Myofascial Pain And Fibromyalgia

This concise, but thorough text covers both the theory and current practice of fibromyalgia and myofascial pain management. It provides practical, step-by-step descriptions of both traditional and state-of-the-art approaches to trigger point injections and nerve blocks, accompanied by clear diagrams that illustrate pain patterns, muscle anatomy, patient positioning, and more. An interdisciplinary approach draws on the knowledge and expertise of authorities in the fields of rheumatology, physiatry, orthopedic surgery, psychology, endocrinology, physical therapy, dentistry, ergonomic engineering, and anesthesiology. Diagnosis and treatment of fibromyalgia. The metabolic and endocrine causes of muscle pain. Treatment of neck and back pain and repetitive stress injuries. Alternative and complementary approaches to treating muscle pain and chronic pain. New diagnostic and injection techniques for myofascial pain, fibromyalgia, and trigger points. Nerve block therapy for myofascial pain. Diagnosis of musculoskeletal pain in children. Facial pain management. Five brand-new chapters (See the Table of Contents.) The role of physical therapy, including electrical modalities, massage techniques, manual therapy techniques, body mechanics, and ergonomics.

This book is about empowerment for chronic pain patients and care providers alike. Every chronic pain condition has a treatable myofascial trigger point component, including fibromyalgia. Many of the localized symptoms now considered as fibromyalgia are actually due to trigger points. The central sensitization of fibromyalgia amplifies symptoms that trigger points cause, and this book teaches care providers and patients how to identify and treat those causes. Chronic myofascial pain due to trigger points can be body-wide, and can cause or maintain fibromyalgia central sensitization. Trigger points can cause and/or maintain or contribute to many types of pain and dysfunction, including numbness and tingling, fibromyalgia, irritable bowel syndrome, plantar fasciitis, osteoarthritis, cognitive dysfunctions and disorientation, impotence, incontinence, loss of voice, pelvic pain, muscle weakness, menstrual pain, TMJ dysfunction, shortness of breath, and many symptoms attributed to old age or "atypical" or psychological sources. Trigger point therapy has been around for decades, but only recently have trigger points been imaged at the Mayo Clinic and National Institutes of Health. Their ubiquity and importance is only now being recognized. Devin Starlanyl is a medically trained chronic myofascial pain and fibromyalgia researcher and educator, as well as a patient with both of these conditions. She has provided chronic pain education and support to thousands of patients and care providers around the world for decades. John Sharkey is a physiologist with more than twenty-seven years of anatomy experience, and the director of a myofascial pain facility. Together they have written a comprehensive reference to trigger point treatment to help patients with fibromyalgia, myofascial pain, and many other conditions. This guide will be useful for all types of doctors, nurses, therapists, bodyworkers, and lay people, facilitating communication between care providers and patients and empowering patients who now struggle with all kinds of misunderstood and unexplained symptoms. Part 1 explains what trigger points are and how they generate symptoms, refer pain and other symptoms to other parts of the body, and create a downward spiral of dysfunction. The authors look at the interconnection between fibromyalgia and myofascial trigger points and their possible causes and symptoms; identify stressors that perpetuate trigger points such as poor posture, poor breathing habits, nutritional inadequacies, lack of sleep, and environmental and psychological factors; and provide a list of over one hundred pain symptoms and their most common corresponding trigger point sources. Part 2 describes the sites of trigger points and their referral patterns within each region of the body, and provides pain relief solutions for fibromyalgia and trigger point patients and others with debilitating symptoms. Pain treatment plans include both self-help remedies for the patient—stretching or postural exercises, self-massage techniques and prevention strategies—as well as diagnostic and treatment hints for care providers. Part 3 offers guidance for both patients and care providers in history taking, examination, and palpation skills, as well as treatment options. It offers a vision for the future that includes early assessment, adequate medical training, prevention of fibromyalgia and osteoarthritis, changes to chronic pain management and possible solutions to the health care crisis, and a healthier version of our middle age and golden years, asserting that patients have a vital role to play in the management of their own health. From the Trade Paperback edition.

A manual for understanding, treating and living with Fibromyalgia.

A guide to coping with fibromyalgia, myofascial pain, and chronic fatigue syndrome • Reveals how to deal with each disorder and how treatments can interact or aggravate if more than one disorder is present • Offers techniques to dispel the side effects created by these illnesses Fibromyalgia, chronic myofascial pain, and chronic fatigue syndrome are often seen as interchangeable conditions, a belief held even by many health care providers. Nothing could be further from the truth--however, they do often coexist. Knowing if more than one of these disorders is present is extremely important because the treatment for one of them can often exacerbate the problems caused by the others. Written by a registered nurse and a psychologist who has been treating these conditions since 1994, this book presents an integrative medical approach to these three disorders with a strong emphasis on utilizing and strengthening the mind-body connection to restore well-being. The authors provide a thorough guide to numerous treatment options--from diet, exercise, and herbs to mindfulness meditation, chi kung, and nonsteroidal anti-inflammatory drugs (NSAIDs). They also offer techniques to dispel the “brain fog” that these disorders often create and show how to overcome the resultant obstacles to effectively communicating with your doctor. The additional information included on the psychological issues that accompany these chronic pain disorders allows this integrative treatment guide to open the door not only to physical recovery but also emotional and mental well-being.

Written by one of the UK's leading consultants on pain control, this authoritative, yet easily comprehensible book, delivers a high level of understanding and practical advice to the lay reader. Highly recommended. Manage your Fibromyalgia by becoming an expert patient. There really is life after being diagnosed with fibromyalgia or myofascial pain syndrome...and yours starts here. The lack of knowledge which surrounds two of the most prevalent illnesses in the world today means that they can often go undiagnosed and untreated for years, during which time both the mental and physical condition of sufferers can deteriorate considerably. With the right care, there is much that can be done to help anyone with these conditions to improve their quality of life dramatically. The first step towards that is by doing precisely what you are doing now, educating yourself. Within the covers of this book, you will find an easy-to-read and practical guide to dealing with fibromyalgia and myofascial pain. Dr Chris Jenner takes a straightforward and down-to-earth look at what these two conditions are about; how they might affect different aspects of your life; what your options are; and how you can get on with your life.

Is chronic fatigue syndrome an early process of muscle aging? Is fibromyalgia a central pain state? This book covers the latest developments in pain research as presented at the Fifth World Congress on Myofascial Pain (MYOPAIN 2001). It examines the results of a wide scope of basic and applied research on soft-tissue pain, with a strong focus on therapeutic approaches. Its three main sections explore the neurobiology of central sensitization, regional pain syndromes, and chronic widespread pain. In addition, this well-referenced book presents a fascinating chapter on the complex relationship between muscle pain and aging. Handy graphs, charts, and illustrations make the information easy to assimilate. The Clinical Neurobiology of Fibromyalgia and Myofascial Pain: Therapeutic Implications contains up-to-date information on: the brain?s reactions to states of persistent pain the physical aftermath of torture ways to define and address the emotional distress that commonly observed in chronic pain patients the mechanisms and manifestations of muscle hyperalgesia the pathophysiology of inflammatory muscle pain regional muscle pain syndromes state-of-the-art information on the pathophysiology of visceral pain and visceral-somatic pain representations a case study of a physical therapy approach to fibromyalgia using Myofascial trigger points the epidemiology of widespread pain and its development after injuries syndromes that share overlapping clinical features with fibromyalgia the connection between HPA dysfunction, ANS dysfunction, and fibromyalgia the plasticity of excitatory synaptic transmission in the spinal dorsal horn and its role in the pathogenesis of pain hypersensitivity how the central mechanisms of pain transmission relate to pharmacological systems that are responsible for generating central sensitization states what PET and MRI show us about the role that the cerebral cortex plays in the perception and modulation of pain

Discover new findings on musculoskeletal pain from experts around the world! This comprehensive book gives you new insights into musculoskeletal disorders which are among the major sources of chronic pain and disability. Although much remains to be explored in the muscle pain domain, the results of the many studies conducted have undoubtedly led to an improvement in diagnostic tools and knowledge about pathophysiological mechanisms of the various syndromes. Muscle Pain, Myofascial Pain, and Fibromyalgia is a comprehensive update on the latest developments in musculoskeletal pain and a valuable point of reference for both patients and scientists in this field. Muscle Pain, Myofascial Pain, and Fibromyalgia: Recent Advances covers the developments in musculoskeletal pain research that were presented at the MYOPAIN '98 Congresses in Silvi Marina, Italy. This work explores the results of basic and applied research regarding soft-tissue pain, with a strong focus on skeletal muscle physiology and related clinical syndromes. Muscle Pain, Myofascial Pain, and Fibromyalgia offers you the widest possible range of topics in the context of muscle pain disorders as well as a variety of clinical and experimental approaches to the different aspects of the problem. This important and informative book also gives you a detailed account of the Consensus Meeting on Diagnostic Criteria of Myofascial Pain Syndromes, which was held at the end of the Congress. Some of the topics related to musculoskeletal pain that you will explore in Muscle Pain, Myofascial Pain, and Fibromyalgia include: neurogenic inflammation in muscle pain treating myofascial pain by reducing activity of trigger points and tender spots using specific drugs and physical therapy therapeutic approaches to muscle pain for patients with myoarthropathies neurochemical pathogenesis of fibromyalgia syndrome treatments for fibromyalgia syndrome, such as the use of amitriptyline (2-6) and cyclobenzaprine (7-11) findings on tests to identify myofascial pain syndrome and fibromyalgia differential diagnosis problems when chronic myalgia is not the main symptom because other infective ailments, such as Lyme disease or HIV, are prevalent and may cause myalgia to become a secondary diagnosis As a health care professional or someone who suffers from musculoskeletal pain, you will discover that the findings in Muscle Pain, Myofascial Pain, and Fibromyalgia are invaluable for your use and the continued clinical and basic research of this growing field.

Here in one concise volume is a complete review of localized and generalized musculoskeletal disorders. Musculoskeletal Pain, Myofascial Pain Syndrome, and the Fibromyalgia Syndrome includes the latest research findings on these disorders from medical leaders around the world. This broad-based symposium updates both researcher and clinician on the most recent advances and pioneering approaches to musculoskeletal pain, with special emphasis on the myofascial pain and fibromyalgia syndromes. Chapters represent important thinking and clinical approaches from authorities in nine countries. Myofascial pain and fibromyalgia syndromes are covered extensively by the contributors to this book. The coverage they provide on issues related to these two syndromes is multidimensional and includes epidemiology clinical features pathophysiology treatment The review chapters featured in the book span epidemiology, pathophysiology, and treatment on both myofascial pain and fibromyalgia. These report-like chapters provide brief insight of musculoskeletal pain disorders which is ideal for beginners in the field. Advanced readers will benefit from the more specific research chapters which report on fibromyalgia and myofascial pain. All readers will particularly benefit from “Consensus Document on Fibromyalgia: The Copenhagen Declaration,” a report which releases the latest definitions, research, and treatment findings for musculoskeletal disorders from the world?s leading experts. The Consensus also sets down the challenge for intensified future research. Physicians, dentists, chiropractors at all levels of practice, and expert physiotherapists will gain much insight on these disorders from this compendium of information. While dentists are probably most interested in myofascial pain, all the subjects covered are of equal interest to these medical practitioners. MORE COPYMany of the contributing authors or groups of authors have included tables, figures or illustrations, and charts to accurately and succinctly complement their research findings and presentations. A selection of only a few tables and charts reveals multidimensional topics such as these: Problems Associated With Diagnosis in Fibromyalgia Comparison of Sensitivity, Specificity, and Accuracy of the 1990 Criteria for the Classification of Fibromyalgia With Previous Criteria Sets Population Surveys of Fibromyalgia Prevalence Content Validity for Diagnostic Criteria for Masticatory Myofascial Pain Medications Tested in Controlled Therapeutic Trials in Fibromyalgia Pathobiology of Classical Diseases Versus Dynamics of Dysfunctional Syndromes Exercise and Pain Characteristics of Women With Fibromyalgia Neck Muscle Function in Cerviocobrachial Syndrome Compared to Healthy Subjects The figures are no less revealing; they highlight exciting discoveries and diagram vital discoveries which expand current understanding of musculoskeletal disorders. Here is a sample of the types of figures included: Pain Diagrams From Four Patients With Fibromyalgia Genetic Predisposition to Muscle Microtrauma Calcium Activated Muscle Damage Classification and Subsetting of Fibromyalgia Cross-Sections of a Capillary From a Tender Point of the Trapezius Muscle in a Fibromyalgia Patient General Pain on Visual Analog Scale