#backpainblog, #BACKPAINBLOGUK, #covid-19 App, #covid-19, #COVID-19, #fibromyalgia, #health, #lowbackpain, #pain, Back Pain, backpainblog, chronic fatigue, fibromylagia

COVID-19 AND FIBROMYALGIA SYMPTOMS…

Any Fibromyalgia sufferer can explain in seconds what the pain feels like. Living with fibromyalgia means coping with a number of symptoms: widespread muscle pain (myalgia), extreme tenderness in many areas of the body, sleep disturbances, fatigue, headaches, and mood issues like depression and anxiety. But how does having fibromyalgia impact your risk of COVID-19 and ability to manage these symptoms while staying at home?

Well, according to an article on Creaky Joints it depends on which type of fibromyalgia you have?

Yes, you read it right, which type of fibromyalgia do you suffer from? As far as I have ever known there has just been one type of fibromyalgia. But apparently there are two types of fibromyalgia, primary and secondary, says Petros Efithimiou, MD, FACR, a rheumatologist who practices in New York City.

Primary fibromyalgia, which is the most common form, is a chronic pain syndrome in which the body and brain process pain and stimuli differently, explains Dr. Efithimiou. Importantly: “There is no immunosuppression.” Basically, in primary fibromyalgia, the causes are not known,

Secondary fibromyalgia, on the other hand, often occurs in patients with conditions that can affect the immune system, such as lupus, rheumatoid arthritis, surgery, or ankylosing spondylitis. In this case, your immune system may be suppressed and you could be considered at a higher risk for COVID-19, especially if you have additional co-occurring health conditions, such as heart disease, lung disease, or diabetes.

Knowing the difference is important.

Individuals may believe that fibromyalgia is an immune system illness since they are regularly alluded to and treated by rheumatologists, and a portion of their side effects may mirror those of lupus or other rheumatology patients. Yet, fibromyalgia is certainly not an immune system sickness, which happens when the body’s immune system mistakenly attacks your own cells and tissues.

Very Well Health points out that finding out if your fibromyalgia is primary or secondary tends to be frequently overlooked or glossed over. If you have been diagnosed with primary or secondary fibromyalgia this does not mean that you are more susceptible to catching Covid-19. However Web MD do point out that if you also have an autoimmune disease like rheumatoid arthritis or lupus, this could put you at more risk which makes it all a bit confusing.

Recent articles just imply that if you do catch Covid-19 and you are also suffering from fibromyalgia you could quite possibly have a flare up of fibromyalgia. But, with so many fibro sufferers living with some similar symptoms to Covid-19 it is important says Very Well Health that “While there is considerable overlap, some of the common symptoms of COVID-19 aren’t associated with fibromyalgia, including:11

  • Cough
  • Fever
  • Chills
  • Sore throat
  • Congestion or runny nose

Being on alert for those tell-tale signs can help you distinguish between your typical symptoms and coronavirus infection.”

A recent survey on Covid-19 and fibromyalgia written on the FMA UK found that indeed all participants reported feeling anxious about the pandemic. Most often, participants pointed to being worried about:

  1. The impact the pandemic will have on their personal relationships (friendships, romantic, family, or other)
  2. The possibility of a family member contracting COVID-19
  3. Financial hardships as a result of the pandemic

Interestingly, the same categories did not necessarily evoke the strongest feelings of anxiety. When rating anxiety on a 0 to 100 scale, where 0 is no anxiety and 100 is the strongest possible anxiety, participants pointed to the following as the most worrisome:

  1. Financial hardships as a result of the pandemic (average rating of 64)
  2. Access to medication during the pandemic (average rating of 64)
  3. Home loss or eviction as a result of the pandemic (average rating of 62)

Most importantly, the researchers found that an increase in COVID-19 anxiety was associated with an increase in reported pain levels. The authors emphasised, however, that this does not imply that COVID-19 anxiety caused fibromyalgia pain. The study demonstrates that mental health in fibromyalgia can be affected by the COVID-19 pandemic.

But beyond being present, anxiety may be directly related to worsening pain. 

Source: Creaky Joints, Very Well Health, Web MD, and FMAUK

#backpainblog, #BACKPAINBLOGUK, #fibromyalgia, #health, #pain, #therapythursday, BACK PAIN, lower back pain, LUMBER PAIN, myofascial pain syndrome, Myofascial Release

MYOFASCIAL RELEASE THERAPY FOR ALL TYPES OF CHRONIC PAIN…

Myofascial Release Therapy is another therapy that works around acupressure points. It is s now becoming one of best-known massage type of treatment for chronic pain, tension and muscular problems.

Myofascial release therapy (MRT) was originally coined by an osteopath, although today you will find that many well-trained physiotherapists, massage therapists and chiropractors also practice this technique because of its effectiveness. MRT is a hands-on treatment whose purpose is to break down scar tissue, relax your muscles and fascia, and improve posture. Myofascial release therapy is usually slow in nature, and can be deep but does not always need to be as such. Many practitioners state that the technique should be painful to be effective, while others argue that proper use of the therapy does not need to be painful at all.

Research has proven that fascia, like a muscle, has the ability to contract and relax and plays a major role in mobility and stability of joints. Myofascial Release UK say the general understanding of ‘myofascial release’ has changed over the last decade since MFR UK has been providing workshops for healthcare professionals. In the past, MFR was a treatment approach in its own right and everything else was called massage. However, with popularity comes ambiguity and what MFR is and how it’s applied has become somewhat lost in translation over recent years. Normally the term ‘massage’ describes a fluid movement over the body using lubrication. As the popularity of MFR grows, massage treatments are being renamed ‘MFR’ to keep up with the current trends creating confusion for both practitioners seeking professional MFR training and for clients seeking resolve from their #pain and discomfort.

There is a condition known as Myofascial Pain Syndrome which is a chronic painful muscle disorder and is common if you have experienced a muscle injury. Over time these myofascial restrictions can lead to poor biomechanics, altered structural alignment, compromised blood supply and pain. Other causes of myofascial pain are injuries to an intervertebral disc, general fatigue, repetitive motions, and some medical conditions.

It is characterised by the myofascial trigger points and the symptoms include persistent or worsening pain, deep and aching muscle pain, tender knots located in the muscles and pain after exercise or sporting activity.

Myofascial Pain Syndrome (MPS) is the name given to pain caused by trigger points and fascia (connective tissue) adhesions in the body, usually in muscle tissue, and inflammation in the body’s soft tissues.

Myo = muscle
Fascia = the main connective tissue in the body
Release = to let go, ease pressure

Many people with fibromyalgia also have chronic myofascial pain or CMP (formally known as Myofascial Pain Syndrome, MPS) and don’t even know it. It is often missed because it is easy to confuse the pain and it’s origins with that of FM. As a result, it is missed in the diagnosis. Both are connected to the musculoskeletal system, which makes up almost 50% of our body weight, but should not be confused as being the same. Understanding FM and CMP and what makes them tick, will empower you to help yourself. You will be able to figure out some of the contributing factors to your pain, where it originates and what makes it feel better. It will help you understand treatments and find the one(s) that work for you.

It was recently discovered that MPS is not actually a syndrome at all, but a neuromuscular disease. This is important news! The difference? Diseases have known causes and a well-understood process for producing symptoms. Myofascial pain due to trigger points is now considered a true disease, rather than a syndrome. Fibromyalgia is a syndrome like rheumatoid arthritis and lupus and has tender points (not to be confused with trigger points). Even with these differences, it is believed by many researchers that one can influence the other.

In America, sufferers are doing ‘self-myofascial release (foam rolling)’ using a lacrosse ball and foam to roll out trigger points. They say, ‘it can help reduce muscle soreness, increase mobility, and prevent problems created by tightness and poor tissue quality like plantar fascists, sciatica, and more.”

It is a scientific fact that all muscles and their fibrous coating and connective tissue that joins muscles to bones, the fascia, are a source of pain if the functionality is changed by an accident or normal wear and tear/degeneration. Muscles may develop Myofascial ‘tender spots’ or ‘Trigger Points’. These Trigger Points are not only painful where they are found, but may also send pain away from that spot, to what is called Referred pain.

Sources : Ezine, Ezine Myofascial Release UK




#backpainblog, #BACKPAINBLOGUK, #covid-19, #COVID-19, #ddd, #fibromyalgia, #health, #lowbackpain, #Monday, #pain, Back Pain, low back pain, lower back pain

LOW BACK PAIN – IS IT A SLIPPED DISC? Plus 10 WAYS TO AVOID LOW BACK PAIN…

What is the cause of your back pain? Is it sciatica, a strain, early pregnancy, Covid-19, overweight, osteoarthritis, fibromyalgia or a slipped disc?

NHS England describes back pain as the ‘single largest cause of disability in the UK, with lower back pain accounting for 11% of the total disability of the UK population’. In fact, the country lost a reported 30.8m sick days due to problems associated with achy lumbar regions, back, neck and upper limb problems in 2016. So it’s clear that lower backache is preventing many of us from working and carrying out everyday activities comfortably.

A slipped or herniated disc is among the most incapacitating of back agony issues – once in a while with added indications, for example, the pounding leg torment of sciatica. When you have a ‘slipped’ (prolapsed) disc, a disc does not actually slip.  What happens is that part of the inner softer part of the disc (the nucleus pulposus) bulges out (herniates) through a weakness in the outer part of the disc. A prolapsed disc is sometimes called a herniated disc. The bulging disc may press on nearby structures such as a nerve coming from the spinal cord. Some inflammation also develops around the prolapsed part of the disc. Inflammation may irritate a nerve and also causes swelling, which may put pressure on a nerve.

This is a condition where the focal point of a spinal disc swells outwards and presses onto a nerve.  The spinal discs go about as safeguards and through an assortment of causes, including injury, helpless stance and general “mileage” (which means steady disintegration), the dividers of the discs can get more fragile. If the centre of the disc pushes out, this can cause the disc wall to bulge and that can be when pain strikes!

The usual advice is to carry on as normal as much as possible. Painkillers may help. Physical treatments such as spinal manipulation may also help or IDD therapy, exercises or injections. Surgery may be an option if the symptoms persist.

The long-term outcome of low back pain is generally favorable, but persistent symptoms affect millions of individuals. However there are three treatments which do not require surgery and have been very successful at treating slipped/prolapsed discs.

#1. Anti Inflammatory Courses…
Due to the fact that herniated discs can often times be incredibly sensitive, especially in acute cases, you may need to undergo a short course of anti inflammatories.

Once your general practitioner gives you the go ahead you can begin to take these types of medication which are a very effective herniated disc treatment.

#2. Exercises…
I know that the mere thought of moving causes you extreme mental anguish, but these types of exercises are actually designed not to aggravate your bulging discs.

These are low impact exercise routines which are geared towards reducing the bulged disc back into its correct location in between vertebrae.

#3. Lying Correctly…
Whenever you lie down, ensure that you are lying down correctly. You should always prop yourself up when you lie down and while resting slightly on your elbows for a few seconds.

Back in the early 80’s I had my first disc bulge problem and back then you were put into bed attached to traction and left to lie it out for a few days. Unfortunately for me I ended up with a trapped nerve in my leg and lost all sensation of it on one side so I was soon taken off traction. Over the following seven years every time my disc bulge I would visit a chiropractor and a physiotherapist but eventually in 1987 I had to have my first of many surgeries to remove a prolapsed disc and fuse my low back.

What followed on from that initial surgery was cervical disc problems as well as lumber and a further two emergency surgeries to fuse them and correct a kyphosis ( curvature of the spine that causes the top of the back to appear more rounded than normal). My pain now is from the discs above and below all my previous surgeries which all have bulges as they have had to work much harder due to the fusion above them.

Spinal surgery is nothing like this now and most is keyhole and you are in an out of hospital within days whereas mine took weeks and months to recover from. Looking after your back is the key to avoiding any disc related problems and ten key ways to look after it are :

  1. Keep active
  2. Keep fit
  3. Keep a healthy weight
  4. Eat healthy
  5. Keep your posture correct
  6. Take regular exercise
  7. Do not smoke
  8. Take great care when lifting
  9. Get plenty of rest
  10. Take great care when gardening.

Article Source: Ezine article (1) Ezine article (2)