#backpainblog, #BACKPAINBLOGUK, #control my pain, #fibromyalgia, #pain, BACK PAIN, backpainblog, CHRONIC PAIN, DEGENERATIVE DISC DISEASE, FIBROMYALGIA, myofascial pain syndrome

MYOFASCIAL PAIN -v- DISC PAIN…

As most of my readers know I suffer from chronic back pain after four previous spinal fusion surgeries only alleviated the pain for a matter of years before it came back.

Nowadays spinal fusion is not used as the first choice for prolapsed discs with pain management being the first treatment and only if nerves are compressed is it used as another option.

The problem with spinal fusion especially if you have more than one surgery is the pressure it puts on the disc below and above your fusion.

Another condition which you can also suffer from after any type of surgery is 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

Treatments include anti-inflammatory medication, pain killers, physical therapy, stretching, massage therapy and trigger point injections.

A trigger point injection is either a cortisone injection or dry needling. Pain relief is quick and helps in continuing physical therapy. Trigger point injections can also be used for people suffering from degenerative disc disease.

Understanding the cause of your pain is an important step to finding an effective solution. It may involve a series of sessions and an at home program to keep the area strong.

Disc pain can come from a disc bulge or prolapse but you can also get myofascial pain which could be treated conservatively instead of surgery. Fibromyalgia patients can also suffer from myofascial pain. According to history, Sir William Gowers introduced the term fibrositis for a common, but idiopathic, localized form of muscular rheumatism that is now recognised as myofascial pain syndrome in 1904. And, despite the intervening years, it still constitutes the largest group of unrecognised and undertreated acute and chronic pain problems. Some people (like myself) have also been told they could have Fibromyalgia, previously named ‘fibrositis’.

My neck and arm pain have been giving me a lot of problems since last summer and after extensive tests, MRI’s, ct scans and more it was decided that a nerve block would help with the pain. There is never any guarantee with any injection but they hope to give the patient a few months of pain relief.

Nerve block injections into your neck for a disc bulge can be quite dangerous as they are quite tricky to do and they go through the front of your neck. I had this injection about six weeks ago. It’s not a very nice injection (if any are) but I knew the pain consultant had hit the spot and soon felt total relief. Unfortunately, it was short lived and only gave me pain relief for a few weeks. Not all the pain has come back but most of it as did the pins and needles.

I then had another appointment at the pain clinic and after looking at my MRI’s etc I was given a quick check where my pain consultant felt that the pain I now have could well be myofascial and not from the bulging disc so he has booked me in for a series of steroid injections in my shoulders.

I guess with any spinal pain after you have had all the tests it’s then worth trying alternative treatments well before you resort to surgery which is something I have always said I would avoid having.

 

#backpainblog, #fibromyalgia, #health, #pain, BACK PAIN, CHRONIC PAIN, FIBROMYALGIA, HEALTH, pain

A ROUGH COUPLE OF DAYS…

I guess we all get our share of rough days but mine have definitely exceeded that over the last few days.

As many of you know I am waiting to see a spinal surgeon next week about my constant pain going down my arm from my neck as well as pins and needles down to my middle finger.  Initially, we thought it may have been my ulnar nerve again. I say ‘again’ as I had surgery the year before last for a trapped ulnar nerve which was a total success but they said it can come back even after surgery.

A nerve conduction test showed no problem with the ulnar nerve so I was then sent to have an MRI scan. Those results have shown that I have another disc bulge which is compressing a nerve and giving me the pins and needles and pain and it also showed that I have arthritis in that area.

Mine is definitely in the ‘wear and tear’ category as I have had two previous surgeries on the C3/4 area of my spine which has meant the disc below it has had to do all the work. The worst pain is doing the simplest of things like cleaning my teeth or drying my hair so I am hoping my appointment with a spinal surgeon next week is a success.

The MRI scan also showed a disc bulge at level L3/4 above my previous spinal surgery. I miss the facet joint injections that I had for this but keep myself topped up on my meds. During the last month I’ve had a couple of bad spasms with it which left me completely bent over and unable to straighten but it then settles down.

I also noticed that my foot was becoming more and more numb underneath but never thought anything else about it until yesterday when I stood up and it completely gave way and I went over on my foot, not once but twice. The pain was so acute I thought I was going to throw up.

Last night we iced and elevated it but I was unable to stand on it and could only get from a to b on my hands and knees which played havoc with my neck. After a terrible nights sleep we decided I should pop to A&E and get it checked out.

I am now on crutches and have the foot strapped up as I have a bad sprain but fortunately no break. The only problem is that a sprain can take as long as a break to heal so at the moment I am following the RICE (Rest, Ice, Compression, Elevation) routine and hope it settles sooner rather than later.

They have told me I should mention to my spinal consultant what has happened with the foot and the numbness as this could definitely be related to my lumber spine.

#blog award, Back Pain, CHRONIC PAIN, FIBROMYALGIA, low back pain, N:rem, The N:Rem

EXCLUSIVE OFFER FROM AN ‘N:REM’ MATTRESS FOR MY READERS…

The NREM Mattress Company are offering my readers an exclusive offer of £250 off their mattress as part of their Winter sale. In order to get this offer just put my special offer code of  BACKPAINBLOG250.

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