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Myalgia/fibromyalgia

If you have muscle pain, you may take medication for the symptom but it never really dissipates completely. This may further cause you to feel your energy is drained, some depression, and in some cases inability to work or play. Left to continue over time the myalgia may become a chronic condition and more difficult to find the cause and provide a remedy.

Your condition may be due to an infection; Lyme disease, influenza, Rocky Mountain spotted fever, etc. Drug related; statins, fibrates, ACE inhibitors, etc. Blood tests may be necessary in these instances. Diet analysis may also be beneficial.

Stine Chiropractic Clinic is equipped to help you find the answer to your health problems so you don’t have to live with the pain.


Myofascitis and referral pattern

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Myofascitis is a tightening of a muscle through a small interval or space of fibrous tissue.  It may be caused by regular daily activities such as driving, sitting at a computer, or the position of the neck while sleeping.  Other reasons why the soft tissue may become inflamed can be due to sudden movement like a cough, sneeze, or car accident. Muscles are a contractile tissue made up of myosin and actin filaments. They are thin little fibers that slide into each other when contracted and slide out when relaxed (diagram to left). This becomes a problem when there is an underlying condition, chronic fatigue, or injury causing the muscle the stay in a contracted state allowing tender nodules of balled up muscle to form, called a trigger point.

    

 

Related imageTrigger points and referred pain pattern. These trigger points also have what is called referred pain patterns that when pushed on will cause the pain to travel to other areas of the body. Common trigger point found in muscle include: The upper trapezius, levator scapulae, suboccipital muscles, and rhomboid muscles. When related to muscular tissue referring pain to the body it is termed somato-somatic referral or myotogenous referral.

 

 

 

 

Viscero-somatic referral. These are more serious and is why the need for evaluation of these pains is so critical. Examples of viscero-somatic referral are: gallstones, kidney stones, liver damage, gastro esophageal reflux disease, stomach ulcer, deep venous thrombosis, and the most dangerous a heart attack.

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Image result for facet referred painSclerotogenous referral. This type of referral is generated by bone tissue. Deep boring hip pain most commonly is the product of facet joint jamming that causes low back pain and hip pain. As bone tissues become irritated they will be picked up by the same nerve that supply the skin or muscle with sensory, therefore when the facet joint or other joints are irritated the muscle or skin perceives this irritation as well and is perceived as pain.

 

         

 

Benefits of chiropractic

Chiropractic offers a non-surgical approach to treating these pains and treats it effectively without the use of cortisone injections. Cortisone can have detrimental degenerative effects on joint surfaces (cartilage), and normal muscle tissue makeup that can lead to a chronic condition. Physical therapy modalities performed by a chiropractor can offer pain relief through the release of endorphins and enkephalins (natural pain killers synthesized by the body), and is done through the use of electrical stimulation and ultrasound therapy. Spinal manipulation also releases endorphins and enkephalins, but most importantly mobilizes the joints to stop pain cascades that are a product of facet jamming or stretching leading to sensory stimuli perpetuation. If joint dysfunction is not corrected then the constant sensory irritation leads to muscle lock down and further joint compromise. This is why we consider motion to be thy lotion.

 

 

Written by: Christopher G. Stine, M.S., D.C.

Images from: Dvorak Manual Medicine