Just treating Infraspinatus and Trapezius triggers will drop pains in FM by 20% – renewing interest in idea that a portion of FM is peripherally driven.
Treatment of Peripheral Pain Generators in Fibromyalgia
G. Affaitati et al
IASP poster 2010 Montreal
- Infraspinatus and trapezius tip Trigger were injected twice with 4 days in between. Control had a sham treatment.
- 7.8 to about 6.2 in active; no change control
Comment – Every time I go to a physio course I am told I have mechanical issues – a left posterior sacroiliac, type II rotations in the spine, stiff CT junction etc. None of them hurt. In Fibromylagia, all of them will. Treating myofascial areas is important, though perhaps a temporary respite, in overall pain. Controlling the pain however, does has long-lasting effects on improved overall functioning.
Any one modelity will only relieve the situation perhaps 20% – this includes medication unless you fall into the responder subgroup. This is why it is important for people with FM to pursue multiple measures – manipulative, acupuncture, massage, pilates, tai chi, yoga, relaxation and meditative techniques and so on.
I also have observed that victims that take charge of their rehabilitation do better – a sense of control is necessary for recovery as is an active lifestyle.
Any comments on that?