Fribromyalgia Syndrome is a condition characterized by aching and pain in muscles, tendons and joints all over the body, especially along the spine. It affects approximately 2 percent of the U.S. population or 5 million people.

Some of the signs and symptoms of fibromyalgia are: pain, fatigue, sleep disturbance, depression, numbness and tingling in the hands and feet, and memory difficulties.

Some of the possible causes of fibromyaldia are: infectious illness, physical trauma, emotional trauma, horomones, and sleep disturbance.

There are 18 tender points on the body associated with fibromyalgia:

  • Occipital (Base of skull)
  • Trapezius (Shoulder muscles)
  • Supraspinatus (Upper back)
  • Gluteal (Buttocks)
  • Trochanter (Hips)
  • Lower cervical (Lower back)
  • Second rib
  • Humerus epicondyle (Elbows)
  • Knee medial fat pad

The fibromyalgia patient may be prescribed sleep and pain medication and urged to exercise, develop relaxation techniques to manage pain symptoms. Education and counseling is also suggested to help the patient understand the condition and its physiolgical and mental effects.


Complex regional pain syndrome, or CRPS, formerly known as RSD or Reflex Sympathetic Dystrophy is an incapacitating pain that spreads along the spine. It is a potentially crippling syndrome that usually occurs in the extremities (arms, legs, hands and feet) after a minor injury or surgery. CRPS I also occurs in the head and face; however, it is not easily recognized. CRPS is ranked as the most painful form of chronic pain that exists today by the McGill Pain Index. It’s estimated there are between 1.5 and 3 million people in the United States suffering from CRPS with about 75 percent affecting women. A majority of people develop the syndrome in their 30s and 40s, but it can strike at any age.

The symptoms of CRPS I include:

  • Increase sensity to pain, called hyperalgesia, in the skin, muscles, teeth and lining of the inside of the mouth
  • An abnormal increase in sensitivity in the face
  • Pain caused by a light touch

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