What are the Fibromyalgia Pain Points?

The main symptom of fibromyalgia pain points starts one place, and over time may spread throughout the locomotive body. Typically, muscle pain spreads, which in turn causes more intense pain and the patient’s unconscious reaction of defense against pain leads to further muscle tension in surrounding areas, creating a vicious cycle. Initially disease affects the spine, and usually the loin and neck. From there, the pain spreads to: the nape of the neck, shoulders, elbows and hands, around the hips, knees and ankles. They can also affect the jaw and chest, some fingers and toes.

Fibromyalgia pain points are worse after long periods of rest, especially after lengthy sitting, or as a result of the cold and damp. Medical examination found varying degrees of tension and irritation of the tendon conditions. These points are called tender touch points or tender points which exhibit increased sensitivity to pressure.

Below are listed the places of pain:
  • The back in the upper parts, especially trailer occipital muscles, cervical spine lateral muscle and trapezius muscle
  • The lower part of the spine, especially at the place of connection to the trunk muscles, pelvic crest and the transition of the lumbar spine in the sacrum
  • The shoulders, elbows, thumbs and some clouds in the fingers
  • The legs – the large condyle of the femur, the outer side of the hip, on both sides of the knee and the hock area.
  • Other symptoms of fibromyalgia pain points include: cold hands and feet, circulatory problems when standing up quickly, "dumplings" in the throat, headaches, blurred vision and hearing, the symptoms of depression, apathy, withdrawal from life, fear.
Diagnosing fibromyalgia

A complete picture of the disease [2] develops over a long period of time, gradually increasing its range and the disease becomes chronic.

Fibromyalgia is diagnosed on the basis of an interview and test results after ruling out other possibilities. Until recently, there were no specialist books on the subject of Fibromyalgia.

In addition to the tender points, American textbooks write about trigger points. These are nodular, sometimes a tight band of multiple muscles (myogelosis) - such as the neck, above the buttocks, which are painful in response to pressure. Often in these patients a curvature of the spine can be observed. There may be limited mobility of the joints, but sometimes this is not the case.

The results of the laboratory tests that may indicate the existence of fibromyalgia:
  • Inflammatory indicators tend to be the norm
  • No increase in the rheumatoid factor
  • The number of nuclear antibodies are normal
  • The level of hormones are normal
  • The level of serotonin is sometimes lower
Patients suffering from this disorder have a lower level of neurotransmitters, which enhances the sensation of pain, and at the same time distorts its tolerance. For example, low levels of serotonin leads to anxiety, depression, pain, sleep problems and smooth muscle dysfunction. Other hormones and neurotransmitters, which were also tested and have a low concentration include cortisol, thyroid stimulating hormone (TRH), growth hormone, dopamine, epinephrine and norepinephrine.
Sensitivity to pain

One of the neurotransmitters in the cerebrospinal fluid, referred to as substance P is increased three-fold. It is responsible for the transmission of pain. This explains the increase in pain in patients and is likely to increase the production of cytokines, if there is inflammation. In fibromyalgia pain points, it is considered that the process of pain is defective or deregulated, thus sensitivity to painful stimuli is increased. Even a small stimulation can cause pain.


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