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Old 03-05-2011, 06:10 PM   #1
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Just diagnosed with myofascial pain syndrome

Hello everyone. I am new here. I have been dealing with chronic pain for 6 months and was just recently diagnosed with myofascial pain syndrome of the abdomen. I don't guess I have any specific questions, but I do need support.

Here is my story:

I am an avid runner. I run marathons. I am a sub-elite and my times are good enough that I can potentially qualify for the Olympic trials in 2016. Six months ago, I had a baby. During my pregnancy, I continued to run up until about 7 months. Never had any problems. I ceased running because it just became too uncomfortable with the big belly. I delivered a healthy baby boy vaginally with no intervention (completely natural birth) and no complications.

About a month after he was born, I resumed running. During my very first run, I noticed some stitch-like abdominal pain in my right side. I'd never had it before, and blamed it on the post-partum body. But it kept happening. I took two weeks off, went back to running, and it happened again.

From that point, it progressed to a constant ache in my upper right abdomen/radiating to my right lower back. I continued to run, but the pain was getting much worse while running and while at rest. I went to the doctor, and he suspected gallbladder. All tests were negative. I also had a CT and colonosocpy--nothing. They told me to rest and that it would get better.

I rested, and it was no better. It hurt all the time. It started spreading to my left side and my shoulders when I run. I'm in constant pain now. I finally saw a chiropractor who diagnosed me with myofascial pain syndrome. I've had some massage therapy, but I'm still in pain. Anyone have any success with any other treatments? Are there medications?

 
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Old 03-06-2011, 04:43 PM   #2
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Re: Just diagnosed with myofascial pain syndrome

Have you had a full myriad of gynecologic and gastrointestinal testing? CT, MRI, etc?
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Old 03-08-2011, 12:10 PM   #3
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Re: Just diagnosed with myofascial pain syndrome

Quote:
Originally Posted by SpineAZ View Post
Have you had a full myriad of gynecologic and gastrointestinal testing? CT, MRI, etc?
Everything except an MRI, and all are normal (including a colonoscopy and labs).

 
Old 03-08-2011, 12:53 PM   #4
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Re: Just diagnosed with myofascial pain syndrome

MRI is very important.X-ra shows bones in the spine and some indication of disc height. MRI shows all the rest of the spine structure including discs, muscles, etc.
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Old 03-19-2011, 02:59 PM   #5
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Re: Just diagnosed with myofascial pain syndrome

I was diagnosed with MPS 15 years ago after a severe car accident. I was diagnosed by a reknowned neurologist and was told I couldn't be "fixed" they could only try to make me more comfortable. Over the years I have had trigger point injections and epidurals, biofeedback, different drug cocktails, etc. After a few years the drugs tore up my stomach and I was started on Fentanyl patches. They made a big improvement in my quality of life. I have been on them for about 4 years and am now being weaned off of them because I just had a spinal cord stimulater implanted. I have accepted that my life is permanently changed and I use a variety of things to deal with the pain: therapeutic massage, imagery, light yoga, warm baths, as well as the drugs and SCS.

I am sorry to hear about your problems. And the first thing I would do is go to a neuro to confirm the diagnosis because you will need a lot more help than a chiropracter can offer. It's sounds like you're an achiever so you may also need to see a pain management psychiatrist to deal with the life changes you're going to be dealing with.

The good news is: I have seen a lot of improvement in the acceptance and treatment of MPS.

 
Old 03-19-2011, 06:02 PM   #6
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Re: Just diagnosed with myofascial pain syndrome

The old tricyclic antidepressant such as amitriptyline or nortriptyline can help, if taken in a low dose (25-75mg) at bedtime. Nortriptyline usualy causes fewer side effects. Some people find antiinflamatories like naproxen or meloxicam or even simple Advil helpful. Baclofen and pregabalin have been found to help others.

I would suggest seeing your regular doctor rather than relying on a chiropractor for diagnosis and treatment - some of them can be a little dodgey (let me guess, as part of the diagnosis, you need a prolonged course of massage/adjustments)

Wikipedia has a short, easy to understand article on the problem.
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Last edited by jonnstar; 03-19-2011 at 06:05 PM.

 
Old 03-20-2011, 03:46 AM   #7
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Re: Just diagnosed with myofascial pain syndrome

I would go to a few more doctors who can run some more tests. Not saying that the chiropractor isn't right, but I would want to get a confirmation from an MD or from a specialist as well.

You could go to a physiatrist. I agree that it would be good to get an MRI. There are many types of medications that can control myofacial pain including muscle relaxers, opiates, etc.

 
Old 03-24-2011, 10:05 PM   #8
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Re: Just diagnosed with myofascial pain syndrome

i have myofascial pain. have had several cortisteroid injections for trigger points in shoulders, neck, and legs recently- in addition to the meds i take which do minimal relief.
i have not heard of anyone having it in their abdomen before, but that does not mean it does not happen.
like others say, see your primary doctor - a chiro is the wrong dr to be diagnosing mps of the abdomen.
i have multiple health issues of the spine and other problems, and people ask me alot if i have seen a chiropractor, nope ! and i wont either. my pain dr which is also a neurologist told me not to go to one either, as their methods could make my spine problems worse...
good luck with this, i wish i could be of more assist

 
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