Qu’est-ce que le syndrome de la douleur MYOFASCIAL et comment il est affilié à la fibromyalgie

Fibromyalgie et le syndrome de la douleur myofasciale vont souvent ensemble. En raison du chevauchement fréquent et des symptômes similaires, ils sont souvent confondus avec la même condition et, par conséquent, les personnes à la fois ne sont parfois diagnostiqués avec et traités pour un.

Résultat de l'image

C’est un vrai problème, pour trois raisons principales:

  1. ils ont besoin un traitement différent
  2. Les points de déclenchement de MPS peuvent être éliminés
  3. la douleur MPS peut exacerber FMS, et en réduisant la douleur MPS peut calmer les symptômes FMS considérablement

Certains chercheurs utilisent le nom de « la douleur myofasciale chronique » (CMP) au lieu du syndrome de la douleur myofasciale à cause de la preuve qu’il est une maladie, pas un syndrome. (Un « syndrome » est un ensemble de symptômes sans cause connue).

vue d’ensemble

Dans MPS, les muscles et les tissus conjonctifs (qui composent le tableau de bord) développent ce qu’on appelle un point de déclenchement (TRP). Ce sont  pas  les mêmes que les points d’appel d’offres FMS.

Un point de déclenchement est un petit noeud dur que vous pouvez parfois se sentir sous votre peau. Le nœud lui-même peut être douloureux, surtout quand poked, mais il provoque souvent la douleur dans une autre région, qui est appelée douleur référée.

Les points de déclenchement forment généralement à la suite d’un traumatisme du tissu. Les experts ne savent pas pourquoi les dommages qui guérit normalement dans la plupart des gens provoque dans d’autres points sensibles. Cependant, des études suggèrent que les lésions musculaires chez certaines personnes conduit à des anomalies où les cellules nerveuses se connectent aux cellules musculaires. Cela suggère MPS est une maladie neuro-musculaire.

Association

Pourquoi les personnes atteintes de MPS développent fréquemment FMS n’est pas encore clair, mais un nombre croissant de preuves montre que, chez certaines personnes, la douleur chronique peut apporter des modifications au système nerveux central, entraînant une sensibilisation centrale. Si les théories sont correctes, un traitement précoce de MPS peut aider à prévenir FMS.

Un terme générique émergent pour FMS, MPS et d’autres conditions impliquant la sensibilisation centrale est syndromes de sensibilité centrale.

Symptômes

Certains symptômes associés à la MPS sont semblables aux symptômes associés à la FMS, tandis que d’autres sont liés à un seul.

Les symptômes qu’ils ont en commun comprennent:

  • la douleur des tissus mous allant de légère à sévère
  • des maux de tête et / ou les migraines
  • les troubles du sommeil
  • des problèmes d’équilibre et / ou des étourdissements
  • acouphènes (bourdonnements dans les oreilles) et la douleur oreille
  • problèmes de mémoire
  • transpiration inexpliquée
  • l’aggravation des symptômes dus au stress, les changements / phénomènes météorologiques extrêmes, et l’activité physique

Les symptômes associés à MPS , mais  pas  avec FMS comprennent:

  • engourdissement des extrémités
  • joints popping ou en cliquant sur
  • gamme limitée de mouvement dans les articulations, en particulier la mâchoire
  • doublé ou vision floue
  • nausées inexpliquées

Les symptômes associés à la FMS , mais  pas  avec MPS comprennent:

  • fatigue
  • crises de panique
  • se sentent dépassés en raison des niveaux élevés d’entrée sensorielle
  • allergies et sensibilités
  • confusion périodique et désorientation

Pour plus de symptômes de la fibromyalgie, consultez la liste Monster des symptômes de la fibromyalgie.

Diagnostic

La douleur référée rend MPS particulièrement difficile à diagnostiquer et à traiter. En règle générale, un médecin dit: « Où est-il mal? » Et regarde alors où vous pointez. Pour traiter MPS, vous et votre médecin avez besoin d’examiner vos symptômes et savoir où vos points de déclenchement sont.

Votre médecin peut trouver des points de déclenchement par le toucher ou en fonction des symptômes.

Des tests tels que la biopsie élastographie par résonance magnétique et les tissus peuvent présenter des anomalies dans les points sensibles, mais leur rôle dans le diagnostic de MPS ne sont toujours pas claires.

En revanche, aucun test ou analyse révèle des anomalies dans les tissus où les gens avec la douleur FMS expérience.

traitements

Vous avez plusieurs options pour le traitement MPS:

  • Trigger-point Injections:  Le médecin insère directement une aiguille dans un Trp ou dans plusieurs endroits pour détendre les bandes tendues. Le médecin peut injecter un médicament pour soulager la douleur, tels que les corticostéroïdes ou lidocaine. (Note: certains médecins croient corticostéroïdes peuvent aggraver les symptômes de lafibromyalgie.)
      Lorsque aucun médicament est utilisé, il est appelé aiguilletage sec.
  • Acupuncture: L’  acupuncture est une ancienne pratique chinoise semblable à aiguilletage sec. Alors que les études de son utilisation dans les MPS sont limités , ils sont prometteurs, et de nombreux patients et praticiens font état de bons résultats.
  • Physiothérapie:  Un type particulier de thérapie appelée pulvérisation et extensible est commun pour le traitement de MPS. Un kinésithérapeute vous guide à travers des exercices d’ étirement pendant la pulvérisation d’ une substance anesthésiant sur vos muscles. Le thérapeute peut également utiliser certaines techniques de massage pour desserrer vos muscles et les points sensibles. En outre, un thérapeute peut travailler avec vous sur des facteurs tels que la mauvaise posture qui peuvent contribuer à MPS.
  • Médicaments:  médicaments courants pour MPS comprennent les anti-inflammatoires non stéroïdiens (AINS) tels que Aleve (naproxène) ou des médicaments à base d’ ibuprofène comme Advil et Motrin, et les antidépresseurs tricycliques tels que l’ amitriptyline, doxépine, et nortriptyline.

Traitements MPS vs Traitements FMS

Là encore, il y a un certain chevauchement, mais aussi des différences importantes. Les traitements utilisés pour les MPS et FMS comprennent:

  • acupuncture
  • thérapie physcial (bien que sous des formes différentes)
  • antidépresseurs tricycliques (bien que les antidépresseurs ISRS / SNRI sont de plus en plus commun pour FMS)

Des études montrent des injections de déclenchement points ne sont pas efficaces pour soulager les points sensibles de la fibromyalgie, et les AINS ne sont pas efficaces pour le traitement de la douleur FMS.

Pour en savoir plus sur les traitements de la fibromyalgie, voir traitement de la fibromyalgie – une approche multidisciplinaire.

Faire face

Avec des différences significatives de leurs symptômes, le diagnostic et le traitement, il est clair que la fibromyalgie et le syndrome de la douleur myofasciale ne sont pas les mêmes conditions. Cependant, il peut être extrêmement difficile de déterminer quel état est la cause qui la douleur quand une personne a deux.

En travaillant à la fois sur votre propre et avec votre médecin et / ou un physiothérapeute, vous pourriez être en mesure de savoir où vous avez des points de déclenchement et la meilleure façon de les traiter sans aggraver votre fibromyalgie. Soulager la douleur myofasciale est susceptible de calmer vos symptômes de la fibromyalgie, de sorte que vous pourriez bien voir un double avantage.

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