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What now?
FIBROMYALGIA.... 
more than just a pain in the....butt.
What is it?
Fibromyalgia is an elusive syndrome that is quite frequently not diagnosed at all or only diagnosed after years of treatment for a dozen other diseases that you didn't have.  A lot of doctors still will not diagnose or treat Fibromyalgia because they are still not sure there is such a thing.  Fibromyalgia syndrome or FMS is a widespread musculoskeletal pain and fatigue disorder.  No one knows what causes it.  Fibromyalgia means pain, lots of it, in the muscles, ligaments and tendons   -  the fibrous tissues in the body.  And it's a nasty little disease. Your muscles feel like you have pulled them or strained them.  Sometimes the muscles twitch or twist in spasm.  Sometimes they burn.    It can be best described as the feeling you have when you had the flu.  Every muscles in your body ached and ached and you hurt all over.

The Symptoms

Pain
Pain, pain and more pain.  FMS is quite often described as a deep muscular aching, burning, throbbing, shooting, stabbing, white hot pain that goes on and on and on. Quite often, the pain and stiffness are worse in the morning.  I quite often feel that I need new grease fittings in all the joints.

Fatigue
Gosh, I'm whipped!   Totally drained.  Brain drain, that foggy feeling that prevents you from concentrating on things.   Your arms and legs are heavy and feel like you're wearing cement shoes and gloves.  Some people have sever, debilitating fatigue.  Some hardly have any at all.  It just depends on the person.

 

Even my bones are Tired

Even my Bones are tired!!

Sleep disorder
I'm tired, I'm cranky and at the end of my rope.  And I don't feel much like "bouncing" through my day.  Sound familiar.  Most of us with FMS have a bit of trouble sleeping.  We fall asleep okay but wake up feeling like we just got run over by a Mack truck.  Apparently this is because we don't get enough deep sleep or level 4 sleep.  Instead of sleeping sounding we keep getting bursts of brain activity that keeps us popping up from that level time and again.  It's like having one half of you awake while the other half is sleeping soundly.  We tend to have restless legs as well, a chronic jerking or moving of the legs and sometimes the arms too, during sleep.  Sort of a "walk a mile in my sleep" thing.

Irritable Bowel Syndrome
Constipation, diarrhea, frequent abdominal pain, abdominal gas and nausea represent symptoms frequently found in roughly 40% to 70% of Fibromyalgia patients.   You can watch your diet, take drugs etc, etc but you still have IBS.  No rhyme, no reason.  An that's a real pain in the patootie, especially if you are going out and don't want to spend 50% of your evening in the bathroom.

Headaches
About 50% of FMS sufferers also have migraines or recurrent tension like headaches.  Nasty things.  Just makes your day all the worse.  Now along with all those aches and pains, your head hurts.  I don't know about all of you folks out there, but I would rather have almost any other pain than and migraine.  That's just the worst pain in the world.
When you're hurting all over you can at least try and get comfy in that big easy chair, hot cuppa tea on the side and a really great mystery book.  But with the headache, forget it.  You are just going to be miserable.  And there's not a cuppa in the world that's going to help you out.

Temporomandibular Joint Dysfunction Syndrome
Isn't that a biggie!  TMJ is easier.  This syndrome, sometimes referred to as TMJD, causes tremendous face and head pain in 25% of FMS patients.  It's not really the joint that is involved, or so they think, but the muscles and tendons surrounding the jaw.  This can flare up and last for a couple of hours, days or weeks or you can just have it almost all the time.  My face is very sensitive to cold wind and if I am out in the wind in the winter my TMJ kicks into overtime.  Hot compresses sometimes help a lot.  Other times I use a cold pack on the jaws and that helps.  You just can never predict ahead of time which one will work.
 

 
I'm a happy little TIgger Multiple Chemical Sensitivity Syndrome
Sensitivities to odors, noise, bright lights, medications and various foods is common in roughly 50% of FMS sufferers.  In other words, little things irritate the heck out of you.   When the cat padding across the carpet sounds like  Simba the elephant breaking through the jungle, then you have a sensitivity to noise.  Likewise when hubby turns on the overhead and your eyes feel like somebody just shot hot shards of glass into them, you are sensitive to light.  Some foods give you a rash or gas and the cold medicine you used to be fond of causes heartburn and hot flashes.  These are sensitivities.  And they can show themselves in ten thousand different ways.   And your sensitivities probably won't be like anyone else's either.

Other common symptoms
Having your period hurts, you might have chest pain, morning stiffness, cognitive or memory impairment, numbness and tingling sensations, muscle twitching, irritable bladder, the feeling of swollen extremities, skin sensitivities, dry eyes and mouth, frequent changes in eye prescription, dizziness, and impaired coordination can occur.  I have a really hard time with word associations.  I know what the object is, I just can't remember what it's called.  It's just the most frustrating thing in the world.

Things that Aggravate
Changes in weather, cold or drafty environments, premenstrual and menopausal states, stress, depression, anxiety and over-exertion can all contribute to symptom flare-ups.   The kids having sleepovers, birthday parties, going to weddings or other crowded functions, even shopping especially in grocery stores where the frozen food isles are like the arctic in winter.  Waiting in a hot car, getting overheated while shopping or working outside.  All sorts of thing can affect the way you feel.  You have to learn to recognize what things will bother you and avoid them like the plague.

What causes FMS
Since no one really knows what causes it and most doctors, specialists etc are just guessing, I won't even include any possibles here.  If you have it you have it and it's far too late to worry about why or how.  So why frustrate yourself with the what ifs and the how comes.

What to do, what to do!
First off, you need to get a good nights sleep.  Usually you need help with this.  Some of the commonly prescribed drugs are:  Elavil, Flexeril, Sinequan, Paxil, Luvox, Serzone, Xanax and Klonopin. These are usually prescribed in a low dose and may be of help. In addition, nonsteroidal, anti-inflammatory drugs (NSAIDs) like ibuprofen may help with the aches and pains. There are quite a few other  treatment methods as well that could help make life a lot easier, such as trigger point injections with lidocaine, physical therapy, acupuncture, acupressure, relaxation techniques, osteopathic manipulation, chiropractic care, therapeutic massage,  a gentle exercise program, relaxation therapy and self-hypnosis.  Having a good therapist that you can see on a regular basis who can help you with the self-hypnosis is a big plus for me.  Also just having someone there you can unload on helps too.

 
Bouncing is what Tiggers do best What does the future hold?
FMS is chronic but the symptoms may come and go like the wind.  Up this week and down the next.  Some people are completely disabled while some others are quite able to hold down a regular full time job.    Each person is unique in their symptoms, down time, pain thresholds and functioning abilities.   Whatever the case, non of use are going to be quite as mobile as my friend Tigger here.  What medication works for your neighbour may not even begin to work for you.  Learning to live with FMS is a full time job in itself for a lot of people and in a lot of cases concentrating on coping strategies is the number one priority.  Only you and your doctor can decided what road is best for you.

My heart goes out to all of you, I empathize and sympathize with your plight   I also suffer from AS, anklosing spondylitis.  For more information on it, please go HERE.

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Copyright Heather O'Neil 2001