Fibromyalgia and Trigger Point Injections

When I was attending the pain clinic, I spoke to the pain specialist doctor who recommended trigger point injections to help ease pain in specific areas. If you have not heard of trigger point injections – the injections often contain lidocaine and corticosteroids. The lidocaine helps block pain receptors in the muscles and the steroids helps reduce inflammation in the muscle and connective tissues surrounding the nerves. The injection is inserted into a muscle knot found in the trigger point injection sites. A muscle knot is tense muscle fibers – which prevents the muscle from relaxing. The knots cause the affected muscles to remain tense even when the muscle is at rest. The following picture shows several trigger point injection sites.

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While I was attending the pain clinic a nurse practitioner had evaluated me to see if I qualified for trigger point injections. A quick physical exam on my upper back revealed several knots in my neck and upper back had formed. Fibromyalgia pain seems to attack these knotted muscles twice as hard ( in my case). The pain in these areas are always steady and worse when I am in a flare.

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Trigger point injections are supposed to be a safe treatment option ( pain relief) for those with fibromyalgia. Fibromyalgia causes tense muscles and knots can form. The injections can help relax the muscles and allow your muscles to work properly. The relaxed muscles decreases tension thus reducing nerve pain. The trigger point injections may be more painful because fibromyalgia can make you extra sensitive to pain. I was always encouraged to try trigger point injections, but due to the fact it contains corticosteroids – I was unable to even consider it after researching the procedure further. I do know several people who do get the injections done for fibromyalgia pain. What they have all stated is the injection does relieve pain but does not last long enough before they can get another round.

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I decided to opt out of trigger point injections for several reasons. One of my main reasons was due to the fact that the pain specialist doctor could not seem to provide me any information about the trigger point injection procedure. When I asked how the injection provided relief, I got told ” We don’t actually know! It just does.” The doctor did not even want to provide me with information of what was in the injection itself. These are need to know information before I allow any procedure to be done. I was also not given any time to think about it or have my questions clarified. The doctor wanted to just begin injections five minutes into what I thought was just a consultation appointment.

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I am glad I choose to decline the trigger point injections. I later found out the injection contains lidocaine and a corticosteroid. My body is sensitive to many corticosteroids – leaving me feeling like I have bugs crawling under my skin. Corticosteroids have been marked on my medical file for years – not to be administered to me due to possible allergy/sensitivity. I am someone who can’t even use prednisone. I was shocked that this doctor did not review my file to be sure it was safe to administer trigger point injections before hand.

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When I researched trigger point injections I also found many sites that state these injections can have a possible side effect of damaging the muscles and nerves. However, I do not know the prevalence of possible damage caused by these injections. If you consider using this treatment route – I would speak to your doctor about this concern. The muscle damage is called myonecrosis – which appears to be treatable.

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Read more information about trigger point injections at the following websites:

1. https://www.onehealthcare.co.uk/treatments/trigger-point-injections/#:~:text=A%20more%20serious%20side%20effect,if%20symptoms%20continue%20beyond%20this.

2. https://www.thefibroclinic.com/trigger-point-injections-patient-questions-answered-part-ii/

3. https://www.medicalnewstoday.com/articles/327384

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Progressive muscle relaxation and fibromyalgia

Progressive muscle relaxation is a technique used to help decrease muscles tension. It focuses on one part of your body at a time with a goal of relaxing that part. Believe it or not this technique focuses on slowly tensing and releasing each muscle group at a time. You might be discouraged as soon as you read tensing up your muscles, but the technique states to stop tensing before you feel pain!

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I actually read about this technique in a book I have in regards to PTSD. I decided to research more about progressive muscle relaxation and came across articles stating this technique may be used to help fibromyalgia. There are also many other benefits to using this technique – it helps reduce anxiety, stress, lowers blood pressure, helps migraines, improves sleep issues and lowers pain levels. These are just a few benefits to using progressive relaxation techniques!

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A 2022 study (small study) put progressive muscle relaxation to the test to see how people with fibromyalgia were effected. Thirty seven people with fibromyalgia were randomly selected along with a control group of people without fibromyalgia. The group with fibromyalgia took part in progressive muscle relaxation twice a week for eight weeks. The results of the study showed pain and fatigue among the fibromyalgia group significantly decreased. Perceived stress, blood pressure and pulse rate also decreased.

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Conclusion.

According to the study progressive muscle relaxation is a feasible treatment route to help improve pain, fatigue, and stress symptoms in people with fibromyalgia. Of course this is just a small study completed, I feel a wider study should be completed to verify the findings. To read the study visit here.

Here is a basic progressive relaxation sequence.

Taken from the book “The PTSD Workbook” third edition
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Taken from the book “The PTSD Workbook” third edition
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There are many other examples online if you look up progressive relaxation techniques. The above sequence is just one example. I have not personally tried this technique, but I think I will trial it for a few weeks to see how my body reacts.

For more information on progressive muscle relaxation visit the following websites.

1. https://www.healthline.com/health/progressive-muscle-relaxation#about-pmr

2. https://www.anxietycanada.com/articles/how-to-do-progressive-muscle-relaxation/

Do doctors know how to diagnose fibromyalgia properly? Do they know the fibromyalgia diagnostic criteria?

As we know, fibromyalgia is a difficult condition to diagnose. With no specific test to help diagnose fibromyalgia it can become complicated and time consuming for the doctor. There is specific criteria that must be met to be diagnosed with fibromyalgia and also ruling out many other conditions. However are doctors familiar with the diagnosis criteria?! Over the years, the diagnosis criteria has changed and altered.

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An article I read explained that a doctor and his colleagues distributed a 37 item questionnaire which tested physician’s knowledge on the 1990 fibromyalgia criteria and the 2010 diagnostic criteria. I was rather shocked at the findings.

Overall, 12% of the respondents used only the 1990 criteria in their practice, 27% used the 2010 criteria, 12% used both, and 49% used no criteria. Therefore, only 51% of respondents adhered to these sets of criteria in diagnosing fibromyalgia.

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The results did show that specialists were more familiar with the diagnostic criteria, but did not have in depth knowledge. Even doctors who had the “most specialist training” only showed having 55.4% knowledge on the 1990 fibromyalgia diagnostic criteria and 72.4% on the 2010 diagnostic criteria. I believe the latest fibromyalgia diagnostic criteria was updated in 2016. It makes me wonder if doctors even know of the update as this article only lists the 1990/2010 diagnostic criteria.

For more information visit here.

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In addition (my personal thoughts)….

Many doctors are reluctant to begin testing early for fibromyalgia ( ruling out other conditions). In order to be diagnosed with fibromyalgia, symptoms must be present at a similar level for at least three consecutive months. Do doctors wait to see if symptoms last that long before beginning to rule out other conditions? My doctor began ruling out other conditions as soon as he suspected fibromyalgia. The waiting game is one of the hardest parts of fibromyalgia. We wait to see doctors or specialists, we wait for specific tests to be completed – then we wait some more for the results and repeat this process for months to come ( in some cases years).

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I won’t mention all the tests doctors may decide to run, but it is very time consuming. My doctor ruled out many other conditions then had a rheumatologist verify his fibromyalgia diagnosis. The rheumatologist agreed 100% on the diagnosis stating I meet all the diagnosis criteria listed.

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Another difficult aspect about a doctor evaluating fibromyalgia is that it is also diagnosed by self reporting. Doctors are often left trying to decipher if the patient is telling the truth to the many questions asked during the assessment. I understand their side of it as well – some people do try to play the system and fake fibromyalgia as there is not a test to diagnose. Sadly, those of us who are being honest and truthful when self reporting our symptoms often feel the backlash of not being believed.

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Doctors and other healthcare providers should be informed about diagnostic changes to the fibromyalgia criteria. If they are informed and educated about fibromyalgia more – it would save a lot of frustration all around. The first question I ask doctors is what they know about fibromyalgia and if they believe in the diagnosis. If they can’t answer these questions I know the frustration will soon set in on both sides.

Fibromyalgia – Are opioid medications used to treat fibromyalgia pain?

If you are one who suffers from chronic pain you know too well the debilitating deep down pains we are having to live with. We often make several trips back and forth to the doctor for a prescription to help alleviate even a small fraction of the pain. Often times the use of opioids to help with pain is asked. Most doctors will not prescribe opioids for fibromyalgia pain. Why are opioids not recommended for the treatment of fibromyalgia?

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My doctor actually did have me on an opioid in combination with a medication for nerve pain, however I stopped taking it as I noticed no change to my pain levels while using it. I had a pain specialist explain to me that opioids don’t usually work for fibromyalgia pain when I mentioned I found no change of pain levels while in use. I started to do my own research and soon enough realized opioids are not the best choice for chronic pain management – at least when it comes down to fibromyalgia pain.

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What many of us don’t understand is opioid drugs are made to be used short term. We all know fibromyalgia is not a short term kind of condition. With many medications our body adjusts and begins to build up a tolerance level to the prescribed dose. Once that tolerance level is hit, higher doses are needed for the same effect to take place. Prolonged use of opioid use is associated with significant risk of addiction. Opioids are very addictive medications. The higher the dose, the higher the chance of addiction. I think this is a concern of many doctors – so they try everything possible before prescribing an opioid medication.

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A 2007 study revealed that people with fibromyalgia were found to have reduced binding ability of a receptor in the brain that is the target for opioid painkiller drugs. To simplify the findings – when these medications cannot bind to the receptors in the brain and spinal cord like they should, they cannot alleviate a person’s pain. If this is true, it could be why many people find opioids unsuccessful to treat fibromyalgia. You can read about the study here.

“These findings could explain why opioids are anecdotally thought to be ineffective in people with fibromyalgia,”

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Furthermore, frequent use and using opioids for too long are known to increase pain levels. You are probably thinking how can a medication increase pain when it is being used to decrease pain? This is known as opioid induced hyperalgesia. Read more information on OIH here.

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Sometimes opioids are prescribed for fibromyalgia. Depends on the doctor and circumstances. For myself, I stay away from them as the majority of research findings and reports state opioids are often unsuccessful in treatment for fibromyalgia. I was on a mild opioid – which caused further fatigue as opioids often have a side effect of sedative effects. You may be one of the people who finds pain relieve from these medications. My advice is to weigh your pros and cons when considering opioid medication for fibromyalgia pain.

What are some common fibromyalgia treatment routes?

1. Medication.

Various medications out there that have been FDA approved to treat fibromyalgia. Doctors often will prescribe anti depressants or anti convulsive medications as they are known to help fibromyalgia pain. There are other medications that your doctor may prescribe. My doctor has me on venlafaxine as many of the other medications had too many side effects or did not work for me. Please note that everyone responds differently to medications. Some people may find medications help while others do not find any improvement. With use of medications, there are also side effects to deal with. Weigh the pros and cons of using medications – speak to your doctor if you have any concerns.

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2. Exercise

I have always had a hard time accepting this as a treatment for fibromyalgia. I used to be such a physically active person before fibromyalgia set in. To be told by health care professionals to add exercise begins to become so redundant and frustrating. Don’t get me wrong exercise is important whether you have fibromyalgia or not. What I have learned, exercise looks much different with fibromyalgia then to someone without fibromyalgia. Fibromyalgia requires gentle exercise.

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3. Stress management.

I never could understand why health care providers kept telling me to practice mindfulness skills or meditation – until now. Before I always rolled my eyes at the thought because I would think ” meditation will not fix fibromyalgia!” It won’t fix it, but it can help control stress. By controlling stress in our lives, fibromyalgia symptoms may ease. Stress releases cortisol into our body. High cortisol levels in the body can cause muscle tension. Muscle tension causes higher chronic pain levels.

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4. Education on fibromyalgia.

As I always say arm yourself with knowledge about fibromyalgia. Do NOT rely on health care providers to do it for you. As the saying goes “Knowledge is power!” Take your health into your own hands since fibromyalgia is often misunderstood by many! We have access to the internet which can be a wealth of information if you use the right sources to research.

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5. Alternative treatments – acupuncture, massage therapy, dry needling, physiotherapy, counselling etc.

There are many alternative treatments that may help alleviate fibromyalgia symptoms. If you have insurance, many of these treatments have some coverage per year, but not enough coverage that is needed for maintenance treatment for fibromyalgia. For example, I get $700 a year for physiotherapy, but when each session is $70-$100 you max out the coverage very quickly. Many people do not have insurance coverage at all – leaving them having to pay out of pocket for each session. Many of the recommended alternative treatments that help improve fibromyalgia cost us money and are often not utilized for this reason alone.

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6. Learning to pace

Learning to slow down and pace yourself is essential. Sadly, not everyone is always given the choice to slow down as life gets busy with family obligations such as kids. If you are able to pace yourself, it can help lower fibromyalgia symptoms and flare ups. It does take time to learn how to pace. For more information of pacing visit my previous blog here.

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There may be more treatment routes out there that doctors may suggest or even a pain clinic. I have just listed the most recommended/used treatment options in this article. Whatever route you choose to explore – remember it takes time and commitment. I hope you find the right combination of strategies that work for you!

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Fibromyalgia – What causes fibromyalgia?

The cause of fibromyalgia remains unknown, but there are many possible theories to what cause fibromyalgia to develop. Please keep in mind these are just six possible causes and there are likely more not listed in my article . For my article I am just listing the most talked about causes.

1. Hereditary.

Believe it or not fibromyalgia can be hereditary. If there is a family history of fibromyalgia, you have a higher chance of developing it. However, little is known about the genetic basis of fibromyalgia. More research is needed. A 2014 study suggests that a person is 8.5 times more likely to get diagnosed with fibromyalgia if a first degree relative has fibromyalgia.

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2. Physical trauma

Any form of physical trauma is believed to possibly trigger fibromyalgia. It could be trauma from an injury from being in a vehicle accident or even an injury such as a broken bone. I often tell health care providers I think my fibromyalgia began from a knee injury. The spring of 2019, I tore the meniscus and MCL in my knee. Shortly after it “healed” fibromyalgia symptoms began to surface. Keep in mind there are many forms of physical trauma – a vehicle accident to an abusive relationship.

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3. Emotional trauma

Experts believe that emotional trauma can also be a cause of fibromyalgia. Emotional trauma can happen in many situations. Dealing with the loss of someone you were close to can possibly cause fibromyalgia. I was also told by a doctor in 2015, he believed I had fibromyalgia symptoms after I lost my father to cancer. I shrugged it off because the symptoms were so minor back then and only affected me in the fall for a few weeks. Again, abusive relationships also cause emotional trauma. There are many other examples, but for my article I am only listing these two.

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4. Built up toxins in the body/gut

There are theories out there that the build up of toxins in your body are the root cause of fibromyalgia. I have not done much research on this specific theory, so I won’t comment/explain any further. I will say this though…the body removes toxins and waste from our bodies while we sleep. Many of us with fibromyalgia suffer from insomnia or sleep issues. Since this removal takes place while we sleep, can inconsistent sleep cause our body to not properly filter toxins and waste – resulting in toxicity and causing fibromyalgia to form? I don’t have the answer! Just food for thought!

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5. Stress

I personally believe being exposed to high amounts of stress can cause fibromyalgia. There is also a lot of research stating stress can trigger fibromyalgia to develop! Any form of stress! We all know that extreme amounts of stress is not good for our body – eventually our body says enough and respond in one way or another. Maybe for those of us with fibromyalgia that was our body’s response – developed fibromyalgia while others may respond with just getting sick with a cold.

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6. Illness

When we are sick with anything our body is put under stress. Could contracting a certain virus/ bug contribute to fibromyalgia developing? I know a few who contacted the Epstein Barr virus and later got diagnosed with fibromyalgia. Some viral infections have been linked to the development of fibromyalgia. When I attended an online fibro summit, a speaker spoke about seeing an increase in fibromyalgia diagnosis’s for those who had contracted covid19. Is it really fibromyalgia or long-covid symptoms?! Once again, I do not have the answer.

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In the future, researchers may eventually be able to pinpoint what causes fibromyalgia to develop in some people and not others. More research is needed!

How my father’s terminal cancer battle/memories have helped me through my fibromyalgia struggle!

As of recent, I have been focusing a lot of my time on grieving. After being diagnosed with fibromyalgia, I learned grieving the loss of my old life needed to take place. When one is diagnosed with fibromyalgia we often lose our identity. It took me years to realize this. Once I grieved the loss of myself, I began to find the strength to push through again. At an appointment with the psychologist I currently see, I soon realized I did not really grieve the loss of my father. I once again had to allow myself to grieve ( and still in the process). Grieving the loss, many conversations my dad and I had while he was sick began to flood my mind.

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In 2015, I lost my father to a long battle with cancer. One of our conversations always comes back to my mind. “No matter what, take care of yourself. Get all the testing possible to detect anything at early stages. I am not just referring to cancer! Promise me this my girl. ” As we sat on the couch I whispered beneath my tears I promise. My dad always called my mom and I his girls and he was always so proud to have been able to call us this. I don’t have cancer, but I do have fibromyalgia which is also a very debilitating condition ( obviously not the severity as terminal cancer).

Picture taken at the moment of the above conversation in 2014.
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I kept my promise. Doctors probably think I am a hypochondriac because when my symptoms of fibromyalgia began I insisted on every test possible. I even pushed for a brain MRI to make sure it was not MS ( MS and fibro have many overlapping symptoms) – even though there was no indications of rheumatoid conditions in my blood work detected. We only get one body, so it is important to take care of it no matter what. I know I am not a hypochondriac, so I decided if doctors want to have that opinion of me, they can own the problem.

This text I hold close to my heart. My last text my dad sent to me.

I look back at my dad’s courageous battle, and realized not once did he ever complain about the pain from cancer or side effects of chemotherapy. I often wonder how he did this with the bone pain he experienced. I too have bone pain with fibromyalgia and wonder if the bone pain I have is similar to what my father felt. I assume the pain from cancer is much worse and it amazes me how he never complained once. Obviously many tears were shed, but never once did I hear him speak negatively. The bone pain I experience breaks me most of the time – to the point I can’t stand up out of bed or off the floor. I try to stay strong remembering how strong he was during his battle. It motivates me to not allow fibromyalgia to overtake my life. I refuse to let it win. I was recently listening to a podcast on fibromyalgia and Dr. Liptan ( author of The Fibro Manual and fibromyalgia warrior herself) spoke two sentences which resonated with me. “Your life is not over. It’s probably going to look different, though!” It sure does look different, but she is correct when she states your life isn’t over because of fibromyalgia.

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My dad often was heard saying “It is what it is!” after being diagnosed with terminal cancer. These five small words have made such a drastic impact on me and have stuck in my mind. The saying is often used when a person is facing a challenging situation that cannot be changed and must learn to accept these circumstances. I often find myself saying these exact words in regards to being diagnosed with fibromyalgia. I had to come to terms with the fact I got diagnosed with a chronic pain condition with no cure. There are many strategies out there that can help improve fibromyalgia symptoms, but finding the right combination is the challenging part. What works for one person may not work for the other.

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My journey has led me down a pathway of stepping out of my comfort zone and trying new strategies with the guidance of a psychologist. Strategies that I finally feel are showing benefits instead of resulting in failures. I got so frustrated and discouraged with health care providers trying to “fix” me instead of helping me learn how to manage fibromyalgia and it’s symptoms or trying to repeat failed treatment routes. False hope does not help improve fibromyalgia – just like false hope does not cure cancer. It can create high anxiety/depression and further frustration to set in ( at least in my case). Even the rheumatologist who confirmed my fibromyalgia diagnoses told me ” Go enjoy nature alone and ignore society – your fibromyalgia will improve!” Say what!?!? Nature is good for the soul, but please do not take this rheumatologist’s advice. Don’t hide from society! Find the courage to live your best life under the circumstances that you are faced with . “Fly above negativity.”

The occupational therapist I was working along side, gave me this decorative piece at discharge. She knew I felt I had hit rock bottom, and needed to hear these words of wisdom!
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As for my father…I hold the memories close to my heart. My father’s final words to me were “Smile, don’t be sad! The last life lesson he taught me before he passed away – GRATITUDE!

Can fibromyalgia go into remission?

Living with fibromyalgia can be like being on a rollercoaster. You never know what to expect day to day or even hour to hour. One minute you can be on that incline to the top of the rollercoaster, the next you are declining to the bottom. We are told fibromyalgia has no cure, but can a person with fibromyalgia go into remission? Believe it or not – the answer is YES!

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The chances of going into remission are better if you have been suffering with fibromyalgia two years or less – with only mild symptoms. Sadly for most of us, our fibromyalgia symptoms are not mild. Experts state that if you have mild symptoms and can learn to control these symptoms, you have up to an 80% of going into remission with fibromyalgia. With fibromyalgia there can be short and long term improvements. When a person is able to find success in long term improvements, this phase is considered remission. For myself, my fibromyalgia symptoms are classified as moderate to severe – the chances for remission is extremely low.

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There are many aspects to consider when trying to lower fibromyalgia symptoms. Your entire life is flipped upside down, and affects every aspect of your life. It can become overwhelming to try to “control” symptoms – as many of us find the symptoms control us. How can we try to put fibromyalgia into remission? Fibromyalgia does not improve without hard work and dedication. We must fight through every step.

Here are a few important areas that I feel should be addressed. Again, please remember the below are based from my personal experience living with fibromyalgia. The areas in which you work towards will most likely look differently then mine.

1. Work towards improving sleep

In all the research I have done over the years and attending fibro summits online by doctors who treat patients with fibromyalgia , trying to improve sleep quality is important. I know, easier said then done. I myself struggle with sleep issues and each year it seems to get worse. I often wonder if I could get the adequate amount of sleep needed if I would experience less fibromyalgia symptoms. Dr Liptan, who is the author of “The Fibro Manual”, states in her book that sleep is the first thing that needs to improve before any other treatment will even begin to work.

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2. Mind and body practices.

At the beginning of my fibromyalgia journey, I would just roll my eyes at suggestions about improving mindfulness skills. After so many failed treatment plans, I have stepped out of my comfort zone and started to focus on mindfulness practices. The previous attempts at mindfulness practices always failed me in the past – or did they? I think having the wrong guidance by health care providers was the issue. I am currently in the care of a psychologist who is helping guide me in mindfulness strategies. The difference this round – the psychologist I see is trained to focus on chronic pain, while the others were not trained on chronic pain strategies. It sure makes a difference when you attend sessions and are not judged. In the past I was heavily judged for failed attempts and told I was not trying hard enough to improve my condition. With those judgements eliminated, mindfulness practices are making a positive change.

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3. Lifestyle changes are necessary.

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Many lifestyle changes need to take place when diagnosed with fibromyalgia. Obviously if one sits back and does nothing fibromyalgia can get worse. Learning to slow down and pace is one strategy that one must acquire. You may not be able to get everything done like before, but setting priorities will help you learn to pace. If you haven’t already you can read about pacing on my previous blog.

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Dietary changes may benefit. There is not a specific dietary plan for fibromyalgia, but there are many foods out there that can cause symptoms to flare. I bought Dr. Liptan’s book ” The Fibro Food Formula”. Liptan explains how certain foods seem to make pain and symptoms worse. We are often told to avoid eating foods with aspartame, MSG, sugar etc. – basically your unhealthy foods. Alcohol is also listed to avoid or limit. For myself, I often find alcohol triggers my pain to go out of control. Sadly watching your diet is hard to do at times when fibromyalgia is attacking full force. When I am in a flare up, I tend to eat whatever is easy to make – usually full of ingredients that won’t benefit me further down the road. I package of mac and cheese is quick and easy to make – but not the healthiest choice.

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For some people just adding in a bit of exercise helps their symptoms. For myself, exercise just brings on a huge flare up. I choose not to focus my treatment options around exercise as much anymore. I go for walks when I can. Exercise for fibromyalgia must be gentle. Walking, yoga, tai chi, etc. all are considered exercise.

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Medications and supplements. I am not going to go into a huge discussion about either products. Some people benefit from medications prescribed for fibromyalgia while others find it creates too many side effects or have absolutely no change in their condition. One medication might work for one person and make life even more miserable to another. I was lucky to find a medication that has lowered my pain levels enough to at least get out it of bed and get a few tasks done throughout the day. I know many others who found the same medication I am on useless.

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There are many aspects to consider. The above are just a few to mention. Everyone has to find the right combination for themselves. You can’t simply be on the same treatment route of someone else with fibromyalgia as it is very much individualized. Whatever routes you take, I hope you find the balanced combination to allow relief of symptoms and/or possibly allow you to experience fibromyalgia remission! Never say never, because I have seen a few people succeed. I often wonder if I had the right guidance early on, if I could have gotten my fibromyalgia under control. My symptoms were mild at the beginning, but due to covid restrictions taking place I was unable to access the early interventions at all.

Fibromyalgia and migraine headaches show a high correlation…

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Fibromyalgia and migraines have a correlation. It is not understood why fibromyalgia causes migraines to form or why migraines may cause fibromyalgia. However, there is a theory that both conditions are linked to the levels of the hormone serotonin. Serotonin is a chemical in the body that is necessary for communication between nerve cells. Low serotonin levels can cause blood vessels surrounding your brain to dilate. The dilation of these vessels can cause the throbbing pain felt in a migraine. People with fibromyalgia often have low serotonin levels as well. What happens when you experience a migraine along side fibromyalgia!?

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In 2015, a study was conducted on the frequency of migraine headaches in patients with fibromyalgia. A total of 1730 people were surveyed. The results concluded that migraines are very common among people with fibromyalgia. Doctors and healthcare providers should be aware of the two overlapping conditions. Individuals who have both conditions are more likely to see an increase in cumulative health problems. My question is, do doctors know migraines and fibromyalgia often coexist? Most doctors only include unexplained pain in their diagnosis.

You can read more about this study here.

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“Over 30 percent of people with migraine also have fibromyalgia, according to a study published in Clinical Rheumatology, and the frequency of migraine in people with fibromyalgia is 55.8 percent”

https://www.everydayhealth.com/migraine/what-you-need-to-know-about-migraine-and-fibromyalgia/
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In 2018, another study on migraines and fibromyalgia revealed several factors. Fibromyalgia can increase the intensity of migraines. Individuals without fibromyalgia, might feel migraine pain levels at moderate ( but can be severe) , while people with fibromyalgia might have severe pain. The intensity of these migraines can be extremely debilitating and disabling. People with both conditions experience a higher headache intensity and disability. The study also reported that people who have both conditions will also have higher depressive symptoms. I personally can see the higher rate of depressive symptoms as a possibility. both conditions are chronic pain conditions, which lowers one function ability even lower.

For more information about this study, you can visit here.

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A few facts…

1. Women are more likely to suffer from fibromyalgia and migraines.

2. A survey concluded that 97% or respondents reported that light was a trigger for pain and other symptoms

3. In the same survey, 63% were sensitive to light between attacks.

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For myself, my neurologist prescribed appropriate medications to treat my migraines. A rescue medication to be taken at the onset of a migraine and a preventative. It has lowered my migraines, but I still find I do get more then my share of migraines. I’ve experienced really intense headaches since I was in my early twenties. However , I was always told they were cluster headaches or tension headaches. It wasn’t until last year I was diagnosed with chronic migraines with aura.

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Conclusion

I do believe fibromyalgia can intensify migraine pain levels. Fibromyalgia lowers our body’s tolerance to stress ( migraine) and also lowers our pain threshold. Both factors can increase how we feel pain levels. For now, I take every step to try to prevent migraines from occurring as much as I can, because the migraines I do experience are debilitating and leave me bed ridden.

Here is a website about migraines which I found very detailed and informative. Migraines.

Chronic pain appears to change the brain. Does it cause damage? According to research, chronic pain can possibly can damage our brain

According to experts, fibromyalgia has a neurological component. In fibromyalgia the brain interprets all stimulus as pain – when it really isn’t painful. In return our brain misfires pain signals all over the body causing chronic pain to form. Have you ever stopped to think about what happens to our brain if it is constantly at work sending pain signals out? You may be surprised.

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In a healthy brain, all the regions exist in a state of equilibrium. When one brain region is active, the other regions should not be as active. However, chronic pain causes the front region of the brain ( responsible for emotion) to never deactivate. It is always in “full throttle” – meaning it is always fully active. The constant activation can wear out neurons ( information messengers) alternating connections to each other. Researchers used MRI scans to scan the brain a group of people with lower chronic back pain and a pain free group (control group). What they found was that parts of the cortex were activated in the pain free group and others were deactivated ( maintaining the equilibrium). Your brain cortex is responsible for memory, thinking, learning, reasoning, problem-solving, emotions, consciousness and functions related to your senses. However, in the chronic pain group, one of the nodes did not quiet down. Researchers state that then constant firing of neutrons could cause permanent damage. The connections could die because they can’t sustain high activity for this long without a break. People with chronic pain have pain 24/7 – which makes areas of the brain always active. This could hurt the brain. You can read the article here.

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In another study in 2007, researchers discovered that people with fibromyalgia, grey matter of the brain is lost. We lose grey matter as we age, but it appears that fibromyalgia may speed up this process. The study revealed that fibromyalgia patients showed a reduction in grey matter and total brain volume compared to the healthy control group. The grey matter that was lost occurred mainly in the regions of the brain related to stress and pain processing. In areas of the brain, the parahippocampal and frontal cortices, the grey matter lost is consistent with cognitive deficits of fibromyalgia ( cognitive impairments seen in fibro). Grey matter atrophy is partially reversible. Grey matter irregularities caused by chronic pain do not reflect brain damage. It will normalize when the pain is treated or under control. You can read this study here.

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Both these articles sure made me think and evaluate the neurological aspect of fibromyalgia. Are the changes in the brain that were discovered in these two studies, the reason behind some fibromyalgia symptoms or even a cause to why fibromyalgia may develop? I do not have the answer, as I am not a scientist. I believe a wider study is needed to verify the above findings. These are only two smaller studies completed.

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