18 Tender Points That Create Severe Pain
Pain of fibromyalgia takes up residence throughout the whole body the reason being that fibromyalgia forms in the soft tissue. The pain and symptoms of fibromyalgia is most commonly felt in the soft tissue, muscle, tendons and joints. Soft tissue is located in several spots on the body such as: the elbow, neck, back, knees, shins, hips and shoulders. The pain is often felt the most at night and the individual suffering from the pain often struggles to find time to sleep and once he or she finally falls asleep the night is often interrupted from the pain and the fibromyalgia patient wakes up stiff, uncomfortable and just plain miserable the next day. The painful spots on the body are referred to as tender spots and are felt in the various locations we have already mentioned. The pain will start in a location such as the knee and then spread out to include the whole leg.
Fibromyalgia Pain Described
The pain or feelings that correspond with fibromyalgia have been described as a:
- Deep Ache
- Shooting Pain
- Burning Pain
- Painful Joints
- Numbness And Tingling in the hands and feet
The painful sensations mentioned are felt in areas of the body where soft tissue exists and soft tissues exist in eighteen different places on the body. If you were to stop for a moment and consider just how many areas of the body are surrounded by soft tissue than the realization of just how painful and uncomfortable fibromyalgia is might sink in a little more. The following is only a few of the places where soft tissue predominates and where fibromyalgia pain could be felt.
- Rib Cage
Fibromyalgia and pain are often simultaneous and the fibromyalgia patient struggles on a daily basis with symptoms like: muscle spasms, muscle weakness, nerve pain, twitching and even occasional palpations along. The frustrating part about fibromyalgia is that the symptoms are only one painful aspect of this condition. Though there are many different aspects to fibromyalgia and the complications that could arise as a result it is still important for an individual to be made aware of the symptoms he or she will begin to develop.
The Best Way To Diagnose Fibro
Diagnosing fibromyalgia is beneficial to the patient on so many levels but the main benefit has to do with the relief that can come with treating fibromyalgia once a correct diagnosis has been made. Tender points are surface areas that seem to be just under the surface of the skin. These points hurt when just light pressure is applied. The doctor will watch for the patient to flinch or pull back when pressure is applied. The sizes of the tender points are around the size of a penny. They are much more sensitive than the areas surrounding them.
- Tender Point Test
During this process, a doctor applies firm pressure to each of the 18 tender points along with control points. Tender points are located on both sides of the body and both above and below the waist. The tender points are concentrated in the neck area. With four tender points on the front and six tender points on the back making up a total of 10 in one general area. Other tender points are found close to, but not on the joints. There are tender points near each elbow, near each knee and four are located near the pelvis and hips.
Doctors will test all of the tender points along with other points, also known as control points, and study the patient’s reaction. The control points are designed to makes sure that the patient does not react to those as well. The doctor can use his hand or a doximeter/dolorimenter. The instrument can greatly assist in providing the correct amount of pressure.
- New In Office Test
The new in office test takes a widespread pain index coupled with a symptom severity scale should help lead to more diagnoses and treatment. The pain index is a 19 item checklist. The possible fibromyalgia sufferer marks the number of body parts when pain has been experienced during the last week. The symptom scale puts together the three most complain about symptoms, un-refreshing sleep, fatigue and cognitive issues. These symptoms are rated on a scale of zero to three.