Fibromyalgia is a confusing disease. Some physicians do not believe it to be a medical condition but may be a symptom of psychological distress or depression. However, there is no evidence of a psychological cause either. Until we have a better understanding of the problem, it is possible to remain confusing. It may be that fibromyalgia has more than one cause.
Some researchers have suggested that it is associated with abnormalities in the non-dreaming part of the sleep cycle or low levels of serotonin, a brain chemical that regulates sleep and pain perception. Some theories have linked fibromyalgia with changes in the threshold for pain. Still others have cited physical or psychological trauma, trouble with blood flow to the muscles, viral infections or other infections such as fibromyalgia triggers. Fibromyalgia is not a form of arthritis, but a muscle disorder.
Fibromyalgia and arthritis can cause severe pain and fatigue as well as interfere with a person’s ability to perform daily activities. However, the symptoms of fibromyalgia usually do not worsen over time, unlike the symptoms of arthritis. It is common for fibromyalgia to be associated with another joint disease, such as systemic lupus or sepsis. Fibromyalgia can cause pain and stiffness in muscles and joints almost everywhere in the body, as well as the trunk, neck, shoulders, spine and hips.
People often have pain between the shoulder blades and under the neck. The pain can be generalized pain or chewing pain, and stiffness is often worse in the morning. Naturally, people also complain about feeling normal tired, especially waking up tired, even though they are sleeping well. Most people with fibromyalgia also have tender parts, which are special spots on the body that are painful to touch. Some people report symptoms of anemia, depression, anxiety and headaches.
Symptoms of Fibromyalgia
Cognitive Problems; This is sometimes referred to as fibrous fog when it is associated with fibromyalgia. Patients often experience issues with memory and attention. Feelings of frustration and a lack of clarity of mind can also occur.
Numbness; Especially in the hands and feet, the patient may feel numbness and tingling or pins and needles feel. Some patients report feeling like a swollen tip even though no swelling of the body is visible.
Temperature Sensitivity; Patients appear to have difficulty controlling the temperature and reacting negatively to sudden severity or temperature changes. This can affect the patient’s productivity and ability to relax properly. Again, since rest is important to get less pain, this symptom may increase the presence of other debilitating symptoms of fibromyalgia.
Fatigue; This is more than just getting tired after a long day. This is an ongoing fatigue that reduces the overall strength of the patient in a way that the fever can do so. As a result, some doctors confuse fibromyalgia with chronic fatigue syndrome.
Symptoms of fibromyalgia shoulder pain
The primary symptom of fibromyalgia is a combination of muscle pain and fatigue. This pain and fatigue will be enough to greatly reduce what a patient can do during the day, as many fibromyalgia patients are reduced to bed rest for most of the day. Muscle pain usually occurs in the neck, back, chest, rib cage, thighs, and shoulders, and will worsen over time. Symptoms can last for months or years. People can look good without physical disabilities or damaged tissue.
- Tender points
- Pain usually affects the shoulder, neck, arms, buttocks, upper back
- Elevate the pain of perception during pressure on the mark.
- Sleep problems
- Nervous pain
- Muscle cramps, muscle spasm, muscle weakness
- Worsen and noise, weather, stress
- Headaches and migraines
There are eighteen tips for the whole body, and it takes a person to feel pain in eleven parts of the pressure to be officially diagnosed with fibromyalgia. Several pressure points are located on the shoulders. If you feel pain in your shoulders, there are two options on how it relates to fibromyalgia
- You do not feel pain in any tender or excessive area, so you do not have fibromyalgia and the pain is due to the reasons we have already talked about.
- You feel pain in other areas of pressure along your shoulder, so the shoulder pain you feel may be part of fibromyalgia.
Causes of fibromyalgia shoulder blade pain
The shoulder has three different bones. Upper arm bone, shoulder blade, and collar bone. The arm bone rests on the socket on your shoulder, and the muscles and tendons ensure that the hand is secure in this socket. When you experience fibromyalgia shoulder pain, it is usually caused by inflammation or tears in tendons, arthritis, nerve damage, infection, fracture, or broken bone.
Tendons; are strings that hold our muscles to our bones, but like almost anything else, they can and do wear out over time. People who regularly engage in physical activity will find that their tendons will stay much faster than people who do not. As our tendons become worn out, they are more likely to be torn or injured. This injury may occur temporarily or may occur suddenly, and if severe, the tendon may disintegrate completely.
Pressure on tissues; Another thing that can cause shoulder pain is when the shoulder blade puts pressure on the tissue. When the hand raises or engages in any bodily activity, the tissues rub against the shoulder blade, which can contribute to pain in the tendons as well. This type of pain is extremely painful and greatly reduces the movement you can make on your arm. For example, you may enjoy playing baseball and lifting it regularly and moving your hand by placing the ball over your head.
Arthritis; One of the most common causes behind shoulder pain is arthritis, and there are many variations as well. The reason why there are so many different types of arthritis is because it can occur in different parts of the body. The type of arthritis that occurs in the shoulder is called osteoarthritis, and its most common symptoms include pain and stiffness in the shoulder and swelling.
Osteoarthritis; If you are showing symptoms of osteoarthritis, you should look at it immediately, as the pain will only get worse for a long time without any major treatment. Osteoarthritis usually occurs in middle-aged people, and is due to a variety of factors as well as inflammation of the joints, infections, trauma, or sports. The most common reaction with people with osteoarthritis is not to move the shoulder to reduce pain, but this will make things worse as it will lead to more shoulder stiffness.
Shoulder fractures; A fracture is when the bones in the body are broken, the most common broken bones that can cause shoulder pain are the collar, shoulder blade, and upper arm bone. Broken shoulder and broken bones are almost always the result of physical trauma, such as a sports injury, a fall, or an accident. The fracture will cause severe swelling in the affected area and cause severe pain. If you have a fracture, you should get treatment from your doctor as soon as possible.
Diagnosis of fibromyalgia shoulder blade pain
After inquiring about your symptoms, your doctor will check for swelling, redness and irregular movements in areas of your body where you have pain. Your doctor will also look at tender marks, although the presence of tender marks is not required to make a diagnosis. Your doctor will ask in-depth questions about your medical history and examine you to rule out other conditions or diseases that may explain your symptoms, such as thyroid disease or vitamin D deficiency.
Treatment of fibromyalgia shoulder blade pain
Once you get a diagnosis of fibromyalgia shoulder blade pain, your doctor will create a treatment plan that addresses all your pain and underlying problem.
To reduce the pain of fibromyalgia, your doctor may prescribe acetaminophen, aspirin or other anti-inflammatory drugs such as ibuprofen or naproxen, muscle relaxants such as cyclobenzaprine or antidepressants such as amitriptyline or fluoxetine. Sometimes these drugs are prescribed together. The combination of amitriptyline and fluoxetine, for example, may be more helpful than alone.
In recent years, the FDA has approved pregabalin, duloxetine and milnacipran for the treatment of fibromyalgia. However, studies have not yet compared these with older drugs for long-term treatment of this condition. Several other drugs, including gabapentin, tramadol and tizanidine, are usually prescribed for fibromyalgia.
While medications can provide relief, they often do not work well and non-prescription treatments may be more helpful. Aerobic exercise, such as treadmill, cycling or swimming several times a week, is also considered an important part of treatment. Finally, a good night’s sleep can improve symptoms, so it can help prevent caffeine, late afternoon exercise and late afternoon drinks.
3. Physical therapy
If your symptoms do not change, your doctor may also recommend one or more of the following therapies: therapy, massage therapy, warm-ups, biofeedback, tai chi, hypnosis, group therapy or stress management. If you have symptoms of depression or anxiety, these can be improved with psychotherapy and antidepressant or anxiety medication. Everyone with fibromyalgia is different, so people may have different treatment plans than the steps outlined above.
Although the most common complaint of patients with fibromyalgia is, some patients may refer to an orthopedic surgeon for pain set in a particular region. Shoulder pain is reported to be one of the most frequent localization in fibromyalgia, followed by back pain and neck pain. Fibromyalgia diagnostic scales are not routinely performed by orthopedic surgeons, and there is a high risk of misdiagnosis, which can even affect patients with other conditions such as tearing or osteoarthritis.
Treatment options or surgery are often made for these patients, with the risk of unsatisfactory side effects unexplained, considering that several studies have found that fibromyalgia patients may require different pain management after surgery. High opioid use in these patients undergoing low-grade replacement has been shown, but so far there is a lack of knowledge about the effect on orthopedic surgery.
5. See a doctor
Call your doctor whenever you experience chronic pain or fatigue, especially if it interferes with your ability to work, sleep, do normal household chores or enjoy leisure activities.
It is difficult to live with fibromyalgia shoulder pain, especially when it is unpredictable. The more you learn about your pain and its triggers, the better you will be able to manage it. be sure to see your doctor if you experience muscle pain, especially if it is severe, persistent, or worsening.
For example, we know that moderate exercise and adequate sleep can improve symptoms and that physical or mental stress, cold and humid weather, and poor sleep habits can be harmful. Getting proper treatment takes time and effort, but many find great relief in their dedication and perseverance.