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Hi.

Just have to ask...I have pain many many days. Aside from the chest pain...I since the beginning of this POTS thing I have had pain in my hands running up my wrist, my leg muscles and hip joints. I also have pain in my butt muscles and lower tail bone. Should I get tested for fibromyalgia? I have less pain when I am rested and haven't stood up or done very much. I think it "all" seems to get better when I lay down. I feel like I have been run over by a bus....sometimes everything in my body hurts along with all the chest discomfort.

Any input is appreciated!!

Erika

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I get a lot of POTS pain, the feeling like you've been run over by a bus that you describe. I don't have it every day; if I'm having other POTS symptoms, I'm more likely to have the pain. It doesn't go away when I lie down, unfortunately. I've talked to my doctor about the pain and what's normal (for me) and what isn't, so I know when I should be concerned and call for an appointment. I'd suggest that you be sure to mention it to your doctor in case it is more than just POTS pain.

Meg

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Hi,

I have a myofascial pain syndrome that mostly affects my neck, shoulders, face, and head. I know that many times dysautonomia and fibromyalgia exist together, but there are specific diagnostic criteria for fibromyalgia. If you can afford to see a pain specialist, they might be able to make the right diagnosis and offer you some treatment options like PT, medications, acupuncture, etc. Good luck!

~ Broken_Shell :rolleyes:

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The worse my POTS symptoms are in general, the worse pain I have. Like Broken Shell, much of my pain is myofacial and I see a PT who specializes in myofacial release and it helps with the worst of it. Basically she releases tight muscles and relaxes the facia, which is a layer of tissue that runs throughout your body just underneath your skin. I haven't pursued a diagnosis of fibromyalgia mostly because there isn't anything more to be done for me if I have that diagnosis. I'm lucky to have a cooperative PCP who will prescribe something if it might help.

I am also mostly affected in my head, neck, arms, and thoracic spine.

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i have it all too and live in chronic mulit focal pain. Now have pain in L4 and 5 in lower back budging disk with tears from falling. My legs hurt SOOOOO

BAD I WANT TO SCREAM. My meds don't take the pain away. Worse at night in bed and I must remember to look into that virus Jennifer told me about and have the doc check it. i have ouchies all the time. with fibro a little jab from someone feels like a punch. :unsure: when in doubt, check it out!

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I came down with Ankylosing Spondylitis a month or two out of the blue after I got POTs out of the blue - it can be pretty painful but most days id take the pain over the dizziness, but then when AS flares up i wonder why I hate POTS so much...

POTS is a common feature of Fibromalygia (sp?). I believe they investigation the inflammatory activities of TNF alpha, Substance P and Calcitonin gene related peptide in Fibro and in POTS where inflammation is implicated as a cause (through an increase in nitric oxide in the stomach area).

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I think patients with Fibro tend to also have POTS. Whether their POTS is secondary to Fibro seems a little unclear. But some POTS patients dont have Fibro.

I thought I had Fibro but i soon found out I had comorbid Ankylosing Spond. My doc said that in woman AS can present similarly to RA or Fibro so perhaps if you were interested in checking that out there is a gene for AS. Just an aside.

There is one form of POTS that seems to be being caused by an inflammatory response in the stomach - inflammation is also implicated in CFS and Fibro so there could be a common causal factor in there somewhere.

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