More Symptoms........

Discussion in 'Fibromyalgia Main Forum' started by techno, Oct 30, 2005.

  1. techno

    techno New Member

    • Diffuse arthralgia [pain in joints] occurs
    without joint swelling or redness,
    the lack of which differentiates FMS
    arthralgia from frank arthritis. This is
    an important distinction, since studies
    show that the body pain of FMS can be
    as severe as joint pain in RA .

    • Shortness of breath, and chest pain is
    often experienced, which is reminiscent
    of, but usually distinguishable
    from angina. Commonly the chest pain
    of FMS is referred to as “atypical
    chest pain.”

    • Low back pain is common and is sometimes
    accompanied by pain that shoots
    down the leg, simulating sciatica. In
    that case, there may be concomitant
    piriformis muscle myofascial pain with
    compression of the sciatic nerve.

    • Leg cramps: Approximately 40 percent
    of FMS patients reported leg cramps
    in comparison to 2 percent of controls.

    • Generalized stiffness, which is worse
    upon awakening, commonly occurs
    in FMS. In studies of 78 patients and
    973 patients, the reported incidence
    of morning stiffness lasting more than
    fifteen minutes was 79 percent.
    and 83 percent.

    • Chronic headache is a common problem
    and can be very severe. Chronic
    daily headache typically involve excessive
    tension of cervical muscles and
    include muscle contraction [tension]
    headaches associated with neck and
    shoulder girdle pain but uncommonly
    true migraine. In studies of 78 and 973
    patients, the reported incidence of
    chronic headaches was 58 percent
    and 49 percent , respectively.

    • Muscle weakness and fasciculations,
    and/or general weakness

    • Atypical patterns of numbness and tingling
    [dysesthesia] are often experienced
    in the hands or feet and sometimes
    are accompanied by a sense of
    swelling. Because of these symptoms,
    many patients undergo carpal tunnel
    syndrome [CTS] release surgery, only
    to experience no change in the tingling
    or pain. Therefore, FMS patients should
    not have carpal tunnel release surgery
    unless objective clinical manifestations
    of CTS are present [thenar wasting or
    weakness of opponens strength] and
    median nerve injury is confirmed by
    EMG/NCV studies. Subjective numbness
    was reported by 64 percent of the
    patients in one study .

    • Perceptual disturbances abound: Lack
    of ability to make figure/ground distinctions,
    loss of depth perception or
    inability to focus vision and attention
    may be experienced. Affected individuals
    may lose portions of the visual
    field or can only make sense of a
    small portion of it at one time.

    • Temporal instability: There are dimensional
    disturbances of timing, which
    affect the ability to sequence actions
    and perceptions.

    • Spatial instability comes in many varieties,
    with gait tracking problems,
    loss of cognitive mapping and inaccurate
    body boundaries–e.g., one bumps
    into the side of the doorway on trying
    to go through it and/or walks off the
    sidewalk. There may be an inability
    to automatically “attune” to the environment,
    as in accommodating footfall
    to irregular ground while walking
    and temporary loss of basic habituated
    motor programs such as walking,
    brushing one’s teeth, making the
    bed and/or dialing a telephone.

    • Overload phenomena affect sensory
    modalities where the patient may be
    hypersensitive to light, sound, noise,
    speed, odors, and mixed sensory modalities.
    Motor overload is exemplified
    by patients becoming clumsy as
    they fatigue, and stagger and stumble
    as they try to walk, unable to hold to a
    straight line, as well as showing generalized
    and local weakness. All of these
    cognitive, motor and perceptual disturbances
    may be associated with dizziness,
    numbness, tinnitus, nausea or
    shooting pain. There can be emotional
    overload from extraneous emotional
    fields such as excessive busyness, anger,
    and depression that unduly disturb
    the patient. These overload phenomena
    may precipitate a “crash.” They
    can present in symptom clusters, which
    are usually quite unique to the patient.

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