Fibromyalgia and Plantar fasciitis.

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Fibromyalgia and Plantar fasciitis.

Postby perseus » Thu May 30, 2013 4:48 pm

Does anyone know of a direct link between these conditions? This paper appears to be quite interesting.

Fascia: A missing link in our understanding of the pathology of fibromyalgia.

No definite evidence of muscle pathology in fibromyalgia has been found. However, there is some evidence for dysfunction of the intramuscular connective tissue, or fascia, in fibromyalgia. This paper proposes that inflammation of the fascia is the source of peripheral nociceptive input that leads to central sensitization in fibromyalgia. The fascial dysfunction is proposed to be due to inadequate growth hormone production and HPA axis dysfunction in fibromyalgia.

Fascia is richly innervated, and the major cell of the fascia, the fibroblast, has been shown to secrete pro-inflammatory cytokines, particularly IL-6, in response to strain. Recent biopsy studies using immuno-histochemical staining techniques have found increased levels of collagen and inflammatory mediators in the connective tissue surrounding the muscle cells in fibromyalgia patients.

The inflammation of the fascia is similar to that described in conditions such as plantar fasciitis

......Growth hormone is primarily secreted during deep sleep and after exercise, and is responsible for regulating the
healing and maintenance of tissues. More than 90% of fibromyalgia patientshave inadequate growth hormone response to exercise
(Paiva et al., 2002) and one third have significantly low circulating IGF-1 levels (Bennett et al., 1992). Human growth hormone replacement in FM patients resulted in significant improvement of symptoms and reduction in tender points in one study (Bennett et al., 1998).

Hyperactivity of the stress response has also been described in fibromyalgia, with dysfunction of both hypothalamic e pituitary e adrenal axis and of the autonomic nervous system. Hyperactivity of the HPA axis can also cause a blunted growth hormone response

http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CDwQFjAB&url=http%3A%2F%2Fwww.mfcupping.com%2FPDF%2Ffibro_fascia.pdf&ei=WHSnUbigM86p0AWhpYGwAQ&usg=AFQjCNGOO8pKu9UZzXqr3PevQReoAX7YVA&sig2=CdoCjgLKoOajHVQ5rAEmcw
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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Re: Fibromyalgia and Plantar fasciitis.

Postby Graygirl » Thu May 30, 2013 5:50 pm

I see a physiotherapist occasionally, and she once described my fascia as being 'in chaos'. I have recently been diagnosed with Plantar Fasciitis in one foot, and had a steroid injection, and now it's starting in the other foot too. :(
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Re: Fibromyalgia and Plantar fasciitis.

Postby Picklepudding » Thu May 30, 2013 6:19 pm

I have plantar fasciitis. Hideously painful condition :o(
Crohn's, IBS, plantar fasciitis, psoriasis, Vitamin D deficiency, minimal osteoarthritis, possible Hughes Antiphospholipid Syndrome and fibromyalgia...I'm a walking medical encyclopaedia!
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Re: Fibromyalgia and Plantar fasciitis.

Postby denys » Thu May 30, 2013 8:14 pm

have had it in the past, but responded well to the steroid injection and :fingerscrossed: :fingerscrossed: it will never come back
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Fibromyalgia and Plantar fasciitis.

Postby toplessbug » Thu May 30, 2013 10:33 pm

I've had that for years to even before fibro.


Sent from my iPhone using the force :-)
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Re: Fibromyalgia and Plantar fasciitis.

Postby perseus » Fri May 31, 2013 4:40 pm

denys wrote:have had it in the past, but responded well to the steroid injection and :fingerscrossed: :fingerscrossed: it will never come back


denys, was that before you have fibro?

I am worried any conventional treatment may be ineffective for fibro patients.
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Re: Fibromyalgia and Plantar fasciitis.

Postby LuluAnne » Sat Jun 01, 2013 11:44 pm

I had this for a few years and had to wear a special night splint and inserts in my shoes. It seems to be OK now so I have no idea if it's 'cured' or just laying in wait to come back as a manifestation of too much stress.
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Re: Fibromyalgia and Plantar fasciitis.

Postby moomoos » Sun Jun 02, 2013 10:52 am

I think I have this too in both feet. I am seeing a physiotherapist now and he has assessed my lower body and then my upper body, and this next session will include my feet, so might find out this coming week.

I never had this before my FM became really bad
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Re: Fibromyalgia and Plantar fasciitis.

Postby pattygee » Sun Jun 02, 2013 2:45 pm

I suspect that I might have this as well. A close friend had it, so I know the symptoms.
She was helped by physio and shoe orthotics. I must ask her if it's cured/better as she hasn't mentioned it for a while.
We had a recent holiday to Stratford upon Avon and my left heel was excruciatingly painful - my walking isn't great anyway, but this was something else! :scream-1:

I was wearing sandals that have a padded insole but even that wasn't enough. In the end I went to Boots and got a pair of insoles which I cut to size and put inside my sandals. Although they didn't cure the problem, they made it a bit easier to walk.

Apart from FMS I have Rheumatoid Arthritis which has damaged and deformed my feet.
My GP had me see the podiatrist and the local hospital and she diagnosed major problems with my feet (this was before the heel pain).
My left big toe, in particular, is out of alignment. So I have been sent to the orthotics dept and they are hand-making a pair of shoes for me. It's a complicated process - the measuring alone took about 30 minutes. I will have to go back for a 'first fitting' when they are made. They will then tweak it till it's right - and send it away for finishing. When I pick the finished article up, I will be assessed again for fit and comfort. Then once I've been wearing them for a little while, I will go back and be assessed again. When they are sure that they have got everything correct, they will make a second pair for me, to the same 'prescription'.

I was amazed and impressed by the process. I'm hoping that it will help with the heel problem, too.

Has anyone else had any experience of this process? Did it help your feet?
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Re: Fibromyalgia and Plantar fasciitis.

Postby perseus » Sun Jun 02, 2013 6:03 pm

I went to the NHS hospital podiatrist for an insole to relieve stress on a bursitis near the ball of the foot. The insole stuck up so much it was unusable, I went back and they cut it down, but it was still painful with all the pressure at one point. So I adjusted it myself by cutting the bulge out altogether, and placing a hole were the bursitis was. That seemed to work reasonably well for 5 years or so until I got this. I don't want to see them again. My GP wants to send me to see a local foot specialist this time, but he has not got back to me yet. I wish we could see people who had some knowledge of Fibromyalgia and the latest research in the weakness and specialised inflammation of the fascia before playing around.

There seems to be be so many fibos with this condition it's almost a diagnostic criteria. Is there anyone who walks a few miles a day, and had Fibro for more than ten years, who hasn't developed it?
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Re: Fibromyalgia and Plantar fasciitis.

Postby *Lisa* » Mon Jun 03, 2013 10:23 am

Im not sure many fibros can walk 2miles a day but to help the question in hand...

I would imagine that pottering around daily whether it be walking around in the home/office/work/shopping may clock up to this by the end of the day. Just a thought :-)
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Re: Fibromyalgia and Plantar fasciitis.

Postby perseus » Mon Jun 03, 2013 8:39 pm

I'm not used to being immobile, it will drive me crazy. Need to walk to relieve stress and get away from noise. A driver pulled up beside me yesterday seeing me limping along, asking if I wanted a lift.

I tried new shoes on today but came back in pain. Ironically it's my Bursitis which is hurting more now, due to me placing more weight on the front of the foot.
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Re: Fibromyalgia and Plantar fasciitis.

Postby JemmaB88 » Wed Jun 26, 2013 2:55 pm

I was diagnosed with plantar fasciitis 18 months before the fibro diagnosis, so about 3 and a half years ago now. It comes and goes in waves. I go through a few months of agony then it will fade away for a while. Currently it is very bad.

When it is really bad, no amount of pain relief works. I always have the heel riser things in my shoes. I have tried orthotics which didn't help. On bad days when I have to go to work, I have to strap it with elastoplast tape which occasionally gives some relief. The 2 main problems with it are sleep interruptions and the big one, gait issues. I walk like I am on a ship! I wobble. I is making my whole leg hurt.

I am not sure whether to go to the Dr about it or not. I don't really want to have cortisone injections if I can help it. I feel like I am always at the Dr's. Can anyone else think of any other home remedies other than strapping, rolling over a golf ball and shoe inserts? I get a similar pain in both hands. Not sure if it is the same thing. Whatever it is, I am getting a little sick of it!

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Re: Fibromyalgia and Plantar fasciitis.

Postby Woollydog » Thu Jun 27, 2013 9:41 am

I've had this for years, along with achilles tendonitis. I've had the specially made insoles from the podiatrist and they seemed better for a bit, but then the heel pain got worse. After years of trying different things, I now wear only two types of shoe - Crocs Classic clogs and Brasher walking shoes with a 'Cush n Step' insole instead of the Brasher one. Anything else is agony, and I still can't stand for long.

My two wearable shoes are a bit of a nightmare when invited to weddings etc! :yikes:
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Re: Fibromyalgia and Plantar fasciitis.

Postby kitten » Thu Jun 27, 2013 7:11 pm

I had this about 10 years ago i went over on my foot twisted on the inside but it was on the outside that was painful , to get up in the morning was dreadful had to hold on to the dressing table's to get to the door, had numerous exercises for it it did eventually go after many months ,but slowly I can feel it being to start up again along with the tightness of the achilles tendonitis

Bit like you woolly dog ,at my sons wedding I had two pair of shoes one for the wedding, as soon as the ceremony and pic were out of the way so was the shoes ,what a relief to get the kitten heels on needles to say the frist pair was put back in the box never to be worn again :(
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