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Reflex Sympathetic Dystrophy (RSD) (CRPS) Message Board

Reflex Sympathetic Dystrophy (RSD) (CRPS) Board Index

Since I have fibro and it's been mentioned here are some symptoms (but not all, the list is very long). Notice that it does indeed say that you can have "burning pain". Some people say you can't but you mostly certainly can. That's why it so hard to distinguish diseases.

Stiffness: Body stiffness is usually most apparent upon awakening and after prolonged periods of sitting or standing in one
position. It may also coincide with changes in relative humidity.

Increased Headaches Or Facial Pain: Head/facial pain is frequently a result of extremely stiff or tender neck/shoulder
muscles which refer pain upwards. It can also accompany temporomandibular joint (TMJ) dysfunction, a condition which
occurs in an estimated one-third of those with FM and which affects the jaw joints and surrounding muscles.

Sleep Disturbances: Despite sufficient amounts of sleep, FM patients may awaken feeling unrefreshed, as if they have barely
slept. Alternatively, they often have trouble falling asleep or staying asleep. The reasons for the non-restorative sleep and other
sleep difficulties of fibromyalgia are unknown although early FM research in sleep labs documented disruptions in the deep
(delta) sleep of some patients.

Cognitive Disorders: Those with FM report a number of cognitive symptoms which tend to vary from day to day. These
include difficulty concentrating, "spaciness" or "fibro-fog", memory lapses, difficulty thinking of words/names, and feeling
overwhelmed when engaged in multiple tasks.

Gastrointestinal Complaints: Digestive disturbances, abdominal pain, and bloating are quite common with FM as are
constipation and/or diarrhea. Together these symptoms are usually known as "irritable bowel syndrome" or IBS. FM patients
may also have difficulty swallowing food. Researchers think this may be a result of abnormalities in smooth muscle functioning in
the esophagus.2

Genito-Urinary Problems: FM patients may experience increased frequency of urination or increased urgency to urinate,
typically in the absence of a bladder infection. Some may develop a chronic, painful inflammatory condition of the bladder wall
known as "interstitial cystitis" (IC). Women with FM may have more painful menstrual periods or experience a worsening of
their FM symptoms during this time. Conditions such as vulvar vestibulitis or vulvodynia, characterized by a painful vulvar
region and painful sexual intercourse, may also develop in women.

Paresthesia: Numbness or tingling, particularly in the hands or feet, sometimes accompanies FM. Also known as
"paresthesia", the sensation can be described as prickling or burning.

Myofascial Trigger Points: A significant number of people with FM have a neuromuscular condition known as "myofascial
pain syndrome (MPS)" in which very painful spots (trigger points) form in taut bands in muscles or other connective tissue,
often as a result of repetitive motion injury, prolonged poor posture, or illness. Not only are these spots very painful but they
also refer pain to other parts of the body in very predictable ways. Unlike FM which affects the entire body, MPS is a localized
condition which occurs in very specific areas, typically the neck, shoulders, or lower back. TMJ is considered a form of MPS.

Chest Symptoms: Individuals with FM who engage in activities involving continuous, forward body posture (i.e., typing,
sitting at a desk, working on an assembly line, etc.) often have special problems with chest and upper body (thoracic) pain and
dysfunction.3 The pain may cause shallow breathing and postural problems. They may also develop a condition known as
costochondralgia (also referred to as costochondritis) which causes muscle pain where the ribs meet the chest bone and is
frequently mistaken for heart disease. Persons with FM are also prone to a largely asymptomatic heart condition known as
mitral valve prolapse (MVP) in which one of the valves of the heart bulges during a heartbeat causing a click or murmur. MVP
usually does not cause much concern unless another cardiac condition is also present. (Note: Anyone experiencing chest pain
should immediately consult a physician.)

Dysequilibrium: FM patients may be troubled by light-headedness and/or balance problems for a variety of reasons. Since
fibromyalgia is thought to affect the skeletal tracking muscles of the eyes, "visual confusion" and nausea may be experienced
when driving a car, reading a book, or otherwise tracking objects. (Difficulties with smooth muscles in the eye may also cause
additional problems with focus.)4 Alternatively, weak muscles and/or trigger points in the neck or TMJ dysfunction may cause
dizziness or dysequilibrium. Researchers at Johns Hopkins Medical Center have also shown that some FM patients have a
condition known as "neurally mediated hypotension" which causes a drop in blood pressure and heart rate upon standing with
resulting light-headedness, nausea, and difficulty thinking clearly.5

Leg Sensations: Some FM patients may develop a neurologic disorder known as "restless legs syndrome" (RLS) which
involves a "creepy crawly" sensation in the legs and an irresistible urge to move the legs particularly when at rest or when lying
down. One recent study suggests that as many as 31% of FM patients may have RLS.6 The syndrome may also involve
periodic limb movements during sleep (PLMS) which can be very disruptive to both the patient and to her/his sleeping partner.

Sensory Sensitivity/Allergic Symptoms: Hypersensitivity to light, sound, touch, and odors frequently occurs among those
with FM and is thought to be a result of a hyperactive nervous system. In addition, persons with FM may feel chilled or cold
when others around them are comfortable, or they may feel excessively warm. They may also have allergic-like reactions to a
variety of substances accompanied by itching or a rash or a form of non-allergic rhinitis consisting of nasal congestion/discharge
and sinus pain. However, when such symptoms occur, there is usually no measurable immune system response like that found in
true allergies.7

Skin Complaints: Nagging symptoms, such as itchy, dry, or blotchy skin, may accompany FM. Dryness of the eyes and
mouth is also not uncommon. Additionally, fibromyalgia patients may experience a sensation of swelling, particularly in
extremities (i.e., fingers). A common complaint is that a ring no longer fits. However, such swelling is not like the joint
inflammation of arthritis; rather, it is a localized anomaly of FM of unknown cause.

Depression And Anxiety: Although FM patients are frequently misdiagnosed with depression or anxiety disorders ("it's all in
your head"), research has repeatedly shown that fibromyalgia is not a form of depression or hypochondriasis. Where
depression or anxiety do co-exist with fibromyalgia, treatment is important as both can exacerbate FM and interfere with
successful symptom management.

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