As a young girl, I remember seeing an older woman walk past me. I was noticing her outfit – a nicely patterned top, a pair of shorts and sandals. As she walked away, I noticed what looked like a network of dark bluish lines running up and down the back of the calves. At the time, I didn’t know what they were, but eventually learned that this network was actually varicose veins.
It turns out that varicose veins, which are swollen and twisted veins that are located right below the skin, and their smaller version, spider veins, are quite common. In fact, about 50 percent of women in the United States have developed this condition.
So what exactly are they? Varicose veins can develop in the body’s veins, which have the difficult task of moving blood back into the heart in order for it to pick up more oxygen. These veins – especially those in the legs -- often are working against gravity and are under a lot of pressure to move the blood into the trunk portion ...
When people talk about fibromyalgia, they sometimes use the terms tender points and trigger points interchangeably. In actuality, they have quite different meanings. All accurately diagnosed FM patients have tender points; some may also have trigger points. Tender Points Tender points are used to help diagnosis fibromyalgia. They are extremely sensitive spots on the body that elicit pain when four kilograms (or about 10 lbs.) of pressure are applied. There are 18 specific tender points located at nine bilateral locations. Tender points occur on both the right and left sides of the body at these nine locations: Occiput: bilateral, at the suboccipital muscle insertions. (Where the neck muscles attach at the base of the skull) Low cervical: bilateral, at the anterior aspects of the intertransverse spaces at C5-C7. (Front lower neck) Trapezius: bilateral, at the midpoint of the upper border. (Midway between the neck and shoulder) Supraspinatus: bilateral, at origins, above t...
This is fibromyalgia (FM) awareness month, so it is only fitting that we clear up some confusion between tender points and trigger points. Knowing the difference can affect your diagnosis and treatment.
What are Tender Points?
Tender points are specific areas of tenderness, which have been mapped out on the “Tender Point Model.” The tender point model became part of the American College of Rheumatology criteria in 1990 after its development for a fibromyalgia study.
Characteristics of Tender Points
The examiner cannot feel them.
They cause local pain when pressed.
They are no longer restricted to points on the tender point model.
Though often found around joints.
They are not related to joint disease or joint pain.
They do not cause deep pain.
They are not related to muscle pain.
Tenderness is due to an upset in the central nervous system, called centralization.
Finding Pause for the Use of the Tender Point Model
Those who treat ...
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