Souffrez-vous de la fibromyalgie et de la douleur aux jambes? La douleur qui est associée avec les points sensibles et les points déclencheurs à de multiples endroits? Même si nous les référons souvent comme POINTS sensibles, ils sont en réalité plus comme des RÉGIONS sensibles.
Maintenant la plupart des personnes avec la fibromyalgie décrivent une “région” de douleur qui irradie autour des tendons ou des points déclencheurs. Souvent il y a une implication avec un tendon associé, un ligament ou un point déclencheur. C’est ce qui cause la douleur à irradier ou à s’étendre. Je n’ai pas encore rencontré quelqu’un avec la fibromyalgie qui a seulement un POINT de douleur ou de sensibilité. (Cependant, l’examen des 18 points sensibles est encore utilisé comme UNE partie pour diagnostiquer la fibromyalgie). Et parce que les points sensibles diffèrent des points déclencheurs, ils réfèrent aussi à l’article des ‘points déclencheurs’ pour une meilleure discussion profonde sur les points déclencheurs dans la fibromyalgie.
Prenons comme exemple les points sensibles sur le côté du genou. Cette région peut s’étendre en moyenne de 2 à 4 pouces au-dessus et au-dessous de l’intérieur du genou. Alors ça fait plus de sens d’appeler cette RÉGION région de la douleur, spécialement quand elle vient des problèmes de travail.
Certaines activités de tous les jours peuvent aggraver la douleur de la fibromyalgie aux jambes
Oui, il y a plusieurs points sensibles dans l’extrémité inférieure du corps fibromyalgique. Certaines activités de tous les jours peuvent aggraver ces RÉGIONS sensibles.
Par exemple s’asseoir sur de longues périodes, se tenir debout en place, le déplacement OU le transfert du poids pendant qu’on est debout, conduire, voyager, des activités de nettoyage, etc.
Quoi d’autres peut aggraver la douleur de la fibromyalgie aux jambes? Les points déclencheurs, l’inactivité, la perte de la masse musculaire, la douleur au bas du dos, la sciatique, l’implication de la jointure Sacro-illiaque, certains médicaments, le rhume/grippe et plus. Ce qui est intéressant au sujet de la douleur de la fibromyalgie reliée à la douleur aux jambes est que peu importe où vous êtes debout, assis ou étendu, elle peut survenir.
La propension pour la douleur dans le quadrant inférieur du corps d’un fibromyalgique est seulement plus grand étant donné les points déclencheurs tissés à l’intérieur des couches de muscles et dans des régions extrêmement sensibles qui ne sont pas directement reliées aux activités ou aux exercices.
Le muscle le plus long et le plus grandement utilisé dans la jambe (sinon connu comme le muscle Sartorius dans la région quadricep) est responsable pour une bonne partie de la mobilité dans le quadrant inférieur du corps fibromyalgique. Ici dans l’image contigüe j’ai affiché ces régions qui causent la plupart de la douleur au bas du corps fibromyalgique.
Quand ce muscle et les environs des muscles deviennent déconditionnés, tout autour de cette région aussi s’affaiblit incluant les tendons et les ligaments.
L’agilité peut être perdue et ces “régions” d’intérêts deviennent encore plus larges (comme montré dans le graphique adjacent), avec la douleur du point sensible s’étendant au-dessus et au-dessous de la location du point actuel sur l’intérieur du genou.
Les points sensibles à l’intérieur de la région des fesses peuvent aussi irradier la douleur le long de la jambe, souvent sur les côtés et l’arrière des jambes. La douleur à la hanche et aux jambes peut être due à la bande Illiotibial (à l’extérieur des jambes) qui part des hanches de chaque côté des jambes et quand cette région est serrée peut causer de la douleur comme une attaque au couteau et une raideur sévère.
La faiblesse et/ou le raccourcissement des abducteurs dans la hanche peuvent aussi causer un serrement extrême et diminuer la mobilité. Le syndrome de la bande peut arriver chez les athlètes par la répétition et l’usage excessif mais cette condition douloureuse n’est pas rare pour les personnes avec la fibromyalgie.
Maintenant c’est où il y a une certaine controverse. Est-ce que la fibromyalgie empire OU est-ce que ces points/régions du corps fibromyalgique deviennent plus faibles? Souffrez-vous de la douleur myofasciale en plus de la fibromyalgie? Ceci pourrait être la raison que vous ressentez que votre douleur aux jambes empire, comme il y a plusieurs couches de points déclencheurs dans la partie inférieure du corps.
Je le dis souvent, je recommande grandement de ne pas s’asseoir longtemps au début de l’avant-midi. Quand on part d’être étendu dans le lit à s’asseoir au début de l’avant-midi, ceci crée plus de raideur dans le bas du dos, les hanches, les jambes et les genoux. Une chose à considérer avec la fibromyalgie et la douleur aux jambes est que toutes positions que nous gardons trop longtemps peuvent augmenter la douleur et activer les points déclencheurs. Les points sensibles vont toujours être là à un certain niveau, mais ce sont les points déclencheurs qui deviennent activés par les mouvemnets répétitifs ou être trop longtemps dans une même position.
J’ai eu à commencer à penser à l’extérieur de la boîte et ceci est quand je cherchais à créer des exercices spécifiques et je commençais à travailler avec ma douleur aux jambes de fibromyalgie d’une façon nouvelle. Ceci ne veut pas dire que nous pouvons “guérir” TOUTE la douleur avec le conditionnement du corps, mais quand la force et la souplesse sont perdues, tout souffre. Alors maintenant nous devons regarder ce qui empêche ce phénomène qui est devenu tellement fréquent avec la fibromyalgie aujourd’hui.
Conditionnement constant pour le corps fibromyalgique
Les personnes demandent “comment faites-vous de l’exercice avec la fibromyalgie? Cependant, la plus grande question doit être “comment ne pas en faire?” Ceci n’est jamais tout ou rien.
Je comprends. Mais regardons, nous devons approcher cette condition en termes de conditionnement, non seulement un soulagement temporaire de la douleur. Essentiellement nous voulons et avons besoins de créer à LONG TERME un soulagement de la douleur et l’indépendance ultérieure en vieillissant avec une maladie chronique.
Ceci est bien vérifié et pourquoi je suis devenue un entraîneur physique et j’ai étudié beaucoup pour créer des exercices spécifiques et des routines pour des personnes avec la fibromyalgie en incorporant des façons de diminuer la sévérité des activités de tous les jours qui peuvent empirer la douleur aux jambes. Souvent, à la fin d’une journée, la douleur de la fibromyalgie aux jambes peut être même plus grande que la douleur supérieure du corps. Même si elles peuvent être en corrélation, après avoir été debout ou assis longtemps à un travail ou à un ordinateur, les jambes et les tendons sont souvent les premiers à être affectés.
C’est important de savoir que ce sont les activités de tous les jours qui peuvent être néfastes à un corps fibromyalgique et non le conditionnement par un exercice sécuritaire et efficace. Il y a certaines activités de la vie de tous les jours comme nettoyer le bain ou lever des objets lourds incorrectement qui peuvent être réellement néfastes à un corps fibromyalgique, où comme se focusser sur un entraînement physique ‘protège’ le corps et construit une résilience plus forte et une base.
La douleur d’une personne avec la fibromyalgie commence par regagner une plus grande force et une plus grande mobilité, les niveaux de la douleur peuvent diminuer ou au moins créer une plus grande tolérance par le simple acte du conditionnement des muscles, des tendons et des ligaments.
D’autres traitements des symptômes pour la douleur aux jambes de la fibromyalgie
Traitement myofascial
Il peut être aidant d’essayer avec un léger “rouleau” de mousse OU travailler avec un thérapeute qui connaît la libération myofasciale. Ça n’a pas toujours besoin d’être toujours extrêmement douloureux pour ‘travailler’ ces régions, mais il y a avantage à apprendre comment fonctionne ces points/régions affectés d’une façon que c’est bienfaisant, non néfaste pour le corps fibromyalgique. La thérapie Bowen faite par un thérapeute entraîné en Bowen peut aussi être très bénéfique.
Traitement des points sensibles
Une autre chose qui soulage les points sensibles est de porter des bas de compression sur les jambes et les genoux à tout moment quand on en sent le besoin, même avant et après l’exercice. Nous avons essayé plusieurs types de compression depuis les dernières années, utilisant des bas de compression, des gaines protectrices pour les bras et aussi créant les nôtres en coupant de vieux bas et d’autres morceaux de tissu pour trouver ce qui fonctionne le mieux à différents stades de compression. Ceci peut augmenter la circulation, calmer les tendons “sensibles” et soulager la douleur dans les régions affectées.
La douleur au bas du dos est évidemment un sujet différent que la douleur aux jambes de la fibromyalgie excepter dans un respect. La douleur au bas du dos souvent implique le nerf sciatique lequel peut irradier de la douleur sévère le long d’une jambe ou l’autre.
J’ai récemment essayé un type particulier de points de pression qui fournit un soulagement considérable. C’est l’oreiller naturel orthodédique “BeActive”. J’aime la mettre le soir et quelquefois toute la nuit, je trouve que j’ai réellement moins de douleur au bas du dos et aux jambes le matin.
Si vous êtes pas mal affecté par la douleur aux jambes avec la fibromyalgie, il y a plusieurs façons que vous pouvez supporter cette région par le mouvement, la force et focussez sur une variation de mouvements d’exercices.
Les remèdes souvent utlisés pour vivre avec la douleur (bain de sel, anti-inflammatoires naturels de toutes sortes, massage léger, etc.) peuvent être aidant, mais ça devient réellement essentiel de créer et d’utiliser un programme constant de reconditionnement peu importe le niveau possible adapté pour CHAQUE personne fibromyalgique.
Et parce que les points sensibles sont différents des points déclencheurs dans la région de la jambe, référez-vous à la page/article sur les POINTS DÉCLENCHEURS ici sur ce site.
Traitements pour la douleur aux jambes
Aide personnelle pour les crampes musculaires
Pour toutes les crampes, redresser la jambe et tirer le pied vers vous peut aider (même mieux si vous avez quelqu’un pour vous aider).
Une crampe dans la jambe, souvent appelé un Charley Horse aux États-Unis, est une sorte de douleur à la jambe qui, si toutes les autres causes ont été écartelées, ne demandent pas plus d’investigation, et le traitement est limité aux mesures personnelles.
L’étirement et le massage du muscle peut aider, mais pas les antidouleurs — étant donné qu’ils sont trop lents à prendre effet. Cependant, si la sensibilité persiste après les crampes, les antidouleurs peuvent à ce moment-là aider. Aucun médicament n’est recommandé pour le traitement des crampes dans une jambe.
Pour les crampes qui affectent le mollet, en plus du massage, ce qui suit peut aider:
Tirez le pied vers vous pendant que vous redressez la jambe, ou
Marchez autour sur les talons jusqu’à temps que la crampe soit soulagée.
Le Charley Horse peut être évité avec ces mesures:
Étirez-vous avant de faire de l’exercice
Évitez la déshydratation en buvant de 8 à 12 verres d’eau par jour
Étirez et massez vos jambes.
Thérapie claudication
Le traitement pour les personnes ayant une douleur à la jambe de claudication est importante étant donné qu’elles sont plus à risque d’une crise de coeur.
La maladie périphérique artérielle souvent coexiste avec d’autres conditions athérosclérotiques, telles que la maladie de l’artère coronarienne (avec des artères étroites au coeur et augmente le risque d’infactus et la maladie cérébrovasculaire.
Un programme de traitement pour la claudication implique la confrontation des risques des facteurs cardiovasculaire par:
Arrêter de fumer
Gérer le diabète
Contrôler l’hypertension
Diminution du cholestérol et des lipides
Thérapie antiplatelet
Programmes d’exercices pour marcher
Certains patients peuvent être propice à la chirurgie pour reconstruire les artères dans les jambes.
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