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Dr. D. Evans
Dr. D. Evans, Doctor (MD)
Category: Health
Satisfied Customers: 4464
Experience:  MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.
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I have very tender spots all over my body. What causes ...

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I have very tender spots all over my body. What causes these sore spots?hey started in my armpits but a sonagram reveald nothing. They are now in my arms, legs, stomach, and feet. I have Parkinsons''s and supposedly celiac sprrue, although I am not on the gluten-free diet any longer. I am 64.
Submitted: 8 years ago.
Category: Health
Expert:  Dr. D. Evans replied 8 years ago.
Hi,
Since you are online, could you please give some more information:

Since how long have you had these spots?

Is there any discolouration or bruising over these spots?

I am available online to help you further after I get this info.
Customer: replied 8 years ago.
I have had these spots for several months, but the number of them keeps increasing. The physical therapist who used the myrofacial technique, found trigger points in my neck and back; I experienced severe upper back pain and he helped relieve the pain. However, these trigger points no longer are confined to my neck and back, they started popping up all over. They are not bruises, there's no discoloration at all. My left breast is tender. I don't even know what thpe of specialist to see if I need to do so. Many thanks.
Expert:  Dr. D. Evans replied 8 years ago.

Hi,

You are most likely to be suffering from Fibromyalgia Syndrome. This is a condition when there is severe and non-specific pain all over the body.

There are certain diagnostic criteria for Fibromyalgia.

This consists of both symptoms, the complaints of the patient, and signs, the points elicited by the doctor. these are:

Pain symptomalogy: widespread pain for at least three months.

Signs of Tenderness: Tenderness in at least 11 of the 18 defined points.

If you meet both these criteria, you will be most likely to have Fibromyalgia syndrome.
See here for an excellent description of how FMS is diagnosed and treated.

The other conditions which might present similarly are:

  • Hypothyroidism
  • Polymyalgia rheumatica
  • Osteomalacia
  • Metabolic and inflammatory polyarthropathies
  • Spondyloarthropathy
  • Radiculopathy
  • Pleuritic or cardiac pain syndromes

These can be differentiated by the doctor, although they may present in a similar manner superficially. You need to consult your doctor over these diagnoses and discuss the tests you will need to rule them out.

Two important ways in which to combat this are:

Maintaining a positive attitude: see here.
Exercise: see here.

With a proper effort, FMS can be cured.



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