Introduction

There are many approaches to the treatment of main but foremost should be an assessment of your pain by your consultant. The first thing that needs to be established are how many pain problems you have, often with Fibromyalgia there are different reasons for pain, for example you could have a mechanical problem and a pain syndrome, both will need treating in different ways and both are very different problems, you are likely to have a central sensitisation because of Fibromyalgia so it can be different to separate your problems but if you look closely there may be differences in how the pain feels, where the pain comes from, when the pain started, what makes it worse and what makes it better. By making a list of your pain problems you can ensure that the right approach is taken for each one of your pain problems and non are missed out.

Acute Pain

Pain from an injury is quite common and often the starting point of Fibromyalgia so if your injury has not yet healed then you are suffering from acute pain and you need a solution to fix the problem. Injury can be anything from a small burn or cut to broken limbs or bones. Depending on what the injury is will depend on the treatment for it. These are standard medical problems and although they may have caused your Fibromyalgia treating them would involve standard medical treatments so I will not cover these in detail and I only need to say it is important to heal any injury promptly or your going to be suffering for longer.

Pain from mechanical problems also needs to be dealt with like an injury although it may require more intervention to solve. It is important to get these diagnosed and dealt with if at all possible. Again I am not going to go into any detail about all the possible mechanical problems but it is important to have them investigates by an Orthopaedic Surgeon if possible to that the appropriate treatment can be undertaken without delay. When deciding on a course of action it is advisable to discuss your Fibromyalgia with the medical professional as treatment, recovery times and rehabilitation might need to be altered or may need to take a little longer because of how your Fibromyalgia Effects you.

Chronic Pain

At this stage you should have ruled out everything but Chronic Pain. The way you go about treating Chronic Pain should be the same way as you go about treating Acute Pain. You need to identify each different type of Chronic Pain you suffer from. If you are lucky you may only suffer from one form of Chronic Pain but often people find they have multiple forms of Chronic pain. As in my introduction you can separate forms of pain by their start date, the area of the body they effect, what makes them worse, what makes them better and how they feel. Research Chronic Pain conditions and investigate them with your specialist. You may be able to identify some of the different forms of Chronic Pain you suffer from an in turn discover established treatments for them. I talk about some of these forms of Chronic Pain in my “Symptoms” section so that would be a good place to start. If you discover treatments and medications then try them if you can and see how well you get on. If you find them unsuccessful then hopefully you will find some tools to help in the next section.

Chronic Pain and Pain Syndromes are likely to effect everyone with Fibromyalgia and I firmly believe that you need to develop a Toolbox containing many different tools you can use them to combat your pain so I will look each of the tools that may be available.

Trigger Point Therapy

Trigger Point Therapy can by a very useful tool for treating Myofascial Pain and is usually administered by a Physiotherapist. Now at the risk of not being fair and informative I can say that I am a huge fan of good Physiotherapists and an even bigger fan of Trigger Point Therapy. Trigger Point Therapy works by applying pressure (Palpating) to Trigger Points on the specific muscle that is identified as being problematic. This causes the muscle to relax and helps to eliminate the pain signals being sent to the brain from around the muscle. Moist heat and Acupuncture can also be used in Trigger Point Therapy but I only have limited experience of the latter. The Physiotherapist should then give the patient both stretching then strengthening program’s to work on in order to reduce the risk of further problems in that area. It can take quite a few treatments to prevent one muscle flaring up time after time as the body has to make physiological changes that can only come about after stretching and strengthening various muscles over a period of time. Saying this you should be able to feel a the benefit of Trigger Point Therapy on the area in question in most sessions and this could last several days.

Coming soon

Intravenous Lidocaine Infusion

Local Injections