The hidden source of fibromyalgia pain: fascia

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Published 2024-01-17
Most doctors don't know that fibromyalgia pain originates in the fascia. Myofascial inflammation and pathologic levels of muscle tension are the trigger for the central sensitization and immune system problems seen in fibromyalgia. Fascia-directed therapies are key to finding effective fibromyalgia pain relief.

This video summarizes my research journal article which you can find here: www.bodyworkmovementtherapies.com/article/S1360-85…

Links to other articles referenced in video bottom of page

About me: I graduated from Tufts University School of Medicine and am board-certified in internal medicine. After developing fibromyalgia in medical school I was able to find integrative treatments that helped me feel much better. In my videos I hope to inspire everyone dealing with #fibromyalgia to remember they are #fibrofierce!

Sign for my email newsletter for all things #drginevra and #fibro at www.drginevra.com/

References:
journals.lww.com/jclinrheum/fulltext/9900/muscle_p…

www.jrheum.org/content/48/4/598.long

www.tandfonline.com/doi/full/10.1080/0300974051002…

All Comments (21)
  • @sandrad7633
    Started this 2 months ago with my osteopath . Absolutely life changing. I was so close to really, really leaving planet earth.
  • @wendybenson5903
    I had a doctor's appointment yesterday and because of you I was armed with better information to give him to help me. I will be ordering your book next pay day. He moved my diagnosis from fibromyalgia to severe fibromyalgia and I'm being referred to a rheumatologist that I researched that deals with fibro patients and I have started the process of applying for disability as I haven't been able to teach voice lessons in two years. Hand cramps, back cramps, fatigue, and the brain fog that stops me mid-sentence while instructing and completely lose what I was saying or worse... I can't read my sheet music (very embarrassing and frustrating) I can't thank you enough for posting these videos and educating me so that maybe I can get back some of my life.
  • @wildrose912
    Fabulous info! I’m a RMT, practicing 20 years and specializing in Structural Myofascial Therapy and chronic pain management. I’ve seen how much pain relief slow, specific myofascial therapy can provide. I was diagnosed with fibromyalgia 22 years ago about 18/months after a serious car accident. Myofascial therapy can benefit everyone, but especially those with fibromyalgia. Thankfully there is so much more research and validation of this invisible excruciating condition.
  • @Bdc64
    Thank you so much for posting these videos and writing your book The Fibro Manual. You are the only doctor I have found who has this knowledge and I am so grateful to you! I go for myofascial release massages every 3 weeks as it significantly reduces my pain. I recently went to a functional medical doctor. I brought your book hoping we could make a plan, instead his ego was bruised because he interpreted that I was meaning he was not as knowledgeable as you and got into quite a tantrum. I have had so many bad experiences with doctors. So, if not for you I would be completely lost. I am trying how to figure out how to get deep sleep but have had no luck so the fatigue and brain fog disable me so I can’t live a normal life. Thank you again for all you do for those of us suffering with Finromyalgia.
  • @stacywoods9368
    I have heard women with fibromyalgia have reduced their symptoms by increasing their fish/sardine consumption. Apparently a diet very high in omega-3 fatty acids helps with fibro pain. I will be testing out the theory very soon.
  • @FindingHolm
    Yay thanks for posting on Fibromyalgia. If you could also make a video on Myofascial Pain Syndrome & on that tiny organ that connects the fascia to the bone. I believe it’s called the Enthesis & feels like tiny extremely white hot & painful to the touch ropes along the bones. I can’t find much info on this in any literature. I’ve been researching since my disability in 2016. Doctors really don’t know much on anything around fascia. Luckily I’m able to still get opioid pain medication so I can get out of bed & at least use both my hands & arms to feed myself or take a shower. I can do more then about 10 things a day before the fascia in my forearms & hands completely seize up 🤷‍♀️ Thank you so much for fighting for us here in Oregon when a group in the gov was trying to get opioids out of the schedule for back pain. This group was made of acupuncturists, NA doctors & the like. Without opioid pain medication I would be able to feed or bathe myself but most have know idea how debilitating this pain is or how the fascia will just seize up.
  • @Namerof-4-9
    I’m 78. Diagnosed with Fibromyalgia a few years ago. Have your manual. Appreciate what you share. ❤
  • This might explain why muscle relaxant worked so well with me in the past
  • @Gertrude1536
    Hi Dr Ginevra, thank you soooooo much, I have your books, my pain Dr took a screenshot of your book, and she says she is going to read it, also a couple of Drs at my surgery were interested, and took details, they said they’d pass this on to other fibro patients. Without you, I would have shuffled off this mortal coil a long while ago, so thank you again, with all my heart. ❤ (UK)
  • @juliao1255
    This makes so much sense! I am crying in relief just to have answers, because I am severely impacted by fibromyalgia, to the point where I am disabled, and went on gov't disability without being denied (and having to appeal) and no other diagnosis. That was in 2000. All this time I am so frustrated by the lack of answers and treatment! Since then I have developed other conditions, but the worst is still the fibromyalgia. Just having explanations gives me hope. There is a Dr. using ultrasound in brains to break up Alzheimer plaque in the brain, with astounding results. I wonder if it would be useful on the excess collagen in our fascia and muscles?
  • @missylee3022
    Thank you! It means so much to find real medical information instead of alternative wellness nonsense.
  • @humansnotai4912
    Great video yet again :0) My fibro support list is below (not in order of importance) after decades of suffering. 1) L-Citrulline is great for my energy levels (really good for men with ED also, as is converted to nitric oxide - viagra killer). 2) Phosphatidylserine is great for brain fog and word recall. 3) Clean food and high protein (with exercise if you can manage it). 4) Stress management - remember the 1m2 rule (1 meter squared) - when everything is going to rats around you, bring it back to your immediate environment of 1m2. That's all you can control on the entire planet Earth. Love and peace to you all xxx
  • @athomas5909
    Thank you for the explanation! I also do the myofascial release once a month and find it to be an important tool reducing pain.
  • @kmorgan1047
    Excited to see the rest of your new series!
  • @saraoramas214
    Bless you and all your videos. Believe me when I say that when I get better, expect an email from me. I've always loved nueropsychology and wanted to get my PhD in it. When I improve, I'd love to go back to school and use my knowledge to help others like you did 💙🙏🥰
  • @odeliazriker
    Your explanation so clear, thank you for that. It's interesting indeed 😅 I already read your book. Unfortunately there isn't John Bara ns method therapist in Israel 😢
  • @katythielen439
    I have had your books for years and I have been to your clinic. I was diagnosed at age 30 with fibromyalgia and I notice that as I age(I am 67) it is getting worse. I need to pull out your book and get going again. I think I have been denying it and trying to mentally handle it. This is perfect timing as I was to a point of wanting to give up.
  • @susand484
    OMG! It was said in The Body Keeps the Score that there is a link between childhood abuse and Fibromyalgia. I've been reading all I can on CPTSD with no mention of how it plays out physically, although I have personally lived it. So here it is, the explanation. Thank you so much! I have muscles that haven't let go in over 30 years. Trigger point therapy was the best, but many years ago when it wasn't taken seriously. As soon as you said "sympathetic nervous system" and "flight or fight" , although mine was/is "freeze", as soon as you said that the light came on. So much of what you describe, I can actually feel. I have done a lot of reading and listening to lectures about CPTSD recovery this past year. Part of the problem is lack of memory of the traumas and should we really go there? Until my recent reading about Internal Family Systems, I had just given up. I have a long history with psychology, on both sides of the desk. I am 75yo. and well read on the subject, studied family systems in the seventies. I am saying all this because you might want to consider the source of the fear that causes the sympathetic system to be so hyperactive. But that being a dark and endless hole to crawl into, IFS offers a much better perspective than traditional approaches. I'm too old to crawl into dark holes, led by someone whose skills I question. But, IFS isn't about damage or blame, or reliving the past, or any of that horrible victim mentality. It's about negotiating with my various parts that believe the reasons for the fears continue. So that is what I am starting to work on now. We don't think of the unconscious as being so accessible but like talking to a person in a coma we can still comfort those fearful parts of ourselves. And those parts are like children, who can be comforted, calmed down. Richard SchwartzPhD and Susan McConnell developed these ideas. There's a web site and excellent books by both. Goes well with massage.
  • @robertscott4007
    Amazing video have missed your videos hope you do more and maybe start some live blogs again hope your keeping well