Ever had a pain in the butt? No, I am not talking some crazy family member who cannot keep the mouth shut. I am talking about a real pain in the buttock region, possibly confused with low back pain.
A common cause of pain in the area of the tailbone, especially the tailbones in women, is the sacroiliac joint (SIJ). Before we proceed further, let us form a mental picture of the pelvis . The pelvis is a boney ring formed by four bones: two fused sections comprised of the pubis, ischium and ilium, one sacrum, and one coccyx. These four sections of bone are joined by strong ligaments at the pubic symphysis (in front) and the sacroiliac joints (in the back). All three of these joining points for the pelvic ring are potential sources of pain, especially in women and most especially in pregnant women. Thus, women in particular need to understand the risks for having SIJ dysfunction, the ways to diagnosis the problem, and the solutions for this pain in the butt.
By virtue of bein...
For years people with fibromyalgia who are unable to continue working at a full-time job have struggled and worried about whether they would qualify for Social Security Disability. Finally, last week the Social Security Administration issued a ruling providing guidance on how they develop evidence to establish that a person has a medically determinable impairment (MDI) of fibromyalgia, and how they evaluate fibromyalgia in disability claims and continuing disability reviews under titles II and XVI of the Social Security Act. This ruling went into effect on July 25, 2012.
For a complete copy of the ruling, including footnotes, references and a tender point diagram, see Social Security Ruling, SSR 12-2p; Titles II and XVI: Evaluation of Fibromyalgia in the Federal Register. Following is a copy of the core elements of the ruling that I think would be of most interest to people with fibromyalgia.
Fibromyalgia is a complex medical condition characterized p...
A new study published in the 26 April 2012 issue of the Molecular Pain journal found that fibromyalgia patients had significantly less connectivity in the areas of the brain that are involved in modulating and inhibiting pain when compared with healthy controls.
The Route Pain Takes
Our bodies have both ascending and descending pain pathways. When a healthy individual receives an injury, the body sends a signal from the site of the injury, through the central nervous system , to the brain. This is the ascending pathway. Within the brain, the signal makes various connections, interpreting the nature of the injury. Once the signal reaches the higher centers of the brain, the descending control mechanisms are activated. At this point, the pain signal can be modulated or inhibited at various levels. The body releases chemical substances such as endogenous (internal) opiates and begins working to progressively reduce (inhibit) the pain.
For individuals with fibromyalgia...
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