FROM OUR EXPERTS
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...
Premenstrual tenderness and swelling of the breasts; Breast tenderness - premenstrual; Breast swelling - premenstrual
Valea F, Katz V. Breast diseases. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology . 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 15.
Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol . 2007; 20(1):3-12.
Yonkers KA, O'Brien PM. Premenstrual syndrome. Lancet . 2008;371(9619):1200-1210.
A study recently published in the journal Evidence-Based Complementary and Alternative Medicine found that myofascial release therapy significantly improved many of the symptoms of fibromyalgia including pain, sleep quality, anxiety and quality of life. Myofascial release therapy (MRT) is a type of massage that applies very gentle sustained pressure to various parts of the body in order to release fascial restrictions. Study Design Fibromyalgia patients were divided into two groups. The experimental group, consisting of 30 individuals, received 90-minute MRT sessions once a week for 20 weeks. The control group of 29 individuals received a weekly 30-minute session of disconnected magnetotherapy for 20 weeks. (Patients in the control group did not know they were receiving a sham therapy.) The following instruments were used to measure symptom severity:
Pain – Visual Analog Scale
Anxiety – State-Trait Anxiety Inventory
Depression – Be...
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