@ChronicPainDad MYTH OF FIBROMYALGIA?
Idea that Fibromyalgia is a myth persists & is far from fact. In 2009, I published (“Practical Pain Management”) announcement of cause. I sent Dr. Tennant, editor, a manuscripts entitled “Fibromyalgia-Finally The Cause”.
Idea that Fibromyalgia is a myth persists & is far from fact. In 2009, I published (“Practical Pain Management”) announcement of cause. I sent Dr. Tennant, editor, a manuscripts entitled “Fibromyalgia-Finally The Cause”.
@ChronicPainDad He chose to change title to, “Sacroiliac Joint Disorder”; I was a country doctor without academic credentials. The article continues on-line. Gratefully, Dr. Tennant did not change article content. He sent me a note something like, “you will help many”.
@ChronicPainDad I suspect the world medical community continues of one mind that cause of Fibromyalgia is unknown, & that many doctors question authenticity of such a disorder. Naysayers are simply ignorant.
@ChronicPainDad At 10th Interdisciplinary World Congress on Low Back & Pelvic Pain, Antwerp October 2019 (on line), I presented eight papers on my study of 50 people with Fibromyalgia; lead paper announced multifactorial causes of Fibromyalgia.
@ChronicPainDad A sine qua non of Fibromyalgia is both lower & upper back pain. Non-refreshing sleep, daytime fatigue, depression, & cognitive disarray are common; symptoms all resulting from non-restorative sleep; aroused by pain while trying to sleep.
@ChronicPainDad Pain aroused while reclined characteristic of pelvic girdle instability (sacroiliac joint subluxation); due to SIJ ligament injury/pain. Pelvic girdle is a ring &, no matter where it approaches mattress, ground forces translate ring to loose SIJ & painful joint ligament stretch.
@ChronicPainDad When lying against mattress, pelvis & shoulder girdles jut outward taking brunt of mattress ground forces. It is no wonder that chronic shoulder pain, TOS, Cervicalgia, & low back/pelvis pain occur; as ligaments are torqued & stretched.
@ChronicPainDad How is SIJ disorder & FM studied? The premiere tissues to study are in women with Hypermobility Disorder (est. 15%), who have loose ligaments & incur SIJ instability via menial pelvic lifting & falling injuries; including childbirth; as med lit reports.
@ChronicPainDad About 4% of women world-wide have Fibromyalgia (reported academically) & Fibromyalgia occurs trans-culturally; indicating that it is a human physical condition & not cultural or behavioral.
@ChronicPainDad About 20 years ago (as Work Comp doctor), I studied “Occupational Disability Guidelines” (ODG); Pelvic chapter described 16 clinical signs of SIJ subluxation. I am only doctor (including Chiropractors) I have ever met who knows most of these signs!
@ChronicPainDad Fortunately, I learned these SIJ signs at time I became aware of Joint Hypermobility signs (double jointedness) in women. Walla! Pained, fatigued, & depressed women had chronic low back pain. They also had measurable SIJ instability.
@ChronicPainDad At 8th Interdisciplinary World Congress on Low Back & Pelvic Pain, Dubai 2013, I presented first World announcement of study showing SIJ subluxation. NASA spent $1M trying to show signs of this. They chose standing position & fluoroscopy & missed. I chose X-ray & sitting.
@ChronicPainDad Doctors who proclaim that Fibromyalgia has no clinical signs are wrong. Apparently, they do not know how to diagnose chronic painful soft tissue disorders. This is not done with X-rays or scans.
@ChronicPainDad Diagnosis of painful chronic soft tissue disorders requires in-depth history taking, including mechanisms of injury, & sensitive touch of soft tissues as they function in space & in real time.
@ChronicPainDad Doctors harried by time & business masters who demand money, productivity, & electronic medical record slavery miss opportunities to determine pain generators in most patients they encounter.
@ChronicPainDad This is one of the reasons most doctors are hesitant to prescribed analgesic medications (opioids). They are unable to diagnose the reason why their patients are pained.
@ChronicPainDad What a major modern day medical paradox chronic pain has become. The authoritative figure is that 30 million Americans suffer from chronic pain. Doctors have become fearful to treat it! Bureaucrats caused this disconnect.
@ChronicPainDad Super-Syndrome Fibromyalgia includes many Sub-Syndromes: Migraine, Cervicalgia, POTS, Panic Attacks, MVP, TMJ, TOS, Gastroparesis, Scoliosis, Chronic Shoulder Pain, IBS, IC, Chronic Sciatic, Patellofemoral Syndrome, Chronic Low Back Pain, etc.
@ChronicPainDad Fibromyalgia patients I have examined universally have SIJ subluxation & physical exams can measure (reproducibly) nutation & counter-nutation motions occurring within their sacroiliac joints; via a few minutes of exam in the clinic.
@ChronicPainDad Many Fibromyalgia symptoms are dysautonomias related to joint subluxations that impinge autonomic nervous system (ANS) tracts that are contiguous to joint bony prominences.
@ChronicPainDad All doctors know ANS tracts & proximate bones/joints, but understanding these physiologic relationships requires exams be performed & histories taken in order to diagnose dysautonomic disorders.
@ChronicPainDad There are defined symptom pattens for all Fibromyalgia disorders. There are also observable & reproducible physical examination findings for many of these disorders. No time for exams you say?
@ChronicPainDad There are ways to show specific regions of chronic muscle spasm & constant body posture asymmetries attendant with & causal of widespread chronic muscle spasms in patients with Fibromyalgia.
@ChronicPainDad Unfortunately, most doctors have neither time nor training to take in-depth histories nor to discover these signs; especially in clothed patients, which is the “modern” & contemporary way doctors “examine” patients.
@ChronicPainDad Soft tissues are radiolucent, & yet doctors rely on X-rays & scans to determine the status of body soft tissues. Crazy!
@ChronicPainDad IN CONCLUSION: Idea that Fibromyalgia diagnosis is elusive because there are no physical findings is a myth. Physical findings only exist if one looks for them. Patients with Fibromyalgia are replete with physical findings.
@ChronicPainDad Twitter includes an app called “thread reader”. In my own library of thread reader unrolls, there are several essays that review many issues discussed in this current essay, which I will also turn into a thread reader unroll; readable as a continuous scroll.
@ChronicPainDad @threadreaderapp unroll
