Fibromyalgia and the Pain Barrier

By: Emma Fabian (View Profile)

“I married a wonderful man and we had a beautiful son,” Jemma explains. “Everything was going well. Then my body crashed. Pain screamed from every limb and joint and it was so bad, I couldn’t sleep. I was bedridden, crying, and my mother-in-law had to take over. Some days, I was in so much agony, I fantasised about suicide.”

Ali is another woman whose life was shattered by the sudden onset of unexplainable pain. This attractive actress was packing for a romantic weekend away with her boyfriend when she had an intense pain in her neck.

“The GP [doctor] said it was just a muscle spasm,” says Ali. “I flew to Venice in a neck brace and couldn’t turn my head. Talk about a passion killer.”

In fact the spasms, which migrated to between her shoulder blades, kept coming. She was referred to a rheumatologist and an orthopaedic specialist. Ali was diagnosed with chronic pain, but neither specialist could find its cause.

“I sensed everyone was coming to the conclusion I was a nutcase,” Ali recalls.

Still suffering two years later, she was alone—the boyfriend had left—and broke.

“I couldn’t perform properly and I couldn’t temp for weeks at a time either,” she says.

Like Ali, Jemma was referred to a rheumatologist, who eventually diagnosed FM, which is so strikingly similar to chronic pain syndrome, some doctors believe they are the same.

Jemma, like Ali, was offered antidepressants. Both women still find a low dose beneficial.

This supports the predominate theory on the cause of FM. Research has shown people with FM have lower levels of the feel-good brain chemical serotonin, which also plays a big part in pain control and regulating sleep.

Some experts speculate physical trauma, like an injury, viruses (although no one virus has been identified), and hereditary factors all influence the onset of FM. The problem is lack of evidence.

As there is no recognized specific cause of FM or chronic pain syndrome, there is no singular test to detect it either. Diagnosis is made on the basis of a medical history and the so-called “tender spot” test, which is evidence of pain when pressure is applied to multiple parts of the body.

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posted: 05.30.2008
FaithTrustHope
Dear Ones, I too had FM, probably since my teens. I did not identify it until I'd been dealing with CFIDS for a couple years. It was diagnosed by a rhemutologist (sp?). Because my muscles contracted sporadically, I decided to try ten sessions of Structural Integration (Rolfing). Within a couple sessions, I noticed much decreased pain in my body. This continues today unless I do a repetitive motion for some time (causes flare- ups) or drive for a couple hours. I pray that all with FM find what works for them. (My Structural Integration therapist says no other FM patients received the same benefits.)
posted: 02.29.2008
Rebecca
Very true. My mum suffered from FM and got no help from docs for years. They thought she was 'a lonely old lady' but we who knew her knew she was not a complainer and in the end they agreed but she had to work out for herself what helped. Moderate excercise and chamomile tea were two things she liked.
posted: 04.25.2007
Amy Shouse
Thank you for this article. It brought tears to my eyes. Not because there were diagnostic solutions offered (with FM, the "first noble truth" one must embrace is that there are no solutions from the outside) but because it felt GOOD to read about validating stories. So many aspects of FM are, like you said, invisible. The excruciating pain (on good days --- it's just "I sudeenly feel fluish and I don't know why") I live with is inexplicable and after a while I feel the need to simply not share what's going on with me. I recently turned quickly to look at my niece so I could watch something fantastic she was showing me. This ruined my neck and eventually my back for four days. How do I explain that to people who don't understand the illusive nature of FM? I'm committed to understanding this disease and to not give up on caring for myself. Your article was a reminder that I'm not alone and that is such a sweet breeze of relief and hope.
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