are knots in muscle Fibromyalgia???????

[smokey3550]

my doctor told me I have hasimoto but I have knots in my muscles all over my body neck, inbetween and under shoulder blades, thighs, butt, now matter what I do I can't get rid of them. I have tried massages,aqucpunture,I take magensium everyday and my thyroid medicine. So my question is which is it a systom of Fybro or Hasimoto? And is there anything I can do to loosen my muscle exercise seem to make it worse. And do the knot every go away if keeps me up at night because I ache and my muscle get so tight my hip hurt (exspecailly if I walk alot) sometimes it makes my knee hurt and my neck hurt all the time. I could sure use so help on what to do?????/

[fibrohurts]

I have FM and I have a big problem with muscle knots and spasms. Just about everytime I go to the doc they feel knots all over my back, legs, arms. The only thing that has helped is taking at least 8mg of Flexeril every day.

[karajo]

Smokey, Could you describ the pain in your ribcage. Is it just below your breast?  Is it more promonent on one side over another?  My rhematologist sent me to a physical therapist for a little while.  They did tens unit and ultrasound therapy for a full week before they started on the exercises.  I never thought I would be able to come out of the hole I was in, but praise God, I did.  I'm not where I was before I got sick, but I'm certainly a long way from where I was when I was sick.  

Caroline, That was very interesting about the myofacial and FMS being two different things.  It sounds like you are very knowledgeable about this stuff.

I get really sharp, jabbing, stabbing pain (that take my breath) in my upper right (just below the breast).  The longest one lasted was about 15 min.  Then I hurt there for the next day.  Real sore like someone punched me.  Does this sound familiar to either one of you?

[achrist1]

Does anyone have any recommendations for good shoes for someone with "FMS/ MPS Foot" (Wide at the ball of the foot, narrow at the heel, with a high arch and rigid foot)? I use arch supports and try to wear comfortable tennis shoes or danskos, but after being on my feet all day teaching, I still have a lot of pain in my archs, calves, hamstrings, back, neck etc.

[Caroline565]

TrPs's is an abreviation for trigger points. Trigger points are caused by Myofascial Pain Syndrome, not fibromyalgia. Stretching exercises should be done daily and especially before and after exercise. Exercise needs to begin slowly and gradually increased. If you do too much too fast and don't properly stretch, you could injure yourself. A good physical therapist familiar with FMS/MPS can really be helpful in establishing a good stretching and exercise program. It is important for trigger points be broken up prior to exercise.

No--FMS and MPS are definitely not the same!  They are frequently lumped together because they are often co-existing. FMS (dysregulation of the neurotransmitters) is biochemical whereas MPS is neuromuscular. Unfortunately, FMS is also a perpetuating factor of MPS.

They sell moist heat heating pads--they come with a little spongy type insert that you moisten. It penetrates much better than the dry heat. It is good to use not only when you're having pain, but before you exercise if you are having pain. Apply for 20 min at a time only. A lot of people prefer soaking in a hot tub, that works too.

[smokey3550]

hey what is TrP I am new to this? I am taking levothyroxine, Myco-zyme (enzyme),X-FLM it is a antioxidant,oxi cell also a antioxdant this are homopathic medicine I just started a Adrenal Cap and cortisol support also homopathctic. I was trying to stay away from the prescribtion medicine they seem to have alot of side affect. My doctor sasy you have to get the thyroid and the digestion fuctioning properly. About two year ago I did water aroebics. I felt great then I started work out on the treadmill and the other equipment and tore my knee up because of all the tightness. Now evertime I do anything for a period of time it seem to agravate my muscles and they become tight and knotted and painful. So I started strecthing and that helps but it never gets rid of the knots and the tightness. MY doctor told me FBM and MFS are the same is that not true? What low impact excerise do you do? I now have the planter fasca on my foot I am very flat footed so no I havent treid shoe supports but I buy really good shoes. I have a small memory foam on my bed what do you have and does it help I just told my husband I wish I had a matteress I could just sink in and it would be like a pillow and nothing would hurt so I could sleep better. It was cold here today and I walked quite a bit it seem to be worse. Is moist heat or a heating pad better? how about hot tub? I was just wondering if the lympthatic massage is going to help or if I should try something else I do not just want to lie down and give up I have a special needs daughter she is 27 and a 8 year old they keep me busy I just wish I didn't hurt so much it makes me grippy.

[Caroline565]

Do you have sleep disturbances or are you on any medication to help improve your sleep? There are some good stretching exercises for the hips, are you doing any of that? Sometimes PT is beneficial for the short term if you can find someone familiar with FMS/MPS and knows how to eliminate TrP's. It is important to have them worked on before starting an exercise program, but once there, I have found low-impact exercise to be very helpful. A good therapist can teach you different stretching exercises to prepare you for regular exercise which is something you have to begin slowly and increase your time very gradually.

Unlike FMS, which is thought to be biochemical, MPS is neuromuscular. I am going to speak for myself here and I don't know if this will help you or not. You know that we are all very different even though we share the same "affliction". First, do you use any type of arch supports in your shoes, especially when you expect to be on your feet alot? Second, really try very hard to pay attention to posture. This can be very difficult, it is for me. When I become fatigued, my posture changes. I try very hard to pull in my tummy, straightened my shoulders (but in a relaxed position) and tuck in my chin abit . There should be a slight curvature to our neck--not straight or leading by the chin. This will not eliminate the problem totally, but I have found it to help.

I don't know if I mentioned this before, but a memory foam mattress topper would be a great idea, especially if you have a regular type mattress. In my state, a doctor needs to write a RX for PT in order to have it covered under medical. There are also different meds used to treat FMS and some need to be adjusted according to the patient. There are pain meds which can help you be a little more comfy at night so you can sleep better. There are TrP injections, which I have had on a couple ocassions when I couldn't deal with the pain and couldn't get rid of them. There are some people that feel they do not work but I was fortunate to have good results however, that was a real last resort. I don't think you need a rheumatologist necessarily, but they are supposed to be the experts. What is really important is to find a doctor that understands it and will work with you.

Yes, about the memory and blurry eyes, that is possible also. Believe it or not, could be due to TrP's. They say eye exericses can help, try doing a search. My eyes are blurry but for a different reason.