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All About FibromyalgiaA Guide for Patients and their Families$
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Daniel J. Wallace and Janice Brock Wallace

Print publication date: 2002

Print ISBN-13: 9780195147537

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780195147537.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 13 June 2021

Tingles, Shocks, Wires, and Neurologic Complaints

Tingles, Shocks, Wires, and Neurologic Complaints

10 Tingles, Shocks, Wires, and Neurologic Complaints
All About Fibromyalgia

Daniel J. Wallace

Janice Brock Wallace

Oxford University Press

Even though headaches, sleep disorders, cognitive impairment, burning, numbness, and tingling are potentially debilitating features of fibromyalgia, very few patients first consult a neurologist when they develop what turn out to be fibromyalgia symptoms. It has become apparent that the central, peripheral, and autonomic nervous systems play a more important role in fibromyalgia than was previously thought. This section will focus on these complaints and what causes them. Colleen had a splitting headache. Her temples were throbbing, and she could barely concentrate. When Dr. Smith prescribed Fiorinal, not only did the headache disappear but some discomfort in her upper and lower back that she had never bothered to complain about did also. Over the next few months, Colleen needed Fiorinal almost daily. Whenever she stopped taking it, the headaches returned with a vengeance. Dr. Smith referred her to a neurologist, who diagnosed Colleen as having fibromyalgia with associated “muscular contraction tension headaches.” Colleen was told that the caffeine and barbiturate in Fiorinal helped her headaches in the short term but that continuous use resulted in “rebound” headaches from aspirin, caffeine, and barbiturate withdrawal. The neurologist stopped all her medication and helped Colleen “ride out” the withdrawal. She prescribed amitriptyline (Elavil) at bedtime for headache protection, and Colleen is now much improved. Most fibromyalgia patients complain of recurrent headaches. These headaches usually are one of two types: tension or migraine. Tension headaches are muscular contraction headaches. Patients describe these headaches as a dull “tight band around the head” similar to what they feel in other muscles of the body. A sustained muscle contraction can compress small vessels in the area. Tension headaches and migraines are often associated with low elevations of substance P levels and decreased serotonin levels, stress, and low cellular pH (a more acidic cellular environment). Tension headaches frequently involve the forehead, jaw, and temple areas. Occipital headaches, or pain in the upper part of the back of the neck, can be a type of tension headache and are associated with muscle spasm or stiffness. Osteoarthritis of the cervical spine can also cause occipital headaches.

Keywords:   alcoholism, brain fatigue, cytokines, dizziness, fibrofog, growth hormones, headaches, limbic kindling, metabolic illness

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