Por: Qan lil Sis
Do you suffer with fibromyalgia leg pain? The pain that is associated with the tender points and the trigger points in multiple sites? Although we often refer to them as tender POINTS , they are actually rather tender AREAS .
I still have to meet someone with fibromyalgia who simply has a POINT of pain or sensitivity. (However, both tender points and areas of generalized pain are still used for diagnosis) And because the tender points differ from the trigger points, the article also refers to the ‘trigger points’ for a deeper discussion on TRP’ in s fibromyalgia.
Now most people with fibro describe a “zone” of pain that radiates to the surrounding tendons or trigger points. Often there is an involvement with an associated tendon, ligament or TRP (trigger point). This is what causes the pain to radiate or enlarge.
Take, for example, the sensitive points on the inside of the knee. This area can extend an average of 2-4 inches above and below the inside of the knee. So it really makes more sense for reference to call this an AREA of pain, especially when it comes to work solutions. Yes, there are many tender points in the lower extremity of the fibro body.
Certain Activities of Daily Living (ADL) may exacerbate Fibromyalgia Leg pain
Examples are sitting for prolonged periods, standing in one place, moving or changing weight while standing, driving, traveling, cleaning activities, etc.
What else can exacerbate fibromyalgia leg pain? Trigger points, inactivity, loss of muscle mass, lower back pain, sciatica, joint participation, certain medications, cold / flu and more. The interesting thing about fibromyalgia related to leg pain is that it does not matter if you are standing, sitting or lying down.
The propensity for pain in the lower quadrant of the fibro body is only greater because of trigger points woven into muscle layers and extremely sensitive areas that are not directly related to any activity or exercise.
The longest and most widely used muscle in the leg (also known as the sartorius muscle in the quadriceps area) is responsible for much of our mobility in the lower quadrant of the fibro body. Here in the adjacent image I have hi-lited these areas that cause the most pains in the lower fibro body.
When conditioned from this muscle and the surrounding muscles become, everything around this area also weakens including tendons and ligaments.
Agility can be lost and these “areas” of interest to be wider still (as shown in the adjacent chart), with the pain of sensitive points spreading both above and below the location of the real point inside the knee.
Sensitive spots within the gluteal area can also radiate pain down the leg, often on the sides and back of the legs. Hip and leg pain may result because the Illiotibial band (outside the legs) extends from the hip area on one side of each leg and when this area is tight it can cause stinging pain and severe stiffness.
Weakness and / or butter in the hip abductors can also cause extreme stiffness and decreased mobility. Illiotibial band syndrome (ITBS ) can occur in athletes through repetition and overuse, but this painful condition is not uncommon for people with fibromyalgia.
Now is when there is a certain controversy. Is the fibro worsening or are these points / areas of the fibro body becoming weaker? Are you suffering with chronic myofascial pain in the upper part of fibromyalgia? That could be the reason why you feel that the pain in your leg is getting worse, as there are many layers of trigger points in your lower body.
One thing to consider with fibromyalgia and pain in the legs is that any position that stay too long, such as sitting or standing can increase pain and activate trigger points . The sensitive points will always be there at some level, but they are trigger points that are triggered by repetitive movements or that are in a position too long.
I say that often, I highly recommend not sitting for a long time first thing in the morning. When we are going to stay in bed to sit first thing in the morning, this only creates more stiffness in the lower back, hips, legs and knees.
I had to start thinking outside the box and this is when I set out to create specific fibro exercises and start working with my fibromyalgia leg pain in a way that I had not done before. This does not mean that we can “cure” all the pain through the conditioning of the body, but when the strength and agility are lost, everything suffers. So now we must look at what will counteract this phenomenon that has become so common in fibro today.
Consistent conditioning for the fibro body
People ask “how to do exercises with fibro?” However, the biggest question should be “how can not?” This is never all or nothing.
Of course I do get it. But see, we must approach this condition in terms of conditioning, pain relief not merely temporary. Essentially we want and need to create more LONG-TERM
This is well verified and I became a physical trainer and studied extensively to create exercise routines and at the same time incorporate ways to decrease the severity of daily activities that can worsen the pain in fibro-specific legs.
Often, at the end of a certain day, fibromyalgia pain in the legs may be even greater than the upper pain of the body. Although they certainly relate to each other, after sitting a lot of time or at a job or a computer, legs and tendons are often the first to be affected.
It is important to know that these are the daily activities that can be harmful to a fibro body and not conditioned through safe and effective exercise. There are some activities of daily living, such as cleaning a bathtub or lifting heavy objects incorrectly that can really be harmful to a fibro body, while physical training focused on actually ‘protecting’ the body and building a strongest resistance and foundation.
What about sensitive areas and bruises?
Bruising and tenderness can occur with pain in the legs, especially if you have a tendency to varicose veins that will cause more pressure around these vulnerable areas. Although we want to be careful of any invasive procedure for the health of the veins, it can be useful to address whether bulging veins or even spider veins become more prominent. This can happen with men and women.
Some other symptom treatments for Fibromyalgia Leg pain
The myofascial treatment
It may be useful to experiment with “rolling” light on a foam roller or working with a therapist who has experience in myofascial release. It does not always have to be extremely painful for the ‘work’ of these areas, but there is a benefit in learning how to work with these affected points / areas in a way that is healing, it is not harmful to the fibro body.
Bowen therapy performed by a therapist trained in Bowen can also be very beneficial. With Bowen’s therapy, the body learns to adjust and relax to muscle stimulation and release. Many people report positive results from Bowen therapy and we strongly recommend that you provide a test.
The sensitive points Treatment
Another useful Rx is using compression wear on the legs and knees when necessary, even before and after exercise. We have been experimenting with different types of compression in recent years, wearing compression stockings, sleeves and also doing our own cutting old socks and other pieces of material to find what works best at different compression rates. This can increase circulation, relieve “sensitive” tendons and relieve pain in the affected areas.
Ow back pain is obviously a different subject of fibromyalgia leg pain, except in one aspect. Low back pain often involves the sciatic nerve that can rediate severe pain in one leg or the other.
I have recently experienced a particular type of pressure point therapy that provides considerable relief. It’s Nature’s pillows “beActive” orthopedic device. I like to use at night and sometimes all night, I think the truth is that I have less low back and leg pain in the morning.
If you are severely affected by fibromyalgia leg pain, there are many ways in which you can support this area through movement, strength and the range of focus of movement exercises.
The remedies often used to treat pain (salt bath, natural anti-inflammatories of any kind, light massage, etc.) can be useful to get us through, but it becomes really essential to create and utilize a consistent program of reconditioning in any level is possible for each fibro body.
And because the tender points are different from the trigger points (TRP) in the leg region, see the page / article on SHOT POINTS here on the site.