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Fibromyalgia (FMS) and
Chronic Myofascial Pain (CMP)
Information for Patients and Supporters
with Devin Starlanyl

 

 

This segment of the website introduces you to some informational resources that you might find helpful.  Web sites are constantly changing and adding features and links. Support groups change in attitude.  It is not possible to monitor these resources, and some may contain material which is contrary to my beliefs, or even in error.  A listing does not imply endorsement.  For many years, I have dedicated my life to teaching the difference between fibromyalgia (FM) and chronic myofascial pain (CMP) due to trigger point (TrPs.) Fibromyalgia is fundamentally different than myofascial pain, and the difference is important. (1)  There is no such thing as a fibromyalgia trigger point, and this error can harm you.  Those knots in the muscle and the taut bands in your body are TrPs, not FM.  Those specific pain patterns are TrPs, not FM.  Fibromyalgia doesn’t cause localized pain such as low back pain or hand pain, it only amplifies it.  We need to look at the pain and other symptom generators as well as the amplification process. Physicians seeing only the FM component—the central nervous system dysfunction— will not look for mechanical perpetuating factors such as short upper arms or repetitive motions.  They will miss the significance of the non-pain TrP symptoms such as dizziness, toothaches, or buckling ankles.  Physical therapists will be trying to strengthen weak muscles, not understanding that the muscles are weak due to TrPs and strengthening exercises will make TrPs worse.  Patients will be enduring needless pain and costs of medical testing and procedures because their care providers are not trained to diagnose and treat TrPs.  There is a lot that can be done to ease the symptoms of TrPs and a lot you can do yourself to treat them and prevent their recurrence, but first they must be recognized.  Myofascial TrPs are the elephant in the room that FM “experts” can’t see.  They don’t understand it and haven’t learned what to do about it.  Admitting it’s there would invalidate much of the medical research on FM, because many conclusions were based on all symptoms coming from FM.  Many of those symptoms are due to TrPs.  The pain signals coming from TrPs are enough to maintain the central nervous system sensitization of FM (2).  Control of TrPs is crucial to many if not all TrP patients. Unless they understand myofascial TrPs, the “experts” are missing a key concept in chronic pain. 


1.  Simons DG, Travell JG, Simons LS Travell and Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual Vol I, ed. 2. p.18. Baltimore:  Williams and Wilkins.

2.  Staud R. 2006. Biology and therapy of fibromyalgia: pain in fibromyalgia syndrome. Arthritis Res Ther. 8(3):208.

 

At one time we listed individual local support groups.  Since the average age of a support group is less than a year, and the number of support groups is multiplying rapidly, we are no longer able to offer this feature.  Many local support groups are listed with national support organizations, such as the National Fibromyalgia Partnership, the Fibromyalgia Network and local hospitals. 


 

Internet Support Groups


FIBROM-L Support and Discussion Group

The discussion group is known as FIBROM-L.  Anyone wishing to subscribe to the discussion group may do so by going to http://community.lsoft.com/archives/FIBROM-L.html


KOALA'S

Australian on-line site where people with Fibromyalgia and/or Chronic Myofascial Pain can interact to exchange information, offer support, and talk to others who understand. Information is available with updates as research progresses.

http://au.groups.yahoo.com/group/Aus_Fibro_Myofascial/


MBS-HEALING

A discussion on healing, from the perspective of mind/body/spirit by patients, practitioners and others who are interested in exploring those ideas and therapies which view the person as a whole.

To subscribe, send an email message and in the body of the message, put subscribe mbs-healing.


PAIN-L

Chronic pain and health info conference for those who want a better understanding of sickness and disease, including pain [and treatments] and especially HEALTH POLITICS.

Information posted to this forum includes Gulf War illnesses, radiation sickness, the environment, drugs and abolition of restrictive laws which prevent availability of narcotics for pain when essential for maintaining quality of life.

To subscribe, send an email message and in the body of the message, put subscribe pain-l.


Vulvarpainforum

The vulvarpainforum list was created for women who suffer from any of a number of manifestations of chronic vulvar pain, known collectively as vulvodynia.  The list, created and maintained by a vulvodynia patient, is intended as a space for open, candid discussion of available treatments and resources, as well as to offer emotional support.

To subscribe, send an email message and in the body of the message, put subscribe vulvarpainforum or subscribe vulvarpainforum-digest.


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AFSA Update

Non-profit corporation which supports education and current research concerning FMS and related disorders.  The American Fibromyalgia Syndrome Association, 6380 E. Tanque Verde Road, Suite D, Tucson, AZ 85715-3822. Phone 520-733-1570.


CFIDS Chronicle

The CFIDS Association of America, PO Box 220398, Charlotte, NC 28222-0398.  Phone 800-442-3437.


Fibromyalgia Frontiers

National Fibromyalgia Partnership, PO Box 160, Linden, Virginia  22642-5609.  Toll Free Phone 866-725-4404, Toll Free Fax: 866-666-2727.  Editor: Tamara Liller.  Email.


Fibromyalgia Network

Newsletter plus publications, including lists of your local support groups, and a packet of information on how to start your own support group.  800-853-2929.  P.O. Box 31750, Tucson, AZ  85751-1750.  Editor: Kristin Thorson


From Fatigued to Fantastic!

A private health letter. From Fatigued to Fantastic!, c/o Jacob Teitelbaum, M.D., 466 Forelands Road, Annapolis, MD 21501.  Phone: 800-333-5287. 


Vulvar Pain Foundation

Newsletter, 203 1/2 North Main Street, Suite 203, Graham, NC 27253, 336-226-0704 (Tues and Thurs).

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American Chronic Pain Association

For excellent, comprehensive and up-to-date information on over-the-counter and prescription medications, check out the American Chronic Pain Association Resource section.  The Drugs and Supplement section is a .pdf file and requires Acrobat Reader.  


Co-Cure

The Co-Cure list is a non-discussion list. You cannot post or discuss things; it's for information only!

The list name "Co-Cure" stands for "Co-operate and Communicate for a Cure."

This list has been established with the goal of furthering co-operative efforts towards finding the cure for the illness(es) commonly referred to as Chronic Fatigue Syndrome (CFS) and Fibromyalgia (FM). 


Disability Secrets

An informational site devoted to people who are trying to win Social Security disability benefits if you have fibromyalgia.  It offers some advice and some useful tips.


Dr. Hal Blatman

When I needed to "Take a layer off my pain", I knew where to go for help.  Dr. Blatman has taken the art of myofascial trigger point treatment to a new level.  Visit the site of myofascial specialist Hal Blatman, MD, for holistic education on repetitive strain, myofascial pain and alternative treatments such as photonic stimulation and reflexology.


Environmental Illness Resource

Provides information, latest news, articles, links directory, forums and other resources to sufferers of chronic fatigue syndrome, fibromyalgia, multiple chemical sensitivity, allergies and other related conditions.


The Fibromyalgia Community

The Fibromyalgia Community offers a wide array of services to Fibromyalgia (and related conditions) patients and to those looking for support, information, research and materials to help family members and friends cope, gain an understanding and solve the mysteries of this " invisible" disorder.


FM-CFS Canada

A nationally-registered Canadian charity.  Posts links to all of Canada's support groups on their homepage, and provides links to a wide range of educational materials. 


Government Benefits

Chronic illness can be a severe financial drain.  Do you qualify for government benefits?  Find out at this website.


Household Chemicals/Products

To find out the potential health effects of household chemicals, as well as the ingredients to more than 4000 household products, check the National Library of Medicine site.


Infinitec

A website for a wealth of information on enhancing your abilities to live a full life with chronic illness.  Sections include lifetime modifications to help you move through life easier, learning tools, accessible transportation and recreation, work modification resources, finding jobs, workplace resources including ADA updates, and  "Finding the Money" with funding information.  They even have a section on adaptive gardening.


Insurance and Medical Care

Do you need help to navigate the bewildering world of medical care and insurance?  Visit www.patientadvocate.org


Irritable Bowel Syndrome Treatment

The site describes and reviews the many different treatments available for IBS, including medications, supplements, and alternative therapies.


Joy's Fibromyalgia Survivor's Website

Advice for the newly diagnosed, positive choices and a site just for men as well. 


Making Your Voice Heard
 
We've all been where just getting up to brush our teeth has been the major activity of the day, one that results in an immediate collapse.  Fortunately, there are several options available for anyone who wants to get a letter out to senators and representatives.


Men with Fibromyalgia

There is a support group just for you!  To join, send an email message.  If you have a problem with the connection, contact one of the list owners


National Association of Myofascial Trigger Point Therapists

Do you have difficulty finding a myotherapist who KNOWS trigger points?  These therapists are trained to help you find perpetuating factors, as well as to document and treat myofascial trigger points. They also have other TrP information, including maps of some common trigger point referral patterns.


National Fibromyalgia Partnership

The National Fibromyalgia Partnership, Inc. (NFP) is the largest non-profit, membership organization for fibromyalgia (FM) in the United States. The NFP provides medically accurate information on FM to individuals with fibromyalgia and their families, health care professionals, and the general public -- both nationwide and in many other countries. 

The NFP offers a toll-free Resource Line which has a fax on demand feature (866/725-4404) and a toll-free fax (866/666-2727).


Visit the Pacific Center for Pelvic Pain and Dysfunction in San Francisco

Information for men and women.


Rest Ministries

A christianity-based website for chronic pain, including FMS and myofascial pain.


Spine-health.com

A comprehensive, multi-specialty, peer-reviewed website for patients with back pain.  123 West Madison, Suite 1450, Chicago, IL  60602. Spine problems are common TrP perpetuating factors. This site helps you find spine doctors close to you, and has information on minimally invasive spine treatments.


Suicide Prevention

For information on suicide prevention and hope.


Symptom Log

Track your Fibromyalgia symptoms with SymptomLog.com.  Most major health portals offer content and 'symptom checkers' that ultimately lead to self-diagnosis and its associated risks and pitfalls.  Instead, SymptomLog.com offers a secure and private way for patients to track their symptoms in a daily log - for printing and sharing with their healthcare provider.  The content is both URAC and HON accredited.
 


"The" site for fibromyalgia and the thyroid connection.

Dr. John Lowe’s site has a great collection of information and explanations that are clear. 


TheseThree.com

Celeste Cooper's website offers a variety of information on fibromyalgia, chronic myofascial pain and chronic fatigue syndrome.


Dr. Wes Shankland's website on TMJ

Information on TMJ and conditions that can be confused with it or aggravate it, as well as information on dangers associated with root canals, alternate methods of pain control, and much more.


The papers and effects of Janet G. Travell, MD, one of the founders of myofascial medicine, have been carefully and lovingly archived at the Gelman Library in George Washington University.  If you plan to visit, please contact them beforehand and read through the carefully compiled list of documents that are available so that the archivists can have specific boxes ready and available for you.


Trigger Point Training for Professionals

Information on hands-on training for doctors and other health care professionals on identification and treatment of myofascial trigger points.

 


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