Is Fibromyalgia a Muscle Disease or a Fascial Disorder?

Understanding the true nature of fibromyalgia is crucial for both medical professionals and patients. Recent research has begun to challenge the long-held belief that fibromyalgia is primarily a muscle disease. In reality, it may be more accurately described as a disorder of the fascia, the connective tissue that surrounds and supports muscles, organs, and other bodily structures. This article will explore this new understanding, examining how fascial dysfunction can drive symptoms traditionally attributed to muscle disease.

Fibromyalgia and Fascia: A New Perspective

According to a 2020 paper, the cause of fibromyalgia remains unclear. Historically, there was considerable dissent among medical professionals regarding its origins, with some viewing it as a psychogenic condition. However, modern research has refuted this outdated view, characterizing fibromyalgia as a disorder of pain regulation and central sensitization. Brain imaging studies using functional magnetic resonance imaging (fMRI) have shown several perturbations in pain processing and regulation, which amplify pain or decrease its inhibition in individuals with fibromyalgia.

Fascial Dysfunction and Fibromyalgia Symptoms

A Neuromuscular Massage Therapist offers a valuable perspective on the nature of fibromyalgia. They argue that rather than being a muscle disease, fibromyalgia often results from dysfunction in the fascia. TrP (trigger point) dysfunction, where the body develops web-like structures in the fascia and muscle fibers, is common. These trigger points can occur in various areas such as the chest, ribs, lower back, shoulders, biceps, IT band, adductors, knees, and calves. These areas do not necessarily indicate fibromyalgia but point to muscle tension, lactic acid buildup, and reduced blood flow due to underuse or overuse.

The Role of Sedentary Lifestyles and Muscle Tension

With the rise of sedentary lifestyles, more individuals are experiencing muscle tension and lactic acid buildup. Regular stretching and exercise are essential for maintaining flexibility and blood flow. However, many people either refuse to stretch or engage in infrequent, painful exercise, leading to further muscle tension and dysfunction. As muscles and fascia stagnate, trp form, and bodily warning mechanisms kick in, causing pain in areas that are less used.

Prevention and Treatment

The conclusion drawn from this perspective is that fibromyalgia is not a muscle disease but a natural response of the body to identify and address fascial and muscular dysfunction. To regulate symptoms, individuals can benefit from visiting a neuromuscular massage therapist regularly. Regular massages can help relieve pain and improve blood flow, although initial sessions may be painful due to underlying dysfunction. Additionally, regular stretching and exercise can help maintain flexibility and reduce lactic acid buildup.

Summary

Fibromyalgia is more accurately described as a disorder of the fascia, leading to muscle tension, lactic acid buildup, and reduced blood flow. This understanding can help guide both preventative measures and treatment plans. Regular massages and regular exercise are key to managing symptoms and improving overall well-being.