ALL OVER BODY PAIN
What is All Over Body Pain?
Fibromyalgia, Multiple Sclerosis, Osteoporosis, Osteoarthritis these are just a few of the conditions.
How can we Help?
We are able to orthopedically assess you to see how your all over body pain condition is affecting your mobility and to see which muscles and joints are being impacted. We will then work to restore the structural balance to take pressure off the weak or inflamed areas of pain in your body. This in turn can help to release the pressure that may have initially contributed to causing your problem.
Anxiety and Depression
Mood swings have various causes including low blood sugar, hormonal imbalances, and toxicity. Reflexology and kinesiology treatments can be very beneficial in helping to bring homeostasis (balance) to the body so that the client will feel more in control and equipped to positively get on with their life.
Carpel Tunnel Syndrome
This is an impingement of the median nerve, usually due to overuse of the wrist which causes a narrowing of the carpal tunnel, creating an inflammation of nerves and tendons of the forearm and wrist.
The pain may be local to the wrist, but it can also be due to tightness of muscles and fascia in the neck and shoulders. Symptoms can vary from tenderness, to tingling and numbness in the hands and fingers.
Carpal tunnel can be caused by sports, activities where the wrist is used for support, or commonly office works such as continuous use of a computer keyboard.
De Quervain’s Syndrome
A modern day name for this is texters thumb. It is a repetitive strain injury (RSI) which effects the muscles around the thumb and the soft tissues surrounding the thumb.
The whole area may become inflamed with limited movement. Numbness, pain and tingling can all be symptoms of this condition.
This is inflammation of the tendons of the inner elbow, due to repetitive strain of the forearm muscles. It is the counterpart to Tennis Elbow. Possibly, only 5% of people with this diagnosis have developed it from playing golf.
Other causes are any other racquet sport or repetitive activities like gardening, carpentry.
Irritable Bowel Syndrome (IBS)
This is a generic term for digestive discomfort. It can be caused by emotional stress causing muscle spasm in the area or, nutritional intolerances, and damaged lining of the gut.
What is Fibromyalgia?
- Fibromyalgia is a combination of chronic pain in muscles, tendons, ligaments
- With Fibromyalgia IBS, CFS, Headaches, Fatigue and sleeping problems can be present
- Effects 2% of the population, and 85% of them are women (Werner 2009)
- Combination or hormonal and neural imbalances
- Presents as musculoskeletal system pain, but is a central nervous system problem (Werner)
- The client does not get level 4 sleep to enable correct depth of rest
- Changeable pain throughout the body, moving location and varying intensity, throbbing, aching, burning
- 9 pairs of predictable tender points (diag 1a) light pressure gives them acute pain
- Stiffness after resting
- Fatigue and lack of stamina
- Magnified sensitivity to light, noise, touch and pressure
- Ongoing persistent symptoms for at least 3 months
How is Fibromyalgia Diagnosed?
- A process of eliminating other conditions, eg arthritis, MS
- Difficult to identify as no abnormality in muscles is present (Walton 2011)
- pain from tender points is throughout the body
Complications with Fibromyalgia:
- Deep sleep loss makes symptoms worse and causes depression (vicious cycle)
- The invisibility of disease makes it desperately isolating
What treatment does Fibromyalgia need?
- This will be ongoing to treatment
- Pressure may be able to become deeper with ongoing sessions
Massage Techniques for Fibromyalgia:
- Hot/Cold depending on the Fibromyalgia clients sensitivity to temperature
- Myofascial Release to calm the Central Nervous System
- Cranial Sacral work can stimulate the body and invoke calm and help get the client to deep levels of rest
- Initially, very gentle trigger point work being careful not to confuse the tender points
Expected Outcome & Timescale
It is impossible to speculate how treatment of Fibromyalgia will affect the client like so many emotional, mental and physical factors are present. However, the techniques above will support the client in coping with their condition.
Who gets Fibromyalgia?
- Mainly women although this could be as men do not seek help for it.
- People who overdo it and cope for years and then their health crashes
- Older people are more like to show symptoms
The prognosis for Fibromyalgia:
- Fibromyalgia can get worse or remain the same for months or years
- Fibromyalgia cases may improve with lifestyle changes or stress reduction
How to Treat Fibromyalgia?
- Medication can be helpful for Fibromyalgia
- Important to palpate the body and note which areas are specifically painful from touch and to avoid pressure, stretches and joint mobilisation that will cause pain
Frozen Shoulder can develop gradually into a debilitating and incapacitating condition.
Chronic stiffness or pain of the glenohumeral shoulder joint.
It has three stages initial freezing as lack of range of movement develops.
- Freezing during the gradual onset
- Frozen, when the client can barely lift their arm.
- Melting as the condition begins to subside.
- It can be a secondary condition that develops after an injury eg a rotator cuff tear, or due to repetitive movements. However, it can manifest due to emotional stress. The condition is most prevalent in women over the age of 40.
- Sometimes there is no obvious cause.
- It develops over time and makes normal activity and movement very difficult.
- The average prognosis of recovery is about 18 months, however with regular bodywork such as a clinical massage and myofascial release, you may be able to half the recovery period.
Osteoporosis – What is it?
- Osteoporosis manifests when poor mineralization causes loss of bone strength.
- Osteoporosis happens when Osteoclast cells remove bone leaving cavities that in healthy bone are replaced by osteoblasts.
- This leaves very fragile bones that break easily
- Changes in sex hormone level of oestrogen accelerate the rate of loss onset of Osteoporosis
- Disuse of long bones can also bring Osteoporosis on
- Osteoporosis Bones begin to thin.
- Osteoporosis causes Back Pain
- Pathological fractures occur commonly in the hip, wrist and spine from the force that healthy bones can take.
- Osteoporosis causes compression fractures in the vertebrae causing them to collapse changing the shape of the spine. (Kyphosis)
- The person with Osteoporosis can literally seem to shrink or lose height (see image) as bone density diminishes
How is it Diagnosed?
- Unless a bone scan is done, you would not know you have it until eg: the Kyphosis develops or fracture of other bones
- X-ray or heel ultrasound
Can Osteoporosis be Misdiagnosed?
If someone is in pain and a fracture has not been established, it is possible initially to not realise it is Osteoporosis
Complications with Osteoporosis:
- Fractures will limit the person’s ability to take care of themselves
- The fractures may or may not cause pain
- Fractures will make physical activity far more difficult, which in turn due to lack of exercise will cause further bone thinning.
Who Gets Osteoporosis?
- Most common in postmenopausal women over 50
- Women who have early menopause
- Inactive people
- People with a history of sex hormone deficiency
- This is a progressive disease, there are medications and nutrition (Calcium, Vitamin D) that can help to slow down the process
- Onset can become very quick after oestrogen levels drop with the ageing process
- Can dramatically worsen if immobile
Timescale: Osteoporosis is progressive so treatment would be regular and continuous. The client may be very anxious about causing fractures so treatment will help them relax
This is an ongoing treatment. Exercise is essential for Osteoporosis and massage can support this, help to ease and relax the muscles which may help the client to feel stronger and less vulnerable. The client may feel less anxious emotionally with treatment.
Plantar Fasciitis (Policeman’s Foot)
This is a very painful condition of the heel and sole of the foot due to tension in the plantar fascia, a tight, think band of fascia running from the heel to all of the foot. The pain can travel towards the toes and is usually worse in the morning. The tension of the plantar fascia can eventually lead to heel spurs, which are painful bony protruberances.
This condition is common in runners, people who spend a lot of time on their feet, as well as people who sit at their desks and keep their heels off the floor.
Rotator Cuff (Shoulder Pain)
Accidents or overuse can cause damage to the rotator cuff muscles as well as adhesions in the soft tissue surrounding the shoulder joint (glenohumeral). The patient will be feeling pain around the injured area, and have a loss of movement and strength. It may well be worse at nighttime and can often be mistaken for adhesive capsulitis (frozen shoulder).
Repetitive Strain Injury
Conditions resulting from overuse and repeated use of muscles and fasical are called (RSI) these include:
• Carpel tunnel syndrome
• De Quervain’s Syndrome (texters’ thumb)
• Golfers’ Elbow
• Tennis Elbow
• Myofascial Pain
A patient could feel a variety of symptoms including tingling, numbness, pins and needles, shooting pain and start to have limited function in that area of the body. It may well be worse at night time. Trigger point and myofascial work can release compression and damage in these areas so that the natural body mechanics of the body are restored.
Scar tissue can develop after an injury or surgical procedure. It can be superficial or deep. It can cause pain in its own right that is local to the scar or be responsible for referred pain in other areas of the body. Myofascial work is very helpful for this condition.
Sciatica is a symptom caused by a slipped disc, piriformis or other pathologies of the lower back – Sciatica is more a symptom than a condition.
Sciatic Nerve Pain will radiate from the lower back down one leg and will often come with chronic lower back pain. The Sciatic nerve (see image) is aggravated by movement of the lower back such as exercise or straining, as well as involuntary coughing and sneezing. However, sciatica can also be caused by more serious conditions such as slipped disc, or the trapping of the sciatic nerve due to muscular compression or strain. The pain can be awful, creating numbness and tingling sensations. It is very important to consult your doctor immediately to eliminate Cauda Equina if you have a loss of sensation or bladder control.
Sciatic pain can travel throughout the back of the leg
Extreme sciatic symptoms in the lower back, and down the leg can be numbness, weakness and reduction of movement or even reflexes in the affected leg. A common cause of these symptoms is adhesions and restrictions in the piriformis muscle. Trigger point work can be very helpful for sciatic related conditions.
Tennis Elbow (Lateral Epicondylitis)
Tennis elbow is a painful condition caused by inflammation of the tendons on the outside of the elbow due to overuse of the forearm muscles. It is the opposite to golfers’ elbow pain, which is situated on the inside of the elbow joint.
Although called Tennis Elbow, only about 5% of patients have acquired it by injuring themselves playing tennis. It is caused by playing any arm sport, golf or by repeated one-sided movements with the lower arm muscles like gardening or building jobs such as carpentry.
It is possible to suffer from both Tennis Elbow and Golfers Elbow at the same time. They are both RSI conditions
This usually results from an accident and is caused by a sudden jolt making the cervical spine rapidly move forward and backwards, causing trauma to the area. It can damage all the structures in the area and cause chronic pain.