MIGRAINE is common in FIBROMYALGIA: THE ETIOLOGY is readily explained. Let me explain:
Hypermobility is a tissue variation found in about 15% of women. The connective tissue laxity impacts flexibility to body parts and especially to the pelvis, thereby providing for easier childbirth.
A common concomitant of greater ligament flexibility is a functional scoliosis. The vertebral disks are ligaments that connect the vertebral bones. The spines of hyper-mobile women are often scoliotic when these women are upright, but straight when reclined. The reason is ….
The upper body tower above the waist is supported by the vertebral spine. This body tower has weight & this weight is supported by the spine, which commonly assumes an S-shaped or reverse S-shaped scoliosis when the host is upright.
The upper scoliosis curve meets shoulder girdles at other than a true vertical orientation; commonly imparting tilt to the shoulder girdles, with one lower. Clinicians interested in this phenomenon merely need to observe hyper-mobile women upright & relaxed to observe this.
The scoliosis curve and one lower shoulder is commonly a constant pattern of the same curve & the same lower shoulder from one examination session to another. Often times the same unilateral lower shoulder can be seen in the patient’s drivers license photo.
As result of a chronically slightly lower shoulder on one side, there is often an associated slight tilt of the head toward the lower shoulder side. This tilted head posture can also often be seen in the driver’s license photo.
A chronically slightly tilted head can have consequences. Head weighs about 10-11 pounds & is supported by the Superior trapezium muscles. The Superior trapezius muscle on side of the higher shoulder is usually hypertrophic from supporting the head tilted toward lower shoulder.
The clinician can easily detect asymmetry, tone, & muscle mass of the 2 Superior trapezius muscles by grasping the anterior leading edge of each muscle and comparing them. The girth of the anterior leading edge is usually greater on the side where the shoulder is higher.
When a muscle is chronically spastic it tends to impinge nerve tracks that travel through it after exiting the spine. Nerves that service the scalp often pass through the Superior trapezium after exiting the spinal cord.
People with Fibromyalgia often have scoliosis, slightly tilted heads, & attendant hyperdynamic function, hypertrophy, & chronic muscle spasm of the Superior trapezius muscle associated with the higher shoulder.
The chronically spastic Superior trapezius muscle associated with a slightly tilted head causes chronic cervicalgia in some patients &/or chronic muscle tension headaches. The muscle spasm also pinches nerve tracks that traverse the muscle.
Persons with chronic muscle tension headaches oft have intermittent & frequent migraines; an association suggesting a common etiology. It might be theorized that chronic muscle tension headaches evoke migraine by a neural feedback loop involving the cerebral arterial nerves.
Perhaps chronically constricted arterioles that inhabit spastic cervical muscles alert the brain that blood flow is being impinged; causing brain arterioles to reflexly dilate and lead to the vascular phenomena of migraines.
Amongst woman with Hypermobility and migraines there is common occurrence of migraines during or around the time of menses. This is the same time during which pelvic glands secrete Relaxin, a hormone that cause connective tissues to be more flexible.
Perhaps the scoliosis, asymmetric shoulder girdles, tilted head, & Superior trapezius muscle spasms that accompany Hypermobility becomes greater during this time of Relaxin secretion; culminating in the migraine phenomena.
The clinical observations and theories in this essay are novel findings & speculations of the author & should not be regarded to be recounts of reports found in the medical literature. In my next essay, I will discuss the relationship of Hypermobility & Fibromyalgia. THE END

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More from @BadgleyLaurence

22 May
THORACIC OUTLET SYNDROME: Classic case of imbalanced muscles. Let me explain:
(Anatomy & Etiology)
Thoracic Outlet: anatomic space in proximal subclavicle region; traversed by a neurovascular bundle & brachial neural plexus.
Superior trapezium is plural
Superior trapezius is singular
Read 57 tweets
14 Mar
VITAMIN D HOW MUCH? Recent studies in men who work year around without shirts in Hawaii produce 6,000 units of Vitamin D per day; likely a dose selected by Darwinian evolution and likely non-toxic. Maybe even optimum.
My undergraduate biological sciences professor (1963) discounted need for supplemental Vitamin D & firmly proclaimed walking “15 minutes” outdoors “between classes” was sufficient daily sun exposure; a pompous proclamation in retrospect.
VITAMIN D & COVID-19: Epidemiological evidence has demonstrated ability of Vitamin D to inure human organisms to full onslaught of COVID-19. Anyone who is not maximizing Vitamin D might be missing an opportunity.
Read 14 tweets
13 Mar
ALTERNATE EXPLANATION OF CFS/ME/LONG-COVID: Best studies of physiologic commonalities of these disorders have measured metabolism, genetics, hormones, cytokines, mitochondrial respiration, & etc. The only common phenomenon that correlates with occurrence of these disorder is ....
The common thread of CFS/ME/LONG-COVID is the measured intensity of the initial insult; as in days of bedridden status & severe locomotor inactivity. What does this measurement reflect?
Astronauts returning from weightlessness are unable to support their upright musculoskeletal towers. Studies have shown that 2 weeks of strict bedrest result in profound loss of muscle mass and strength.
Read 9 tweets
27 Jan
CFS MYSTERY FURTHER UNSOLVED: CFS is function of “severity” of acute infection, but not of psychologic or measurable physiologic parameters, and for a variety of viral disorders. Huh! How can this be? Impossible! Why?
Well, let’s look at what import “severity of illness” has for a host that evolves chronic fatigue. In the study, chronic musculoskeletal pain was common amongst CFS suffers, but the pain generators were not studied. Soft tissues are the most likely explanation.
Persons beset with musculoskeletal pain commonly seek a sedentary status in order to avoid arousing musculoskeletal pain transducers.
Read 13 tweets
30 Dec 20
BOTOX FOR MIGRAINES: Key to success is depositing the Botox in the best tissue: mid-body & occipital insertion site of the most spastic Superior trapezius muscle; chronic spasm of which induces chronic muscle tension headaches and reflexive Migraine.
Way to discern spastic unilateral Superior trapezius muscle: look in mirror, view your auto driver license photo, & to pinch leading edge of each Superior trapezius to determine which leading edge is painful to pressure & also thicker; from supporting a chronically tilted head.
Looking in the mirror enables the person to view which shoulder is lower. The head usually tilts toward the lower shoulder side; causing Superior trapezius muscle on the higher shoulder side to be spastic from chronically supporting a tilted head (weighs about 10#).
Read 11 tweets
28 Dec 20
The exercise program is only for persons with less severe forms of Hypermobility (those who are still physically active) & who have not advanced to Fibromyalgia/ wasting disorders (who should begin an exercise only in warm water & until they are ready for walking on land).
My theory how persons with Fibromyalgia, wasting diseases & severe fatigue should exercise is that they should start with very gentle activities whereat gravity is negated & then through gradations of activities whereby exposure to gravity is gradually increased.
The first phase of exercise for persons with Fibromyalgia & wasting diseases should be similar to what was done with polio in the 1900’s: Warm water relaxes spastic muscles & enables joint range of motion exercises with gravity relatively negated.
Read 17 tweets

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