Fibromyalgia and feet pain

When Fibromyalgia Affects Your Feet

Fibromyalgia treatment should extend from the top of your head to the tips of your toes — literally. Although feet are not the location most likely to experience fibromyalgia pain, in a recent paper published in the journal Arthritis Research and Therapy, about half of the 202 patients with fibromyalgia studied reported foot problems.

“Compensation for foot pain leads to pain in the knees, hips, and lower back,” says Dennis Frisch, DPM, a podiatrist in private practice in Boca Raton, Fla. If you’re already coping with fibromyalgia symptoms, this is added pain that you don’t need. Plus, foot pain increases the risk that you will fall and have an injury or simply be less active than you might want to be.

Chances are, with fibromyalgia you are aware of pain that other people just ignore. “In general, because people with fibromyalgia have higher sensitivity to pain and lower pain tolerance, they are more sensitive to pain everywhere,” says Dr. Frisch. In fact, experts believe that at least one in four people has foot pain, but many, if not most, simply don’t get treatment.

Reconnecting the Dots

There are also common sources of foot pain that aren’t directly connected to fibromyalgia but may be intensified by having this condition. One example is Morton’s neuroma, a benign enlargement of a nerve that causes tingling and shooting pain between the third and fourth toes. This unpleasant condition can be treated with cortisone shots or surgery.

Plantar fasciitis is also a common source of foot pain. With this condition, the soft connective tissue under the foot becomes inflamed and sore. It is often the result of bad choices in footwear. Choosing a supportive arch may help prevent the pain.

Being Active Despite Foot Pain

The problem with foot pain, says Frisch, is that it becomes a vicious cycle. Because people with fibromyalgia often feel fatigued, they may not get enough of the physical activity they need to feel better. Yet if they start trying to build up physical activity, they may initially feel some discomfort or even hurt their feet, blame it on fibromyalgia, and stop trying to be active. “Usually, for fibromyalgia, the recommendation is walking,” Frisch adds.

If you want to get moving with fibromyalgia and avoid unnecessary foot pain, try taking these steps:

  • Meet with your doctor. You should, of course, see your podiatrist if you feel any pain in your feet. But meeting with your podiatrist or doctor when you are trying to start an exercise regimen could help you make better decisions and keep your feet healthy.
  • Choose the right shoes. “Make sure you have the right shoe for whatever activity you are going to do,” advises Frisch. If you can afford it, it’s worth paying a little more for a quality shoe that will help prevent pain. Look for shoes that have a wide toe box, a supportive arch, and a sole that provides both support and flexibility.
  • Start gently. Fibromyalgia is a somewhat unpredictable condition, says Frisch. On a good day, you might be tempted to overdo exercise or wear too high a heel; opt for moderation if you want to avoid pain.
  • Expect and accept some discomfort. A little discomfort when you begin an exercise program is not unusual. But if you feel pain, it’s time to call your doctor.
  • Switch to lower heels for everyday wear. If you’re in love with heels, keeping the height down to about an inch is best for your fibromyalgia symptoms, says Frisch. If you really want to sport a higher heel, pack your sensible shoes in a large purse so you can make a quick and comfy change.

Finally, says Frisch, remember that your podiatrist can treat foot pain and make recommendations for better footwear and other changes but can’t address the big picture of fibromyalgia. A medical team approach is still best for complete fibromyalgia management.

Coping With a New Symptom of My Fibromyalgia

Every day, I wake up stiff and in pain. Some days are better than others. Sometimes I can sit up with very little pain. However, there are some days where it is all I can do to sit up without crying. Today was somewhere in the middle. I didn’t think it would be a “bad” day. Sometimes, though, the bad day can come up without warning. Today was one of those days.

I’ve been so busy lately with moving and running errands and even going to concerts. Even those concerts took an enormous amount of concentration and preparation. I did everything I knew to do to prevent a flare-up. Unfortunately, it wasn’t enough.

I will usually get little red spots on my hands or feet, right between the knuckles. They’re never completely the same. They look very muddled, honestly. The only other sign of a flare-up that I know of in my own body is a specific pain. It happens on the insides of my knees or elbows, just above the joint. It’s just a dull, aching pain. It’ll throb on and off for a few minutes and then go away before coming back 30 minutes to an hour later. It’s like my own personal warning bell, yelling and screaming, “Flare-up coming! Batten down the hatches!”

The pain in my elbows and knees happened yesterday afternoon. I didn’t really give it much thought at the time, but I really should have paid more attention. Last night, before going to bed, I noticed a new symptom. They always come on right before a flare-up, but not with every flare-up. I was walking to my bedroom and noticed a searing, burning pain shoot through the bottoms of both of my feet. With every step, it was as though I had just finished walking 10 miles and the soreness that would accompany that walk was present, but intensified. I couldn’t figure it out.

I figured, “Hey, you took it easy yesterday, right? What’s the big deal?”

Well, self, the big deal is that you need a few days this time.

My feet look normal, but they hurt unimaginably bad.

I didn’t listen to my body. The pain is still here. It’s been over a day now. I had initially thought maybe it was just like other pressure pains. I thought it was just like when I have to get up in the morning and move because the pressure of my body on my bed is too much. I thought it was like the times when my shirt is too heavy for my skin. I thought it was like the times when I’m writing or reading and my heel is throbbing because I’ve been resting it on one side for too long.

I was so wrong! This isn’t like those pressure pains. This is intense and immediate. It doesn’t quite feel like broken glass, but it’s so intense. I’ve fought back tears twice now. I tried rubbing my feet to increase blood flow and add a measure of comfort to the situation, but it did nothing.

The point is that, even though I’ve been dealing with fibromyalgia pain since I was a child, I need to remember that new symptoms will continue to show up at the most inopportune and random times. I need to remember to listen to my body when it speaks instead of trying to “push through” the way I do. I need to remember that this kind of thing happens with fibromyalgia and that, no matter how it feels, I’m never alone. I need to remember that it’s OK to cry when the pain is too much.

I need to remember it’s OK.

It’s OK.

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Fibromyalgia Foot Pain Symptoms And What You Can Do About Them

People who suffer from fibromyalgia can experience foot pain that affects their ability to exercise, walk, stand, or perform daily tasks. Though foot issues are not always associated with fibromyalgia, the increased sensitivity experienced by people with the condition can lead to pain, with or without any other underlying cause.

If you have fibromyalgia foot pain symptoms, speak to your podiatrist about what you can do to eliminate the pain. It may be that you are someone who will benefit from adding a pair of arch support insoles that provide extra support and cushioning for your feet.

QUICK SUMMARY —

  • Fibromyalgia affects the way your brain processes nerve signals, especially pain. It affects more women than men and is linked to an inflammation in the brain.
  • Many fibromyalgia sufferers report pain in their feet. This pain can be exacerbated by an underlying foot condition. If biomechanical irregularities are making fibromyalgia foot pain more prominent, a quality pair of insoles can help.
  • Treatments for fibromyalgia include anti-inflammatory medicines, over-the-counter and prescription pain relievers, antidepressants, muscle relaxants, sleep medication, and anti-seizure medications.
  • For relief from fibromyalgia foot pain, speak with your doctor, wear proper footwear, take it slow and try using insoles.

WHICH INSOLES ARE RIGHT FOR ME?

ALL THE DETAILS —

What Is Fibromyalgia?

Fibromyalgia is a medical condition that affects the way your brain processes nerve signals, especially pain. It affects about 4 million adults in the US, which is about 2% of the adult population.

People with fibromyalgia may experience:

  • Extreme musculoskeletal discomfort
  • Headaches
  • Bowel problems
  • Depression and other mood disorders
  • Sleep pattern disruption
  • Fatigue
  • Jaw pain
  • Memory issues

Am I At Risk Of Developing Fibromyalgia?

While scientists have yet to discover the cause of fibromyalgia, they have found evidence that links it to an inflammation in the brain.

According to pain management expert Benjamin Abraham, MD, “We still don’t full understand what causes fibromyalgia. But brain scans of patients with fibromyalgia show this neuroinflammation.”

You may be at a higher risk of developing fibromyalgia if someone in your immediate family has the disorder. It is believed that the condition may be caused by a genetic mutation that can be inherited.

Severe physical or psychological stress may also contribute to the development of fibromyalgia, as can certain bacterial or viral infections. If you suffer from arthritis or other autoimmune disorders, you could be at a higher risk as well.

Women are more likely than men to develop the condition and to experience fibromyalgia foot pain. In fact, as many as 90% of cases are diagnosed in females, according to US government statistics. When men do develop fibromyalgia, their symptoms are typically fewer, milder and less frequent.

Can Fibromyalgia Cause Foot Pain?

While pain is more often felt elsewhere due to the condition, studies have indicated that a significant number of fibromyalgia suffers do report pain in their feet. In fact, an Arthritis Research & Therapy study found that 50 percent of fibromyalgia patients surveyed experience pain in their feet.

The bottom line is that people with fibromyalgia have higher sensitivity to pain and lower pain tolerance. If you are experiencing pain in your feet, it is very possible that it is a symptom of underlying foot problems.

While the pain may not be a direct result of fibromyalgia, an underlying foot condition could be making pain more prominent than it otherwise might be for those who do not have fibromyalgia. The good news is that many biomechanical irregularities in your feet can be corrected with a quality pair of insoles.

Fibromyalgia Treatments

There is no known cure for fibromyalgia. Most treatments are instead designed to help relieve symptoms. Because each case is unique, health care providers tailor treatment to the individual, using medicine, physical therapy, and lifestyle advice to address the particular complaints of each patient.

If you believe you are suffering from fibromyalgia or are seeking treatment, always speak to a doctor. Common medicinal treatments for fibromyalgia may include:

  • Non-steroidal anti-inflammatories (NSAIDs) to help reduce joint inflammation that can cause pain.
  • Over-the-counter (OTC) pain relievers to help reduce the experience of pain
  • Prescription pain relievers for pain that is acute or chronic and debilitating
  • Antidepressants, including Duloxetine (Cymbalta) or milnacipran (Savella)
  • Muscle relaxants to reduce painful spasms
  • Sleep medication
  • Anti-seizure medications, including gabapentin and pregabalin to treat specific types of pain

In addition to medicinal treatments, physical or occupational therapy may also be helpful in reducing the impact of fibromyalgia on your body. Many people with fibromyalgia also benefit from counseling, which can help to address the mental, emotional, and psychological pain of living with the disorder.

If you suffer from foot pain, ask your podiatrist if orthotic shoe inserts would help to support your feet and ease your pain.

Understanding Foot Pain Symptoms

Foot pain may be exacerbated by fibromyalgia, impacting your ability to walk, stand, or exercise. Though the exact cause of fibromyalgia foot pain is not understood, it is most likely a result of overactive neural pathways sending pain messages to the brain.

If you do have an underlying foot condition, however, your fibromyalgia can intensify your discomfort—even when that same condition would be painless for another individual. Common foot irregularities contributing to pain include:

  • Overpronation. When your foot overpronates, the arch flattens, the toes pivot toward the outside, and the knee rotates inward. This can place imbalanced weight on your feet and lead to pain over time.
  • Flat-Footedness. Occurs when the arch of your foot falls or is too low to properly support foot flexibility when walking. Some people are born with flat feet, while others develop them over time.
  • High Arches. High arches place additional strain on your foot’s metatarsal (ball of the foot). This can lead to pain and other foot issues. Metatarsal pads can help to ease your pain.
  • Plantar Fasciitis. The swelling or stretching of the fascia—a group of connective tissues located on the bottom of your foot.

If you are experiencing pain in your feet, a podiatrist can help to identify if you have any of these common conditions. If you do, a pair of firm, supportive insoles may help to correct the irregularities and ease your pain.

Finding Fibromyalgia Foot Pain Relief

The last thing you feel like doing when your feet hurt regularly is walking or running. Still, healthcare providers stress the importance of a healthy lifestyle for those living with fibromyalgia, including daily exercise and a nutritious diet. Here are some things you can do to help you regain your active lifestyle despite the pain you’re experiencing:

  • Speak with your doctor. Your doctor should be your go-to resource for information regarding treatment and getting back on your feet. A podiatrist can help to identify any issues beyond your fibromyalgia that may be contributing to pain.
  • Wear proper footwear. With fibromyalgia, you are more sensitive to pain that can be caused by issues resulting from ill-fitting footwear. Look for shoes that have a wide toe box and a firm arch support.
  • Take it slow. Don’t get too hasty to return to your active lifestyle. Listen to your body and the advice of your doctor or physical therapist.
  • Try using insoles. Pain relief insoles can enhance the fit of your shoes and provide the support you need to help correct common foot problems and ease your pain.

FIND YOUR FIT

Fibromyalgia (FM) patients suffer from pain throughout their bodies, but a recent study notes that foot pain might also have an impact on their quality of life.

Researchers hypothesized in a study published in the Archives of Medical Science that female patients with FM may have impaired quality of life related to foot and general health compared to those without the disease. The authors tackled foot health because they believed it was an under-researched area when it comes to FM patients.

“Although women with fibromyalgia did not seem to show a higher prevalence of stiffness or mobility abnormalities as well as hyperkeratosis or other foot problems, these patients may experience significantly more pain in the foot than healthy subjects and, consequently, demand more pain-killing drugs,” according to author Patricia Palomo-López. “Based on these antecedents, foot health-related quality of life measurements may be necessary in order to determine the impact of fibromyalgia in women who suffer from this syndrome.”

The researchers used the Foot Health Status Questionnaire, which measures quality of life, pain, foot function, foot health, and footwear. A total of 208 participants were included, 104 with FM and 104 without.

“Although women who suffer fibromyalgia show similar foot characteristics of stiffness or mobility and hyperkeratosis or other conditions, our study showed a worse foot health related quality of life compared to healthy women,” the authors wrote. “This may be due to the fact that these patients present a central sensitization process as well as more foot pain and analgesic medication use than the general population.”

Palomo-Lopez and colleagues added they hope health authorities will pay more attention to general and foot-related quality of life for patients with FM.

“Future interventional studies, i.e. generic treatments such as pregabalin or specific interventions such as foot trigger points, dry needling, and custom-made foot orthotics in women with fibromyalgia could use these clinical differences as key references in order to normalize the specific foot and general health-related quality of life,” the researchers wrote.

This is not the first time foot health has been explored in patients with FM when it comes to pain reduction.

A 2016 study published in Pain Medicine tied FM foot pain with myofascial trigger points.

“Finally, we found that the worst pain experienced in the foot was associated with higher pressure pain sensitivity in points 1 to 3, those located in the anterior arc of the foot. This would support the hypothesis that foot pain intensity should be considered in women with FMS for controlling pressure pain sensitivity,” the researchers wrote.

And improving foot conditions can help with the quality of life, they noted.

“Proper management of foot pain in women with FMS can lead to improvements in walking patterns. For this purpose, proper foot orthotics can result in increased comfort, lower pain intensity, and increased PPT,” the authors wrote.

In a 2012 study published in Clinical Rheumatology, author Robert Ferrari explored the benefits of customized foot orthotics for FM patients. He studied 67 patients in total, about half with orthotics and the other without. The subjects took the Revised Fibromyalgia Impact Questionnaire (FIQR) at the start of the studies, and again eight weeks later.

The group with the orthotics saw a greater reduction in their FIQR scores than the control group.

“As part of a complex intervention, in a cohort-controlled trial of primary care patients with fibromyalgia, the addition of custom-made foot orthotics to usual care appears to improve functioning in the short term,” the authors wrote.

In practice

Kanika Monga, MD, rheumatology fellow with McGovern Medical School at UTHealth and UT Physicians in Houston notes that she does have FM patients with foot-health related issues, but she said their pain is not limited to their feet.

“My typical fibromyalgia patient tends to have pain all over their body that is difficult to localize. Many times it is described as moving from place to place,” she told MedPage Today in an e-mail. “For patients who have reported foot-related issues, they have described it as burning pain that is worsened with physical activity. They could also have osteoarthritis-related issues as well that could be unrelated to their FM.”

Monga noted that while the Palomo-López study is interesting, more studies would be needed before making the call that female patients with FM will have worse quality of life stemming from poor foot-health than non-FM patients.

“I have noticed that my patients with FM do suffer from chronic pain that is very difficult to manage. This does lead to a worse quality of life since stimuli can result in pain that is typically present on most days almost all day,” she said.

Monga added that fibromyalgia patients are also likely to have co-morbid conditions such as depression, anxiety, headache, irritable bowel syndrome, chronic fatigue syndrome, lupus, rheumatoid arthritis, and others that could impact their quality of life.

She said that foot pain is the same as any other new-onset pain in a fibromyalgia patient — it should be evaluated.

“If that prompts me to another diagnosis, then I proceed with selected laboratory or imaging tests. When the history and physical suggest inflammatory arthritis, for example, objective studies like ultrasound are useful,” Monga said. “As rheumatologists, it is extremely important for us to be able to identify and diagnose FM mimics, and co-morbid conditions.”

She concluded that FM patients benefit the most from multi-modal approaches that include non-pharmacological treatments such as exercise and body-based therapies.

“It is extremely important for doctors to educate their patients on the physiology of chronic pain, and to collaborate with the patient to identify important symptoms, and expectations of treatment,” Monga said.

last updated 09.19.2019

  • Primary Source

    Archives of Medical Science

    Source Reference: Palomo-López P, et al “Quality of life related to foot health status in women with fibromyalgia: a case-control study” Arch Med Sci 2018;15(3):694-699.

  • Secondary Source

    Pain Medicine

    Source Reference: Tornero-Caballero MC, et al “Muscle Trigger Points and Pressure Pain Sensitivity Maps of the Feet in Women with Fibromyalgia Syndrome” Pain Med 2016; 17(10): 1923–1932.

  • Additional Source

    Clinical Rheumatology

    Source Reference: Ferrari R “A cohort-controlled trial of the addition of customized foot orthotics to standard care in fibromyalgia” Clin Rheumatol 2012; 31(7): 1041–1045.

How Do Peripheral Neuropathy and Fibromyalgia Differ?

Dr. Richard A. Lewis responds:

Peripheral neuropathy is a collection of disorders in which peripheral nerve fibers, which carry signals to and from the central nervous system (the brain and spinal cord), become damaged. Diabetes is the most common cause. Typically, nerve fibers in the hands and/or feet are affected. Symptoms include pins and needles, numbness, tingling, and weakness.

People with fibromyalgia may experience the same symptoms. However, these symptoms tend to come and go in fibromyalgia. In peripheral neuropathy, they are usually constant.

Fibromyalgia can cause other symptoms that people with peripheral neuropathy do not experience, including pain in soft tissue areas such as muscles and joints.

When a piece of the nerve (a biopsy) is taken from someone with peripheral neuropathy and tested, abnormalities in the nerve fibers can be seen. But in someone who has fibromyalgia—even if the person has numbness and tingling—no abnormalities are typically found.

The symptoms of peripheral neuropathy are usually constant, while those of fibromyalgia tend to come and go.

Fibromyalgia is believed to result primarily from pain-processing problems in the central nervous system. As far as we know, the peripheral nerves are not damaged in any way. People with fibromyalgia have many tender points on the body, often in the shoulders, neck, and low back. But when a piece of the nerve from these areas is tested, no abnormalities are typically found. People with fibromyalgia who have pain in their shoulders and backs often describe burning, tingling, and shooting pains in their arms and legs, which may sound like peripheral neuropathy. However, the results of nerve conduction tests—in which a series of electrical impulses are given to the nerve—are usually normal.

When someone comes to me with tingling, numbness, and burning, I need to determine whether these are symptoms of peripheral neuropathy or something else. If I don’t find anything abnormal from a biopsy or a nerve conduction test and the person also has tender points, then fibromyalgia may be the cause.

The treatments for fibromyalgia that have been approved by the U.S. Food and Drug Administration—including pregabalin (Lyrica), duloxetine (Cymbalta), and milnacipran (Savella)—can also be effective in treating the pain of peripheral neuropathy. The reason is that these medicines affect pain processing in the central nervous system, and while peripheral neuropathy is caused by damage to nerves outside of the brain and spinal cord, that pain still must be processed by the central nervous system.

Control Fibromyalgia Foot Pain

When fibromyalgia affects the lower part of the body, this is somewhat different than upper body pain due to the weight bearing nature of both legs and feet. Although this is just one area of the body affected, I rarely meet a person with fibromyalgia who does not have some kind of leg and/or fibromyalgia foot pain. Fibromyalgia foot pain can be exacerbated by multiple trigger points in the lower body, overactive nerves, and even ongoing weakness in the legs, knees, and ankles.

Balance Your Sitting, Standing,
or Lying Time

The interesting thing about fibromyalgia pain in many parts of the body including the lower quadrant and feet, is that it doesn’t really matter whether you are sitting, standing or lying down. Each of these daily activities of living has its very own disadvantage to the fibro body. We often hear about restless leg syndrome, but what about restless feet and toes? Overactive nerves in the feet can lead to restless feelings in the feet and the need to tap or move the toes, especially in the morning.

Too much of any one activity or too long being sedentary can increase symptoms. Standing can increase throbbing types of pain whereas lying down for extended periods (even eight hours of sleeping) can contribute to nerve pain and myofascial constriction in the feet, extending into the ankles, calves and tender areas around the knees.

Foot Structure Affects Fibromyalgia
Foot Pain

Again, because of the weight bearing nature of our feet, we have to be even more diligent about caring for and addressing this part of the fibro body. There are different types of foot structures that can also contribute to fibromyalgia foot pain. These range from high or low arch to plantar fasciitis, plantar warts and Morton’s toe.
Not that all of these are connected to fibromyalgia, but when we have fibro, these can increase the propensity to pain and symptoms in the feet. For instance, if you have a high arch, this can increase pain not only within the bottom of the arch, but also on the very top of the feet (under the shoelace area) therefore exacerbating fibromyalgia foot pain.

Swap Out Shoes During The Day

Even if you wear the most comfortable shoes during the day, it is a good idea to switch out shoes during any given day. Have at least 2 pairs of comfortable shoes that you can rotate such as both fitness and leisure. I find rotating shoes can make a difference in levels of foot pain and adapting to any one shoe.
Wearing orthotic inserts or getting them custom made by a foot doctor can also greatly support us when we have fibromyalgia foot pain. I always add my own orthotic inserts to my athletic shoes for extra support and comfort. Wearing (breaking in) new shoes can cause increased pain and even flares. Break them in slowly. Never wear new shoes for extended periods of time. Even the new tread on the bottom of athletic shoes can be “jarring” to the body.
You may need to also avoid sandals with a wedge in between the big toe and second toe, this can be very uncomfortable and cause toe pain during and after wearing these kind of sandals.

Use Myofascial Release Techniques

As nice as it sounds to walk on a beach or on the grass barefoot, this can be difficult for people with very sensitive feet and/or overactive nerves in the feet. If you find it difficult due to a high arch or myofascial constriction, work on the under sides of your feet as often as possible. Fascia can be released with a foot relaxer or a tennis ball. Reflexology on the feet is also a great idea as it will help to relax the entire body. It can be done either by a trained reflexologist or by yourself. Be sure to go slow.
The great advantage to reflexology is that we can positively affect other areas of the body that correspond to certain pressure points. For instance, with any GI pain or congestion, I find that holding those specific points under the feet (middle underside of the foot) can really relax the GI system, which has a nervous system of its own and therefore can greatly benefit from this relaxing work.
Keep the feet warm when possible (especially with nerve pain) and try the foot bath below for greater circulation.

Copper Wear Compression
Ankle/Foot Sleeves

Copper Wear Compression Sleeve

Here in the adjacent picture, I show one of my favorites, copper wear compression ankle sleeve. This foot/ankle sleeve fits gently over the foot and the copper is healing. It provides very slight hugging compression and support for increased blood flow and oxygen flow around these vulnerable areas of the fibro body.

These are great for everyday use or to sleep in. If you are like me and wake with burning or nerve issues in your feet, these feet/ankle sleeves are well worth a try to at least reduce the severity of symptoms. Also helpful for restless feet and toes. We depend on our feet so we must give them as much care as possible.

Also, I have a very high arch and I’ve found the Strutz Cushioned Arch Supports to be very helpful as well as inexpensive. Great arch supporters!

  • Instant support and lasting comfort
  • Promotes balance and body alignment
  • Wear with any shoe – even barefoot
  • One size fits most and unisex

Be Selective With Socks

When it comes to socks, be sure to wear socks that have enough friction inside the shoe so that your foot does not slide in your shoes, as this can cause over compensation, foot fatigue and increase the propensity to fibromyalgia foot pain in a shorter amount of time.
You see, socks that are too soft can cause the feet to move around in the shoe.
However, we also want to choose socks that have a greater amount of cushioning on the bottom, and even though it might not be fashionable, make your own fashion statement as I do by wearing light ankle socks with your sandals if needed. Sensitive feet and sandals do not always get along.
Cross training socks and running socks are great because they provide that extra cushioning on the bottom of the sock right where we need it.

As previously mentioned, and to emphasize the point, it is a good idea to switch out shoes during the day. Even your favorite leisure shoes can become uncomfortable if worn for longer periods. The idea is to not put the feet in any one position for too long. Some fitness shoes or running shoes can have higher heel dimensions, and although great for running or walking, we need to change shoes after exercise to avoid over compensation and fatigue.

Fibro-Girl’s Foot Bath Is A
Good Remedy

Finally, a good remedy I use is a “foot bath”.

(This can be done in a full bath OR as a foot bath in warm water)

· 2-3 cups Epsom salt (one cup for foot bath only)

· ½ cup sea salt (or baking soda for most cost effective)

· 2-3 Tbsp. ginger root powder

The combination of salt and magnesium here works to balance and calm the foot nerves, while the ginger root powder helps to decrease inflammation in the body.

NOTE: People often ask if whole ginger root can be used, however, for this application, the ginger root powder is better dispersed in the water and therefore more easily utilized by the body.

The foot bath can be just as effective when a full bath is not an option. We absorb well through our feet, and this can also be more cost effective when less salts and ingredients are used.

Links To Related Reading:

  • fibromyalgia leg pain
  • myofascial release

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Foot Pain in Fibromyalgia and its Relief

Is it a symptom or something else??

Does fibromyalgia cause pain?? The answer is yes; with fibromyalgia pain can hit anywhere, at any part of the body, anytime with any intensity. Several researches show that people suffering from fibromyalgia have more foot pain than other normal people.

All kinds of pains have unpleasant sensation, but some pains have bigger impact on life. The most important among them is foot pain because walking is essential function. Some readers have said:

>>>The bottoms of my feet felt like they were on fire. These pains come and go and sometimes last for even months.

>>>I can’t wear a flip flop or any kind of shoe.

>>>I can’t stand to touch my bare feet to the floor. I have to wear memory foam slippers around the house.

You may experience that by just putting your feet on the floor you experience a burning pain, during a pain flare. Shoes can hurt the soles of your feet as well as the top. Walking?? Agony if you step on something like an electrical cord you feel like you are being cut by a razor blade. Walking up with feel and feel like you have been walking for hours is a common complaint.

Foot pain is a major problem. When every step is agony it makes it hard to do much of anything. When you are already because of fibromyalgia, you hardly need one more thing to keep you from doing what you want or need to do.

What causes foot pain??

We will start to look on research specifically on foot pain in fibromyalgia. So far we are not what cause it, but we are starting to get support for some likely suspects.

A study published in arthritis research and therapy found that about 50 % of people with fibromyalgia report pain in one or both feet. That seems like a lot of us, but the same study showed that 91% have neck pain, 79% experience hip pain. If fact the feet were among the least likely place to get hurt.

Your ability to walk has a big impact on how functional you can be so it’s important to look about pain in feet in fibromyalgia patients. Foot pain can make you walk differently that can lead to hip, back and knee problems.

Research led by Ginevra Liptan, M.D, may explain one possible cause of foot pain. It states that fibromyalgia involves inflammation of fascia, which is a thin layer of connective tissue that runs through your entire body. If the word fascia reminds you of “plantar fasciitis” there is a good reason.

Plantar fasciitis is the common cause of foot pain involving a band of fascia that runs along the bottom of your foot, helping support the arch. Some people claim that plantar fasciitis is a common symptom or common overlapping condition with fibromyalgia, but we are not sure about this.

Myofascial pain syndrome is the other common condition in which involves the fascia. It involves small, ropy nodules in the fascia called trigger points, which can be painful and may also cause what is called referred pain, which is felt away from the trigger point.

In a 2016 study published in “Pain Medicine” researchers say that pushing on trigger points reproduced foot pain in participants.

They also found high sensitivity to pressure in plantar region of foot. However a 2017 study, in foot found no abnormalities in the joints of the feet, ankles, or legs of 50 people in fibromyalgia. More research is needed in this area to know whether joint problem is the cause of foot pain.

It is also in some people fibromyalgia is the pure cause of foot pain. Our nerves are highly sensitive, and few areas take a beating like our feet. They could hurt just because the nerves get riled up, it stands to this reason.

Foot pain may also come from some overlapping pain conditions such as:

>>Rheumatoid Arthritis

>>Lupus

>>Reynaud’s syndrome

A lot of other sources that have nothing to do with fibromyalgia may be the cause of foot pain. Be sure to talk to your doctor about it if you have foot pain that limits your functional abilities or you have pain that is persistent. Do not assume its part of your fibromyalgia; openly talk to doctor about it.

No matter what is the cause of foot pain, fibromyalgia amplifies it, just as it does with all pain.

How to Ease your foot pain

Your doctor can help you find the right treatment, it the foot pain is caused by any injury or overlapping condition.

Otherwise you need to find the ways to manage it. Some things have helped people to ease their foot pain, following is the list of those things, but keep in mind that they are personal experiences and they might not work for everyone.

>>>soft well-cushioned slippers

>>>thick socks or diabetic socks

>>>soft-soled shoes

>>>soaking in hot water and Epsom salt

>>>gentle stretching

>>extremely gentle massage

>>>cooling lotion

>>>orthotics

A 2012 study on custom orthotics that they may help people with fibromyalgia to help function better overall.

It can some time and experimentation to find the best ways to reduce your foot pain.

Sources:

Friend R, Bennett RM. Distinguishing fibromyalgia from rheumatoid arthritis and systemic lupus in clinical questionnaires: an analysis of the revised Fibromyalgia Impact Questionnaire (FIQR) and its variant, the Symptom Impact Questionnaire (SIQR), along with pain locations.Arthritis research and therapy. 2011 Apr 8;13(2):R58.

Liptan, GL. Fascia: A missing link in our understanding of the pathology of fibromyalgia.Journal of bodywork and movement therapies. 2010 Jan;14(1):3-12.

For reference:By Adrienne Dellwo via Verywell

Tornero-Caballero MC, Salom-Moreno J, Cigaran-Mendez M, et al. Musicle trigger points and pressure pain sensitivity maps of the feet in women with fibromyalgia syndrome. Pain medicine. 2016 Oct;17(10):1923-1932.

Fibromyalgia has now become very common for people of any age. People get the symptoms of fibromyalgia even at a young age.

They experience chronic pain in some parts of their body which becomes difficult to diagnose.

Usually, body parts experience such pains mainly in the muscle region and soft tissue region.

This pain can be sometimes severe but there will not be any symptoms of swelling in the bone joints or the affected part.

Fibromyalgia can be considered as a mysterious disease in the modern era. It is believed that some of the human activities are the directly responsible factors for fibromyalgia and its effects.

Hand pain due to continuous writing

Some people experience severe hand pain when they write for a few hours continuously.

When they are practiced to such things they tend to get such hand pains even in a short span of time.

Patients with fibromyalgia report persistent pain in their thumb making it difficult for them to write continuously.

People suspect this can be a symptom of fibromyalgia as they experience continuous problems with their hands and foot when this usually happens in all other parts of their bodies.

If you have a fibro body it might be difficult to distinguish between normal pain and pain caused by fibromyalgia.

In the case of continuous writing, hand pain and fibromyalgia can be a major reason for your continuous problems.

Sometimes when a hand pain can even occur if you don’t use your hands.

This can happen when you actually try to pick up some object with the help of your hand.

For a fibro body, a light touch can create severe pain in some of the body parts.

Understanding hand pain and fibromyalgia

In the case of hand pain and fibromyalgia, some factors that can be a reason for severe hand pain can be to ones that you do every day.

Usually, when there is no proper blood flow in the hand muscles, it can constitute fibromyalgia.

Sensitive nerves present in the hand when exposed to damage or any other disorder can give you continuous pain.

This pain can be experienced during the daytime when your hand is involved in various activities and even more during the sleep.

Some people keep their hands in the wrong position during their sleep. This will increase the pain that they normally experience in their hands.

During sleep, pain may not be experienced but the pain comes only after the person wakes up.

Avoiding unnecessary hand movements is very important. Due to unnecessary or wrong hand movement, the pain can be stimulated and thus be complicating the condition that you have.

Most of the fibromyalgia patients experience pain in the body only in the soft tissue or soft muscle region. We can see more soft muscles in a person’s hand easily.

Daily living with hand pain and fibromyalgia

For some people, Fibromyalgia is a tough condition for doing daily living. Many remedies are available helping people forget about their pain.

Hand pain is very popular and is always suggested by people who are affected by fibromyalgia.

Day to day activities can be a cause for this disorder. Some of these activities include writing, lifting objects, using the computer, using a cell phone, etc.

In some people, we can even see that they find it difficult to hold something for grip when they are standing or traveling.

Against the normal pain people have, if they tend to do hard work in lifting objects with the affected hand, they will be exposed to more pain ultimately leading to complications.

The weather change and environmental change can also be a major constituent for sudden pain in the hand.

It could be a case where your hand becomes more exposed to cold leading to pain. As a day to day activity, people can also prevent their hands from such exposures by protecting it with gloves.

Gloves that you wear during your bedtime or workout should be light gloves as some people have reported that they get problems and pains increased after wearing the gloves. It is thus important that you choose the right pair of gloves for your hands.

Sleep is very important. If some of these factors are disturbing you from getting good sleep, it is important that you take the necessary steps to control those problems and get a good sleep.

During sleep, your body takes automatic measures to heal some of the basic problems in the body.

You can also do a gentle massage on your hands to make it easier to heal faster. Before you do any type of massage to your hand, visit your doctor and ask for advice from them.

They will be able to guide you in which direction you should follow when you are doing a gentle massage on your hand.

Can fibromyalgia cause hand pain?

Chronic pain in most body parts is always in the soft tissue and muscle region. The pain can be severe, and swelling of the joints will not be a symptom.

When there is no constant blood flow to your hand muscles, it can result in fibromyalgia. But this does not mean that it is the sole reason for hand pains that you might be experiencing.

When you sleep and keep your hand in the wrong position, your pain will increase more than usual. When you try out various activities that make you use your hands more than usual, you are going to experience some pain.

To reduce pain in your hands, avoid doing unnecessary hand movements. The wrong move might get you into a world of hurt that you didn’t expect. At times, it might make your condition worse than it previously was.

Ultimately, fibromyalgia can cause pain in hands, but it can occur simultaneously with osteoarthritis and rheumatoid arthritis. Hand pain is arthritis instead of fibromyalgia.

Fibromyalgia joint pain in hands

Persistent hand pain is as a result of writing continuously for several hours. Pain on the thumb is often a diagnosis made by patients that have fibromyalgia. The pain is severe making it strenuous to write for a long time.

Writing, using the computer, lifting objects all these are part of our day to day activities that can cause this disorder. Those who have the disorder and often lift heavy objects are likely to experience more pain and complications might arise.

Preventing joint pains in hands

You can wear gloves, which are lightweight during the night or when you are working out. You can get gloves to wear during the day if your hands tend to be cold and this will reduce your pain. Therefore choose the right glove for your hands.

Having a good sleep will do wonders for you. Your body will automatically heal the few problems that are there.

A gentle massage as well can be done on your hands to help them improve faster and easier. Visit your doctor and ask about what massages to do to reduce the pain in your hands.

Fibromyalgia joint pain in fingers

Similar to joint pain in hands, the pain you experience in your fingers could be as a result of writing, and typing a lot.

Symptoms

You can know this by the stiffness in your fingers early in the morning that becomes unbearable. The joints of your fingers are always throbbing after a long day in the office, a long drive or rest. You cannot extend your finger joints and this, in turn, restricts the movement of your wrist.

Ways of treating your fingers

Have a paraffin bath once you get at home. This is the best treatment for your fingers. To do this, warm a paraffin wax in a pan and dip your hands for approximately 20 minutes. It helps increase blood flow to your joints and reduce the stiffness as well.

When non-surgical methods don’t work, surgery might be the way to go and get it fixed. Though, seniors are not going to benefit from surgery due to their fragile bones. Surgery is only ideal when specific muscle groups are overused.

Wrist pain associated with Fibromyalgia

Pain that you experience in your wrist, especially on your dominant hand can make it difficult to read a newspaper for a long time or even screw lids. This is because your wrist is inverted, straining it, therefore, increasing the pain.

At times, after diagnosis, you can be told that you have carpal tunnel syndrome (CTS). It starts with agonizing pain in your wrist and numbness to your fingers, due to the stress we put on our arms, hands, and wrists.

Due to the lifestyle we live in today, more people have CTS. Working on our computers, playing video games and even working at an assembly line.

The causes of CTS

CTS can be as a result of injuring your hands, forearms, and wrists. Making repetitive motions and using power tools are the reasons for having carpal tunnel syndrome.

But people who are pregnant, have diabetes, rheumatoid arthritis and hyperthyroidism have a higher chance of developing carpal tunnel.

If you suffer from fibromyalgia, there is a high chance of developing CTS. Experts say that 55% of fibro patients have CTS.

CTS can result from injuries caused by improper posture. Therefore you are likely to experience excruciating pain when you turn your wrist in an awkward direction.

If you have tingling fingers, your hand is always weak, you cannot grasp or lift an object, and at night your wrist is in constant pain.

To treat it, apply ice, and take some over-the-counter medications to reduce the pain. At least for two weeks, rest your hand. To accomplish, wear a splinter to keep your wrist stable, but only if your doctor has recommended it.

Surgery is usually the last resort if the treatments aren’t working.

Prevention of wrist pain

Take breaks from your work, stretch your wrists to loosen them. Adjust your chair to keep your arms on the same level as your keyboard and try to avoid repetitive tasks. If you can’t, take breaks to give your wrists a rest.

This YouTube video will help you to massage your hands when you feel pain or when you want to relax.

You can do it using a moisturizer. The massage enables you to improve blood circulation in your hands and also is excellent for those who do repetitive tasks.

Help in fighting fibromyalgia hand pain

As we are aware of the extremity of the pain that occurs when you have the symptom of fibromyalgia condition, there are many experiences that we can share with people who already experience such problems.

Some people come up with successful ideas to overcome the problems with fibromyalgia.

The pain experienced by the people first starts from one part of your limb and gradually moves to the hands and fingers. The actual cause can still remain a mystery.

A strain that you give on your hand in your day to day activity can be healed by soaking your hands frequently in Epsom salts.

This also gives a better result when you have frequent pain in your hand or even other parts of the body.

If your body is having problems with magnesium deficiency, Epsom salt will help in enhancing it for you as it is rich in magnesium.

You have to take a large container and fill it with water and Epsom salt and soak your hand inside it for some time.

This gives great relief from your pain. Epsom salt can also be consumed inside to get better results against magnesium deficiency.

People also soak their feet in Epsom salt get relief from fibromyalgia foot pain.

Yoga therapy and exercise to your hands is another best method to get relief from the pain. The exercises can also include some stretching exercises or gentle massage.

Relief mechanisms to help with hand pain

Many people who suffer from fibromyalgia share various ways in which they deal with the pain. The ideas help them to handle the pain and carry on with their lives. Here are some ways to have relief in your hands due to the pain caused by fibromyalgia.

If you had a strain on your hand that you use on a daily basis, to heal them, you could soak your hands by dipping them as frequently as you can in Epsom salts. You can add a teaspoon of ginger root powder for the warming sensation which feels lovely on your hands.

If you have a magnesium deficiency, it might lead to joint pains in your hands. Epsom salt is excellent as it is rich in magnesium.

According to the American College of Rheumatology, Yoga therapy helps to relieve your hands from the pain. Stretching routines and gentle massages could be incorporated into your workout routines.

If you are writing and typing in your daily routine, try and keep off the keyboard or papers for a few days to reduce the pain.

For future use, invest in copper compression gloves and wear to reduce pain, it is worth spending your cash on it as you can use them for a long time.

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