Do you suffer with fibromyalgia leg pain? The pain that is associated with the tender points and the trigger points in multiple sites? Although we often refer to them as tender POINTS, they are actually rather tender AREAS.
I still have to meet someone with fibromyalgia who simply has a POINT of pain or sensitivity. (However, both tender points and areas of generalized pain are still used for diagnosis) And because the tender points differ from the trigger points, the article also refers to the ‘trigger points’ for a deeper discussion on TRP’ in s fibromyalgia.
Now most people with fibro describe a “zone” of pain that radiates to the surrounding tendons or trigger points. Often there is an involvement with an associated tendon, ligament or TRP (trigger point). This is what causes the pain to radiate or enlarge.
Take for example the sensitive points on the inside of the knee. This area can extend an average of 2-4 inches above and below the inside of the knee. So it really makes more sense for reference to call this an AREA of pain, especially when it comes to work solutions. Yes, there are many tender points in the lower extremity of the fibro body.
Certain Activities of Daily Living (ADL) may exacerbate Fibromyalgia Leg pain
Examples are sitting for prolonged periods, standing in one place, moving or changing weight while standing, driving, traveling, cleaning activities, etc.
What else can exacerbate fibromyalgia leg pain? Trigger points, inactivity, loss of muscle mass, lower back pain, sciatica, joint participation, certain medications, cold / flu and more. The interesting thing about fibromyalgia related to leg pain is that it does not matter if you are standing, sitting or lying down.
The propensity for pain in the lower quadrant of the fibro body is only greater because of trigger points woven into muscle layers and extremely sensitive areas that are not directly related to any activity or exercise.
It results in fibromyalgia Leg pain when strength and agility are lost.
The longest and most widely used muscle in the leg (also known as the sartorius muscle in the quadriceps area) is responsible for much of our mobility in the lower quadrant of the fibro body. Here in the adjacent image I have hi-lited these areas that cause the most pains in the lower fibro body.
When conditioned from this muscle and the surrounding muscles become, everything around this area also weakens including tendons and ligaments.
Agility can be lost and these “zones” of interest to be wider still (as shown in the adjacent graph), with the pain of sensitive points spreading both above and below the location of the actual point inside the knee.
Sensitive spots within the gluteal area can also radiate pain down the leg, often on the sides and back of the legs. Hip and leg pain can result because the Illiotibial band (outside the legs) extends from the hip area on one side of each leg and when this area is tight it can cause stinging pain and severe stiffness.
Weakness and / or butter in the hip abductors can also cause extreme stiffness and decreased mobility. Illiotibial band syndrome (ITBS) can occur in athletes through repetition and overuse, but this painful condition is not uncommon for people with fibromyalgia.
Now is when there is some controversy. Is the fibro worsening or are these points / areas of the fibro body becoming weaker? Are you suffering with chronic myofascial pain in the upper part of fibromyalgia? That could be the reason why you feel that the pain in your leg is getting worse, as there are many layers of trigger points in your lower body.
One thing to consider with fibromyalgia and pain in the legs is that any position that stay too long, such as sitting or standing can increase pain and activate trigger points. The sensitive points will always be there at some level, but they are the trigger points that are activated by repetitive movements or that are in a position too long.
I say that often, I highly recommend not sitting for a long time first thing in the morning. When we are going to stay in bed to sit first thing in the morning, this only creates more stiffness in the lower back, hips, legs and knees.
I had to start thinking outside the box and this is when I started to create specific fibro exercises and start working with my fibromyalgia.lor in the legs in a way that I had not done before. This does not mean that we can “cure” all pain through the conditioning of the body, but when strength and agility are lost, everything suffers. So now we have to look at what is going to counteract this phenomenon that has become so common in fibro today. Consistent conditioning for the fibro body. People ask “how to do exercises with fibro?” However, the biggest question should be “How not?” This is never all or nothing. Of course I do. But see, we must approach this condition in terms of conditioning, pain relief not merely temporary. Essentially we want and need to create more LONG-TERM pain relief and subsequent independence with age with a chronic disease. This is well verified and that I became a physical trainer and studied extensively to create exercise routines and at the same time incorporate forms of Decrease the severity of daily activities that can worsen fibro-specific leg pain.