| One of many symptoms of the fibromyalgia | | | | There are four tender points associated with the |
| syndrome is the presence of various fibromyalgia | | | | buttocks, one on each side just behind the kidney, |
| tender points. These tender points, also caused | | | | and one on each side at the base of each |
| trigger points, occur around various joints. It is not | | | | buttock. The remaining four points are on the |
| the joint itself where the pain is occurring, but | | | | inside of each elbow, and on the outside of each |
| rather in the soft tissue around the joints. | | | | knee. |
| Fibromyalgia tender points are usually quite small in | | | | Fibromyalgia is diagnosed when at least eleven of |
| area, usually no larger than a finger tip, and pain is | | | | these points are present. Knowing where the |
| experienced when pressure is applied to one of | | | | tender points are active will enable the doctor to |
| these tender areas. You can apply pressure, say | | | | determine a proper course of treatment. The pain |
| with a finger, next to a fibromyalgia tender point, | | | | associated with fibromyalgia tender points is |
| but not directly on it, and feel no pain. The cause | | | | managed in a number of ways, including avoiding |
| of this pain is not well understood. The pain is | | | | things which tend to trigger the pain. Medications |
| always felt near the surface, is not a deep pain, | | | | are often prescribed. Antidepressants seem to |
| and it is not, as one might expect, be due to | | | | help, although the reason why isn't well |
| inflammation of tissue. Furthermore, the | | | | understood. Therapy involving ice packs and |
| fibromyalgia tender points are found at very | | | | applications of heat are generally helpful. Avoiding |
| predictable locations, and when diagnosing | | | | unnecessary anxiety and stress, and getting |
| fibromyalgia, a physician will want to know where | | | | sufficient rest, also is important. The ability to |
| tenderness is experienced. If pain is present at | | | | relax (relaxation therapy) can be helpful. |
| points other than these predictable points, | | | | There are other symptoms of fibromyalgia of |
| something other than fibromyalgia would be the | | | | course, including deep muscle pain, joint pain, and |
| diagnosis. | | | | chronic fatigue. Fibromyalgia is a complex |
| There are 18 of these points located in the neck, | | | | syndrome, with the presence of tender points |
| back and chest, the knees and elbows, and the | | | | being just a part of a larger picture. Still, pain is |
| buttocks. There are 4 points on the neck, two in | | | | pain, and relief or treatment must be sought |
| front and two in back. The two on the chest are | | | | after. The presence of fibromyalgia points, and |
| about at the level of the collarbone, and directly | | | | the fibromyalgia syndrome itself, are rather |
| below the neck. On the back there are two points | | | | strange occurrences, and treatment appears to |
| where the shoulder joins the neck, and two just | | | | center around lifestyle conditions as much as |
| below the neck on either side of the spine. | | | | around medication and therapy. |