I developed Fibromyalgia after an accident and several operations. I have
trigger points, but in the area near the accident and where the operations
were done. I would like to known more information about fibromyalia and any
treatment programs. Does amtripline help or prozac? What is a good medicine
to help you sleep? Why do hormone pills make my muscles ache, is this due the
Anything that disturbs sleep for more than a couple of nights can
trigger fibromyalgia (FM) in people who are susceptible to it. Current
thinking is that the susceptibility runs in families. Your physicians are
probably correct in their assessment of the cause of your fibromyalgia.
Your mention of trigger points raises a question. Fibromyalgia is
associated with _tender_ points, which are exquisitely sore when pressed.
These tender points, when they exist, are at very specific locations on
the body, in most cases about two inches from the point where a muscle
attaches to a bone. _Trigger_ points, on the other hand, are a manifestation
of myofascial pain syndrome, which may or may not be related to fibromyalgia,
depending on the person.
Trigger points, when pressed, refer pain to another part of the body;
they are not sore themselves. The locus of the referred pain may be quite
near to the trigger point, or quite distant from it. The nice thing about
trigger points, as distinct from tender points, is that they can often
be relieved by pressure on the trigger point.
Massage therapists trained in myofascial release are often of great
help when the pain comes from trigger points. Fibromyalgia tender points
are not relieved in this way, but anything that helps relieve fibromyalgia
is likely to lessen the pain of the tender points.
Although we are not licensed to give out information to the general
public, I can tell you that some people find that amitriptyline helps their
fibromyalgia. Others find the side effects outweigh any benefit they get
from amitriptyline. Prozac has been shown in a clinical trial to provide
have no more benefit than a placebo to people with fibromyalgia. Don Goldenberg,
M.D., a prominent fibromyalgia researcher, recently published a paper in
which he says that the combination of amitriptyline and Prozac has good
results. There are many other drugs and non-drug preparations that are
helping people with FM -- too many to list here. If you want another opinion
about medication and how to use it, you could check with your pharmacist.
Unfortunately, each FM patient is unique in her responses to drugs,
and it often takes quite a bit of fine-tuning before the proper combination
of medications and nutrients is found. You might want to visit the Usenet
newsgroup alt.med.fibromyalgia and read what others are doing to help themselves.
There is a wealth of information there. Another resource is the book I've
just completed on this subject, available through our Amazing
Miryam Williamson, a contributing editor to SelfhelpMagazine,
is a technical journalist and author of "Fibromyalgia: A Comprehensive
Approach What You Can Do About Chronic Pain and Fatigue," published
by Walker and Company, New York, 1996, ISBN 0-8027-7484-9. At bookstores in
early June, or from the publisher at 800-289-2553.