Is fibromyalgia now being categorised as myofascial pain?

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Is fibromyalgia now being categorised as myofascial pain?

Postby Painintheneck » Sat May 05, 2018 4:39 pm

Has anyone come across fibromyalgia being specifically referred to as a form of myofascial pain? I ask this because, having recently read: Manage Your Pain (by Nicholas, Molloy, Tonkin, Beeston – published by Souvenir Press – 2017 edition), I noticed that in chapter three’s section on muscle, the authors explain that myofascial pain may be caused by taught [sic] bands within muscle and when these “taught bands” are widespread, it may then be classified as fibromyalgia by some doctors.

This would seem to me to be diagnostic by implication. Surely if these [taut] bands are in evidence and can be seen as such (by investigatory means – X-ray, ultrasound, CT, MRI or biopsy), then that would go a long way to defining categorically whether a person has fibromyalgia or even just localised myofascial pain (if only a small area were involved)…? And if the bands cannot be seen by investigatory means, how are they known to exist?

From all the information I have read, the two conditions are similar but not considered to be one and the same; though both can be found in the same person.
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Re: Is fibromyalgia now being categorised as myofascial pain

Postby *Lisa* » Thu Sep 06, 2018 10:38 am

Myofascial pain is an illness to itself although you’ll find many doctors will put it under the same umbrella as fibro.

I have all of the trigger points of myofascial pain syndrome but have never had the label of it. In fact my preference of physiotherapy is trigger point.

I was also told in the beginning of my fibro diagnoses that I had very few tender points but riddled with trigger points. Hence I was probably leaning more to the myofascial but many years on and the tender points are every where also.

TBH I very much doubt there is much between them I cannot myself work out any difference. You poke any fibro along the trigger points and watch them jump!

You press on a trigger point and will feel radiating pain where as tender point are on that spot. It’s a masters work in the beginning to find where the bagger of a trigger point is which is causing the pain for example...

Migraines can be cause by a trigger point in the neck, once the point is worked on you’ll get relief from the migraine. When a trigger point on my chest is pressed I feel nerve pain run down my arms to tips of fingers. My physio says I’m wired up wrong :crazy: so with myofascial pain, the pain isn’t necessarily where you think it’s coming from!
As a Public Moderator & Admin of this forum my opinions/views expressed are personal and are no more valid than those of other members and not necessarily those of UKFibromyalgia...Lisa
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Re: Is fibromyalgia now being categorised as myofascial pain

Postby Painintheneck » Thu Sep 06, 2018 2:53 pm

Lisa, your reply gives some idea of the confusion surrounding this subject. Trigger Points, Tender Points… sound too similar to draw a clear distinction. Then add into this muddle symptoms of myosfascial conditions – which were/are for a distinctly separate matter (there being some medically-accepted ‘real illnesses’ in this context) – and it’s no wonder sufferers are not only bewildered but left high and dry when it comes to medical intervention.

There’s no consensus of medical opinion beyond treating FM (and all those other ‘non-illnesses’) as having its fundamental cause in the mind (we’re back to neuroticism!!!) and consequently no integrated testing for it (hence my picking up on the implications of that reference to taut bands).

Just to add to this confusion cloud, surely the trigger/tender points so often referred to in this context are the very same points that play such an important part in the alternative therapy of shiatzu/accupressure…? Everyone has them, don’t they?

In another of my posts ‘Fibromyalgia – Ancient & Modern’, the description of ‘Fibrosistis’ and it’s symptoms is far more concise and meaningful than anything that’s been written since, and that was eighty-odd years ago.
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Re: Is fibromyalgia now being categorised as myofascial pain

Postby perseus » Fri Sep 07, 2018 8:38 am

Myofascial pain syndrome is supposed to be multiple areas of tight muscle fibres or trigger points, so the focus is on the muscle. Fibromyalgia is believed to be caused by the brain becoming more sensitive to pain signals over time, so the problem seems to be located in the central nervous system. Myofascial pain syndrome may play a role in starting this process, and develop into full blown fibromyalgia in some people.
As a Public Moderator of this forum my opinions/views expressed are personal and are no more valid than those of other members and not necessarily those of UKFibromyalgia. Regards Stephen
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