Fibromyalgia tender points are located in clusters around the neck, chest, shoulders, elbows, hips, and knees. The following are those 18 tender points. Tender Point nella diagnosi di fibromialgia “ La Fibromialgia (FM) è classificata tra i reumatismi extra-articolari, di natura funzionale. Theyre located on both sides of the body, both above and below the waist. Certain ADL’s (Activities of Daily Living) can exacerbate these tender AREAS. It's also possible to have other conditions alongside your fibromyalgia, such as: E’ caratterizzata da dolore muscolo-scheletrico diffuso cronico e dalla presenza di punti dolorosi (tender points) caratteristici (figura). Manual lymph drainage therapy is a massage technique that moves fluid away from areas where lymph vessels are blocked or damaged. La fibromialgia è una sindrome muscolo-scheletrica a lungo termine che causa dolore ed affaticamento. These spots became part of a diagnostic test. I tender points possono essere latenti normalmente ed il dolore evocabile solo alla digitopressione. Fibro indica i tessuti fibrosi come legamenti e tendini, mentre mialgia significa dolore muscol… In un gruppo di donne con FM, un ciclo di 8 settimane di BMP (eseguito 2 volte alla settimana) induce una riduzione di molti sintomi e segni della malattia (numero dei tender points, alterazioni posturali e percettive, contratture muscolari, affaticabilità, irritabilità ecc.) When tender points occur in a widespread manner, they are usually considered characteristic of fibromyalgia. But this is less common nowadays. • Recentemente è stato introdotto un indice di dolore diffuso (WPI : WidespreadPain Index) ed una scala che misura la gravità dei sintomi (SS, Symptom Severity). Now she’s sharing how she’s coping with their deaths in hopes it will help…. Ricevo e pubblico volentieri da una lettrice colpita dalla fibromial… What are Pressure Points/Tender Points? La Fibromialgia (FM) è una patologia caratterizzata da una sintomatologia cronica particolarmente intensa che colpisce l’apparato muscolo-scheletrico. The official diagnostic criteria for fibromyalgia no longer requires a tender point examination. Muscle spasms are a painful fibro symptom. Fibromyalgia's Widespread Pain and Fatigue, Fibromyalgia Tender Points Not Trigger Points, Myofascial Pain Syndrome and Trigger Points, How Exercise Benefits People with Fibromyalgia, Cannabis-based Drug Improves Sleep in Fibromyalgia Patients, Five Fibromyalgia-friendly Lifestyle Tips. La fibromialgia (o sindrome fibromialgica) è una patologia le cui cause non sono ancora note. Give your nerves what they need, no matter what’s going on in the world around you. This article reviews suitable…, When you live with fibromyalgia, you may experience pain and fatigue that your family, friends, and even your doctor might not understand. Joint pain would be an indicator of arthritis, but tender points are a sign of fibromyalgia. Connective tissue massage is an intense massage technique that focuses on manipulating myofascial tissue. Though research is limited, the evidence shows that some diets reduce pain and symptoms related to fibromyalgia. There’s a chronic widespread pain condition called myofascial pain syndrome. Tender points are areas of tenderness occurring in muscle, muscle-tendon junction, bursa, or fat pad. (Fortunately, there are days when you may not even experience pain at all.). The adjacent graphic shows the 18 standard fibromyalgia tender points, both front and back of the body. La fibromialgia (FM), nota anche come sindrome di Atlante o sindrome fibromialgica, è una patologia reumatica, definita idiopatica dalla medicina (cioè con eziologia sconosciuta), caratterizzata da tensione cronica di legamenti e tendini e conseguente dolore muscolare. tender points fibromialgia Reumatologia. The fibromyalgia tender points are symmetrical; they occur on both sides of the body. Doctors wanted something more scientific and less subjective than just the patient’s experience of tenderness or pain. Tender points are often sites on the body where tendons and muscles meet. Free E-newsletter Subscribe to Housecall. In addition, a positive fibromyalgia diagnosis required widespread pain throughout the entire body. The doctor will push with enough pressure that their fingernail turns white. The pathogenesis of FM and MPS, or why these conditions develop in some people, remains unclear. Additionally, a study published in the journal Pain discovered that much of the neck and shoulder pain that people with fibromyalgia experience is caused by trigger points, not tender points. Once the diagnostic gold standard for identifying fibromyalgia, doctors checked for sensitivity when specific tender points on the body were touched. Trigger points are far more common in people with fibromyalgia than they are among the general population. Some people refer to tender points as “trigger points,” although this can cause confusion between spots that are related to fibromyalgia and those which cause myofascial pain. The tender points are often quite small, but will cause a physical reaction when touched. I'd be very curious to hear … In order to be diagnosed as a chronic condition, this type pain must be present for at least three months and be unresolved or recurring. Fibromyalgia tender points are areas of pain around joints, but not in the joints themselves. All rights reserved. Tender points in fibromyalgia. Licensing. Instead, fibromyalgia pain affects the soft tissues of your body, mainly the muscles. AGOPRESSIONE E FIBROMIALGIA COME AGISCE L’AGOPRESSIONE DI MYSA I PIÙ EFFICACI RIMEDI NATURALI CONTRO LA FIBROMIALGIA IL MIGLIOR RIMEDIO NATURALE PER LA FIBROMIALGIA Sono davvero tantissimi gli utilizzatori fibromialgici e gli operatori del benessere che ci riferiscono, ormai quotidianamente, di interessantissimi risultati di Mysa, sopratutto per quanto riguarda un generale … All of them are around joints, but fibromyalgia pain has nothing to do with the joints themselves. The front of the neck. A study in The Journal of Pain, the official journal of The American Pain Society, found that most tender points are also myofascial trigger points. There are 18 tender points throughout the body, each about the size of a penny. Some people also report restless legs syndrome, bowel or bladder problems, numbness and tingling and sensitivity to noise, lights or temperature. Get help! Quello associato alla fibromialgia è un dolore sordo e costante, in genere proveniente dai muscoli, che riguarda varie sedi corporee a distribuzione simmetrica. Muscle spasms. Possono dunque presentarsi nel soggetto affetto da fibromialgia, una vasta gamma di sintomi, non nec… There are 18 tender points throughout the body, each about the size of a penny. Decisi quindi, di rivolgermi ad un reumatologo. Fibromyalgia Tender Point Chart Patient Name_____ Date_____ Classification of Fibromyalgia (according to the 1990 ACR criteria): 1. Other symptoms include tiredness to a degree that normal activities are affected, sleep problems and troubles with memory. For a point to be considered tender, the spot should produce localized pain when your doctor presses on it with their finger. But expanding the diagnostic criteria has helped more people get the right diagnosis. Fibromialgia. © 2005-2021 Healthline Media a Red Ventures Company. Fibromyalgia, a chronic pain disorder, is often characterized by pain in multiple tender points. Un metodo più comprensivo di … Although other symptoms were often associated with fibromyalgia, the tender points and widespread pain were t… The extent of the pain used to be assessed by applying gentle pressure to certain "tender points", where any pain is likely to be at its worst. ... Fibromialgia; Usage on eu.wikipedia.org Myofascial pain syndrome can coexist with fibromyalgia. While there is no doubt that tender points are characteristic of fibromyalgia, studies have long … Pain from these tender spots may be localized or it may spread to other regions of the body. Share your story. The primary difference between tender points and trigger points is that trigger points can produce referred pain (that is, they can cause pain in other parts of the body). Scientists, however, have explored many plausible theories. Home Remedies for Tender Point Pain. In the past, at least 11 of these 18 spots had to test positive for tenderness to diagnose fibromyalgia. Scopriamo come ottenere una diagnosi, cosa sono i tender points e quali sono le possibile cure.. Diagnosi di fibromialgia. If you haven’t tried acupuncture yet, it may be an excellent treatment option. Il termine fibromialgia è infatti composto da “fibro” e “mialgia”. • Il test dei Tender Points non misura in modo adeguato i sintomi comuni quali l’astenia, il sonno non ristoratore ed i problemi cognitivi. Nonostante il dolore sia localizzato in corrispondenza dei tessuti molli (muscoli, legamenti e tendini), la fibromialgia non è un’infiammazione dei tessuti. Here's how…, Fibromyalgia and multiple sclerosis (MS) are different conditions, but they can share similar symptoms and signs. Fibromyalgia tender points are located in clusters around the neck, chest, shoulders, elbows, hips, and knees. Grazie peril benvenuta ,ho problemi alla mascella da piu di 1 anno forti dolori acusia vertigini calo udito operata al setto e turbinati pensando di risolvare . Achieving a fibromyalgia diagnosis undoubtedly takes years – in fact, the National Fibromyalgia and Chronic Pain Association estimates that most people wait an average of five years to reach their diagnosis. You can then work with your doctor to improve your symptoms. Fibromyalgia is a common neurological disorder characterized by chronic widespread musculoskeletal pain and stiffness along with fatigue and poor or disturbed sleep. Photo Source: 123RF.com. Trigger points are hard, knotty lumps that form in taut skeletal muscles. Trigger points cause localized and radiating pain. There are no laboratory tests that can detect it, so it’s up to your doctor to recognize the symptoms and exclude other conditions. In realtà la fibromialgia è una malattia ben codificata caratterizzata dalla presenza di numerosi “tender points” bilaterali e la diagnosi si fa contando i tender points individuabili. The word “fibromyalgia” is derived from the Latin word for fibrous tissue, which is fibro, along with the Greek words for muscle (myo) and pain (algia). This page is best viewed with JavaScript enabled. In 1990, the American College of Rheumatology identified 18 specific spots that are often, but not always, tender in people with fibromyalgia. A point that tests positive for tenderness will be painfu… Fibromyalgia isn’t a simple condition to diagnose. Chronic pain in different tender points in different time period Ask questions. Shoulders. Sign up now. 3. These spots are known as tender points. La Fibromialgia (FM) è classificata tra i reumatismi extra-articolari, di natura funzionale. How you handle fibromyalgia pain at home is another important part of your overall treatment. La digitopressione di questi punti da parte del medico è usata come test per la diagnosi della malattia. There are 18 tender points throughout the body, each about the size of a penny. La fibromialgia è, quindi, una malattia reumatica che colpisce l'apparato muscolo - scheletrico, caratterizzandosi per la presenza di: Dolore cronico e diffuso; Aumento della tensione muscolare; Tender Points. What that means is that you may feel intense pain in some areas one day and in other areas the next. Here’s How She’s Coping, The Psychology Behind Conspiracy Theories, Here’s Where COVID-19 Cases Are Rising and Falling. Credit: Getty Images B… Yes, there are many tender points in the lower extremity of the fibro body. These places hurt when you press on them. Injections can contain saline, steroids, or a local anesthetic like lidocaine. The doctor will push with enough pressure that their fingernail turns white. One of the defining characteristics of fibromyalgia is that the pain usually fluctuates. of pressure are applied. La causa della fibromialgia è ancora sconosciuta, ma si ipotizza un’origine multifattoriale. It involves chronic trigger point pain. La fibromialgia è una sindrome caratterizzata da dolore cronico diffuso, oltre che ad affaticabilità, intolleranza allo sforzo, rigidità articolare e che risponde positivamente al test dei tender points oltre a presentare sintomi sistemici di vario tipo (ad es. The 18 tender points associated with fibromyalgia occur in symmetrical pairs from the … Ottenere una diagnosi per questa sindrome non sempre facile. This self test requires the patient to identify the exact sites of pain and demonstration and identify of 18 trigger points which are distributed all over the body. Tender Points Si tratta di punti sul corpo che generano dolore intenso alla pressione . Possible tender points of FM include the outer elbows, the upper chest, and the back of the head. Uncertain times are a breeding ground for misinformation. Trigger point injections can deactivate a painful trigger point, providing pain relief in certain areas. The primary difference between tender points and trigger points is that trigger points can produce referred pain (that is, they can cause pain in other parts of the body). These tender points are not the only places it's possible to feel fibromyalgia pain; you can also have general muscle fatigue and widespread chronic pain. Or visit the American Board of Pain Medicine’s directory of certified pain specialists to find someone in your area who administers trigger point injections. For more help finding a qualified massage therapist near you, also check out the American Massage Therapy Association’s directory of certified practitioners. When it comes to tender points, it's important to understand that fibromyalgia is not a consistent syndrome. Fibromyalgia (FM) is a medical condition characterized by chronic widespread pain and a heightened pain response to pressure. Diagnosing other conditions. On the day that you call your doctor to make an appointment, you might have tenderness in all 18 tender points. In realtà, la fibromialgia non è nemmeno una malattia, ma un insieme di sintomi. These generally produce a sharp pain when touched or pushed. Trigger point injections should be given by a trained pain specialist with specialized equipment. Six common fibromyalgia symptoms include body tender points, widespread pain, pain that is worse in the morning, fatigue, sleeping problems, and anxiety and depression. These tender points are sometimes confused with trigger points, which are associated with chronic myofascial pain. Own work, based on: File:Tender_points_fibromyalgia.gif and File:Woman surface diagram ahead-behind.svg: Author: Sav vas, Jmarchn This W3C-unspecified vector image was created with Inkscape. Once you’re diagnosed with fibromyalgia, you’ll be able to understand the cause of your pain. Experts say that they’re encouraged by the downward trend in COVID-19 cases, but they remain concerned about a new surge. One thing I'm wondering about is the tender points. It can be confusing especially since the terms used to describe the symptoms are so similar. Il medico analizza dei punti nel corpo chiamati tender point che in caso di fibromialgia sono dolenti, almeno 11 su 18. La fibromialgia (FM) si manifesta con dolore muscolo scheletrico generalizzato, sebbene possa avere inizio in una sede localizzata, come rachide cervicale e spalle. With tender points, the pain doesn’t radiate. They are extremely sensitive spots on the body that elicit pain when four kilograms (or about 10 lbs.) For a point to be considered tender, the spot should produce localized pain when your doctor presses on it with their finger. Theyre located on both sides of the body, both above and below the waist. I tender points (letteralmente punti dolorabili), in medicina, sono specifici punti del corpo la cui pressione provoca dolore in persone affette da fibromialgia. È caratterizzata da astenia e iperalgesia diffusa a livello muscolo-scheletrico accompagnata da aree tensive che vengono denominate tender points. : La persona che ha associato un'opera con questo atto legale ha donato tale opera nel pubblico dominio rinunciando a tutti i diritti sull'opera in tutto il mondo, inclusi tutti i diritti connessi o altri diritti simili, per quanto permesso dalla legge. Dopo un’accurata visita mi confermò la Fibromialgia con una diagnosi di 18 su 18 tender points (punti dolenti). Referred pain feels like it shoots or radiates to a different part of your body. Quello associato alla fibromialgia è un dolore sordo e costante, in genere proveniente dai muscoli, che riguarda varie sedi corporee a distribuzione simmetrica. However, anyone can develop them. In fact, The American Pain Society states that most tender points are also trigger points. You might want to start by asking for recommendations from friends, your family physician, or your fibromyalgia specialist. Il medico analizza dei punti nel corpo chiamati tender point che in caso di fibromialgia sono dolenti, almeno 11 su 18. If you have fibromyalgia, you probably think most about the symptoms that interfere with your daily life. Most acupuncture clinics can quickly fit you in for an appointment. Fibromyalgia tender points are areas where you may experience localized pain when they’re pressed. Fibromialgia:quadro clinico •Caratterizzata da dolore muscolo - scheletrico diffuso e da presenza di punti algogeni (tender points) evocabili alla pressione in corrispondenza di specifiche sedi tendinee e muscolari. Mi definì la paziente perfetta, ad uno stadio fibromialgico acuto e per giunta intelligente, qualità che a suo avviso avrebbe aiutato nella risoluzione di … A point that tests positive for tenderness will be painfu… La diagnosi di FM è a tutt'oggi basata sui criteri dell'American College of Rheumatology (ACR) del 1990 che prevedono la presenza di dolore muscoloscheletrico diffuso (cioè che interessa entrambi i lati del corpo sia nella parte superiore che inferiore e che coinvolge tutta la colonna vertebrale) da almeno 3 mesi associato a dolorabilità di almeno 11 dei 18 tender points illustrati nella figura 1. Tender points are also common. However, tender point examinations are still a common diagnostic tool. Fibromyalgia, a chronic pain disorder, is often character… A point that tests positive for tenderness will be painful only on the exact spot the doctor presses. The diagnostic criteria for fibromyalgia has since changed. Since 1990, fibromyalgia was diagnosed primarily by the presence of tender points, small areas of the body located near (but not on) a joint that causes pain when pressed. Fibromyalgia, a chronic pain disorder, is often characterized by pain in multiple tender points. But your doctor might still check for 18 tender points associated with the disorder. While they have some similarities…, Fibromyalgia expert Dr. Kevin White answers questions on how fibromyalgia and pregnancy affect one another. Fibromyalgia, a chronic pain disorder, is often characterized by pain in multiple tender points. La fibromialgia o sindrome fibromialgica è una malattia che colpisce l’apparato muscolo-scheletrico provocando nei pazienti un forte dolore diffuso ed una persistente sensazione di affaticamento. Our website services, content, and products are for informational purposes only. These tender points are sometimes confused with trigger points, which are associated with chronic myofascial pain. 2. Arguably, the most important part of a fibromyalgia diagnosis is the exclusion … Fibromyalgia tender points are located in clusters around the neck, chest, shoulders, elbows, hips, and knees. Photo Source: 123RF.com.Making things all the more confusing is that chronic myofascial pain often accompanies fibromyalgia, so it's possible that you may experience pain from tender points (due to fibromyalgia) and trigger points (due to chronic myofascial pain). Solo negli ultimi 20 anni si è potuto approfondire la conoscenza di questa malattia, che in Italia interessa circa 1.5-2 milioni di persone, sopratutto di sesso femminile(alcuni ricercatori sono tuttavia convinti che, a causa delle difficoltà di diagnosi, sia anche più diffusa). It may come and go, move around, or vary widely in intensity from day to day. They’re located on both sides of the body, both above and below the waist. People with fibromyalgia are typically more concerned about full-body aches and general tenderness than specific tender spots. Such is the case for this pair of tender points, located where the back muscles connect to the shoulder blades in the upper back. In order to experience relief from pain associated with both, talk to your doctor about potential therapies that may help. One way that doctors try to narrow down a diagnosis of fibromyalgia is by exerting pressure on 18 small spots located throughout the body. Fibromyalgia, a chronic pain disorder, is often characteri… Under this original standard, you had to experience intense pain and tenderness when doctors pressed or touched at least 11 of 18 specific points. Prior to 2010, at least 11 of these 18 points had to test positive for tenderness for your doctor to officially diagnose you with fibromyalgia. Widespread pain, lasting at least 3 months, in combination with 2. Questo file è reso disponibile nei termini della licenza Creative Commons CC0 1.0 Universal. The Difference Between Tender Points and Trigger Points. A tender point test is still a helpful guidepost for physicians. One potential shared cause of FM and MPS involves a phenomenon called central sensitization.2 With central sensitization, a person's brain remains on high alert, perceiving normal sensations as "painful" or mildly painful stimuli as severely painful. Questo dolore si acuisce quando è esercitata una pressione intensa su specifici punti del corpo, detti punti sensibili otender points(vedi paragrafo successivo), e viene valutata con un punteggio che permette di ottenere una diagnosi di certezza. Examples are sitting for extended periods, standing in one place, displacement OR shifting of weight while standing, driving, travel, cleaning activities, etc. Fibromyalgia, a chronic pain disorder, is often characterized by pain in multiple tender points. Differential Diagnosis. •Caratterizzata da una varietàdi sintomi clinici d ’accompagnamento (quadri multiformi). Tender points are usually present in people with fibromyalgia. This is good news, because there are several treatments for trigger point pain that you can start right away. As previously mentioned, there are 18 tender points that doctors may check to determine fibromyalgia. Il termine " fibromialgia " significa dolore ( algos) proveniente dai muscoli ( myo) e dai tessuti fibrosi ( fibro ), come tendini e legamenti. A study in the Journal of Manipulative and Physiological Therapeutics suggested that two types of massage therapy significantly help women with fibromyalgia. numero dei Tender Points. I just got dx'd with fibro and trying to wrap my head around it. On the day of the appointment itself, you may only have tenderness in four of them. Sections. Trigger points, which typically occur in a more restricted regional pattern, are indicative of myofascial pain syndrome. Healthline Media does not provide medical advice, diagnosis, or treatment. Products and services. For example, … Find answers on medication, breastfeeding…, Despite physical origins, fibromyalgia can benefit from a type of treatment called mindfulness. Fibromyalgia Treatment. Sono simmetrici sui due lati del corp. Si trovano alla base del cranio, del collo, in cima alle spalle, sul petto, avambraccia, glutei, anche e ginocchia. There are many similarities between fibromyalgia tender points, myofascial trigger points, and acupuncture points. E’ caratterizzata da dolore muscolo-scheletrico diffuso cronico e dalla presenza di punti dolorosi (tender points) caratteristici.” (fonte Brescia Reumatologia ) Unlike tender points, which produce only localized pain, trigger points produce both localized and referred pain. Tracey Carlos lost both her parents to COVID-19 within weeks of each other. These may include: Painful knots in your muscles are often myofascial trigger points. A fibromyalgia diagnosis is often made when a patient has had 3 previous months of unexplained body-wide pain and at least 11 of 18 tender points in specific locations. However, people afflicted with Fibro can also have trigger point pain that coincides with tender point pain. Diagnosing fibromyalgia with tender points, Trigger point injections for fibromyalgia, American Board of Pain Medicine’s directory of certified pain specialists, American Academy of Medical Acupuncture’s, Trigger point massage therapy for fibromyalgia, Journal of Manipulative and Physiological Therapeutics, American Massage Therapy Association’s directory, Multiple Sclerosis vs. Fibromyalgia: Assessment Test Page, Mind, Body, and Behavior: Mindfulness for Fibromyalgia, 6 Ways to Give Your Nervous System a Break, She Lost Her Mom to COVID-19, Then Her Dad. Last medically reviewed on August 7, 2017. Fibromyalgia has been called the “invisible disease,” a poignant term that captures its hidden symptoms, including widespread pain and general fatigue. These tender points are sometimes confused with trigger points, which are associated with chronic myofascial pain. They are often not deep areas of pain. There is no cure for fibromyalgia, but the condition can be managed using a variety of measures. If you’re interested in seeing a doctor who practices acupuncture, you can check out the American Academy of Medical Acupuncture’s online directory. Tender points were an unpopular method for diagnosing fibromyalgia. The doctor will push with enough pressure that their fingernail turns white. Tender points are used to help diagnosis fibromyalgia. Researchers suggest that both techniques lessen pain, improve quality of life, and increase pain thresholds. Over the years, many people with fibromyalgia have gone undiagnosed because they didn’t have tenderness in 11 spots at the time of their physical exam. Ad oggi la prova clinica più accertata per riconoscere la fibromialgia consiste nell’esercitare una pressione con le dita sui 18 punti di dolore distribuiti su tutto il corpo, verificando se almeno 11 risultano positivi. Researchers believe that this is a neglected field of study that demands exploration. However, the treatment for fibromyalgia and tender points involves a mix of medications, daily stress management, exercise, water exercises called hydrotherapy, and … In letteratura i primi casi vennero definiti come fibrosite(1968) fino agli anni ’80, in cui fu chiaro che si trattava di una patologia a sé stante, i cui criteri diagnostici sono stati ben descritti dall’American … The American Fibromyalgia Syndrome Association is funding some promising research on myofascial trigger points and their wider connection to fibromyalgia. Many doctors also felt uncomfortable with having to touch so … Tender Points Reexamined. The trigger point locations are: These tender points are very small—the size of a penny. I trigger point possono essere individuati esercitando una pressione sulle seguenti aree del corpo: seconda costola; It is essential to note here that fibromyalgia is much more than 12, 16 or 18 tender points on the body.. Fibro is a multi-system, complex illness that is still greatly misunderstood or … Palpazione dei 18 punti chiave detti tender points, che nel malato fibromialgico risultano dolorosi in numero non inferiore ad 11. Secondo uno studio recentemente pubblicato dalla Mayo Clinic, le uniche differenze osservabili tra uomini e donne con fibromialgia stanno nel numero di tender point … Astenia e disturbi del sonno Circa il 90% dei pazienti affetti da sindrome fibromialgica riferisce astenia (affaticamento) moderata o severa, ridotta resistenza alla fatica o una specie di stanchezza che ricorda quella normalmente riferita in corso di influenza o in mancanza di sonno. In addition to the back of the neck, doctors … You can check out the Acufinder directory of acupuncturists to find a traditional practitioner in your area. Mappa dei tender points Print. MODERNO CONCETTO DI FIBROMIALGIA : SMYTHE E MOLDOFSKY NEL 1976 (= dolore diffuso e tender points) Criteri ACR nel 1990 (= tender points e dolore diffuso) Revisione criteri ACR nel 2010 (maggior importanza ai sintomi extra-articolari) CENNI STORICI Dott.ssa Simona Bosi – … Fibromyalgia, a chronic pain disorder, is often characterized by pain in multiple tender points. Gli studi condotti per indagare la patogenesi hanno di volta in volta dimostrato alterazioni del rilascio dei neurotrasmettitori (sostanze che favoriscono la comunicazione tra le cellule del sistema nervoso), ipersensibilizzazione del sistema nervoso centrale, alterazioni dell’asse ipotalamo-ipofisi, alterazioni nel rilascio di molecole (citochine) pro-infiammatorie, alterazioni dell’equilibrio tra sostanze ossidanti e anti … For a point to be considered tender, the spot should produce localized pain when your doctor presses on it with their finger. Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Acupuncture, the ancient Chinese practice of inserting needles into specific points on the body, has been used to relieve pain for thousands of years.

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