Hello brendi and a warm welcome to DC – I note that you have joined the Chronic Myofascial Pain (CMP) support group so I assuming that this is the pain that you are referring to and that you have been diagnosed with this condition. I have CMP and Fibromyalgia (FM). The main component of CMP are Trigger Points (TrPs) nodules of tissue that form in muscle, tendons, ligaments, fascia (the lining that covers all muscles) and the skin. These nodules cause the muscle etc to contract when this happens it causes pain. Also a nerve can get caught up in the contraction and blood vessels too (very painful indeed!). The first line treatment is to be on a good Muscle Relaxant (MR), because if you can relax the muscle then it will ease or eradicate the pain. The best MR is Valium (diazepam) however most Dr will not prescribe this as it is considered to be addictive, which is a shame as it was the drug that kept we going over this period of time.
That said I am seeing a few more people on DC who are now being prescribed it. If you cannot get this one then there are plenty of others but most will say that this is the best one and I would agree. If you live in Europe then there is even a better one than Valium and it is called Flupirtine. I am on this one also. It is not uncommon to be on more than one MR. Painkillers – despite being on opiate/narcotics these did not work for me the Valium was better. However some people do benefit from such drugs. If you live in the US a Dr may or may not prescribe these. From detailed discussions with another DC member and other questions posted on DC it is getting harder to obtain such drugs even if you would benefit from them. Next you need to get the TrPs treated in their own right there are a number of ways that they can be treated. Failure to treat the TrPs means that they will spread. The most common way on DC seems to be to have them injected with an anaesthetic drug or Botox. Botox is the better of the two as it actually relaxes the muscle. However it is a relatively new treatment for this condition. I am due to have mine injected with Botox soon. There are home remedies of treating TrPs like with a tennis ball (or other balls) and you can get a gadget called a Backnobber (balls are much cheaper, but this is easier to control). However I find that if you have a lot of TrPs then these home remedies were not helpful at all. Heat relaxes muscles so a hot bath or a heated chair overlay may help.I have one of these in my car and I find it helpful. If I get a painful spot I will strap a hot water bottle to the area and take my medications and it does help. We have 400 muscles in our body so you can develop TrPs anywhere! They do however favour muscles etc that we use a lot and repetitively. So for me (and many others) the neck, shoulders and upper back are the worse areas. But I also have them in the palms of my hands, lower back, buttocks, legs and in the joint of the left elbow. You should be under the care of a pain Dr for this condition. Information on the internet can often be misinformation, thus I would advise you to purchase a book on the subject by a good author. As CMP can lead to FM I would advise that you get a book that covers both conditions – Take care.
Well I take it from ur question may I add I have pain in my lower lumbar region from T1 to S1to L5 bulging disc spinal stenosis the pain doc said my MRI showed that my spine at the lowest region is pushed forward causing a pinching effect on the sciatic nerve also I have type 2 diabetes doctor started me on Lyrica 75 mg I've been taking Gabbapintin 3200 mg daily for 3 years also took hydrocodone 10/325 for 2 years switched to Oxycodone 10/325 for 6 months now taking Morphine sulfate 60mg ER twice daily along with a muscel relaxer called Lorzone 500 mg 3 x daily .Also being treated for Anxiety taking Cymbalta 60 mg 2 x daily generic form duloxitine . Its all working so far last night was first time for Lyrica told to take it at night it was wonderful not waking with my hands tingling and legs and feet hurting the gabbapintin started out working really good for this when I first started on it three years ago and its about time to increase it again I've had 4 epidural injections too only one seemed to work. Hope this helps you my friend.
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