tender points is critical organized nerve ending bundles. Figure 3 Therapist palpates suboc, to establishing a correct assessment cipital tender points with client sitting. Regardless of the outcome of the, for fibromyalgia Physical findings and standing to determine if pain is myofascial pain syndrome debate. encountered during soft tissue pal reduced while sitting Pain reduction the disorder still should be easy to. pation include tender points in seated position indicates possible identify during the evaluation. increased resting muscle tension pelvic imbalances initiating the process since the client s pain will. and tissue texture changes in the myofascial neurologic pain syndrome be limited to a particular region. skin and subcutaneous fascia Fibromyalgia tender points should over time often eliciting a referral. When assessing the possibilities remain unchanged in both the stand pattern when digital pressure is. ing and sitting positions, of fibromyalgia it is important that applied Although location does lit. other potential conditions be ruled tle to distinguish between MPS and. out as well The symptoms may pain tends to shift over time the fibromyalgic tender points since. mimic dysfunctions such as first step in assessing true they often occur in similar body. myofascial pain syndrome periph fibromyalgia is to determine if simi areas specific hands on assess. eral neurogenic pain medicinal tox lar functional structural disorders ments help to clearly differentiate. icity and some types of arthritis are at play between myofascial pain and. Therefore when presented with the fibromyalgia See Figure 3. possibility of a true fibromyalgia Myofascial Pain or. case detailed assessment and histo Fibromyalgia The Psychologic Debate. ry intake are of utmost importance yofascial pain syndrome Goes On. Since the most significant area of M MPS emanating from. hyperirritable trigger points is A s is the case with many disor. ders fibromyalgia is attracted, often confused with fibromyalgia to one gender more than another. Commonly Associated To complicate the situation MPS This agonizing condition is more. may occur in clients suffering pervasive in women with the most. Symptoms of Fibromyalgia, with fibromyalgia However a common onset between 25 and 50.
Chronic headaches, carefully conducted history intake years of age Estimates of preva. Cognitive or memory impairment, and physical examination usually lence are 3 4 percent for women. Dizziness or light headedness, helps the therapist determine if and 0 5 percent for men 5 It is esti. the client is presenting with mated that 20 percent of the female. Irritable bowel syndrome, fibromyalgic symptoms MPS or population will end up in a. both While fibromyalgia pain is rheumatologists office. Muscle pain or morning stiffness, widespread with changing areas of Women suffering fibromyalgia.
Painful menstruation, emphasis myofascial tender often report high levels of stress in. Skin and chemical sensitivities, points are typically restricted to their daily lives which also con. Sleep disorders, one spot though the point may tributes to the idea that it may have. refer pain to other areas roots as a mental health disorder. 64 M A S S A G E B O DY WO R K F E B R U A RY M A R C H 2 0 0 6. and not completely physiological in It is because of the lack. nature Because the brain s emo of a generally accepted. tional center limbic system is the physiologically based. highest cortical level regulating explanation that it is. muscle tone any alteration in lim often suggested to be a. bic function may precipitate mental rather than a,myofascial pain patterns physical disorder. Psychologic disorders have been Fibromyalgic symp, and continue to be researched to toms could also be.
determine if a relationship exists caused by mental mal. with fibromyalgia The disorders functioning according. Figure 4 The vertebral artery is vulnerable, of depression somatization panic to those who do not during head on neck extension and rotational. and obsessive compulsive behavior believe it has a physio movements as it is compressed against the. have been seen in some fibromyal logical basis Over half of posterior arch of the atlas Poor occipitoatlantal. gia clients Depression occurs in those diagnosed with the and atlantoaxial alignment from forward head. about 20 percent of clients and condition have a past postures and stomach sleeping compromises. may be the result of having to live history of other ail blood flow to posterior and mid cranial regions. with chronic pain ments which also have Adapted from Blaussen Medical with permission 2002. By Erik Dalton ti FEBRUARY MARCH 2006 MASSAGE amp BODYWORK61 F ibromyalgia syndrome FMS is a widespread muscu loskeletal pain and fatigue disorder for which the cause is still unknown Ongoing investiga tions continue as medical and manual therapy offices are flooded with increasing numbers of reported fibromyalgia cases but like the oft quoted analogy of the blind man and the elephant

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