All material beneath the cut is from The Fibromyalgia Advocate, by Devin Starlanyl; just stuff I need to remember. In some cases, stuff that surprised me.
p9: Other Common symptoms of FMS:
* The thermal regulatory system may not work properly.
* Skin mottling and finger- and toenail-ridges are common. You may get bruises, but you can't remember where you got them, and they take forever to heal.
* Fibromyalgia is a sensory-amplification syndrome. This means you may be hypersensitive to smells, sounds, lights, and vibrations. The noise emitted by fluorescent lights can drive you crazy. You may be unable to tolerate crowds or cities. Fibromyalgia sensitizes nerve endings, and the ends of the nerve receptors change shape. Because of these changes, the body may interpret touch, light, or sound as pain. The brain recognizes pain as a dnger signal - an indication that something is wrong and needs attention - so it mobilizes its defenses. Then, when those defenses aren't used, anxiety results.
p14: Cognitive Deficits
Cognitive deficits is the technical term for what many of us call "fibrofog"... to be in a fibrofog means that you feel as if your brain isn't fully engaged. In fibrofog, it is as if your body was a large electrical system, and some of the circuit breakers have shut down and many of the fuses have blown. Your brain may feel clouded or stuffed with cotton. It's extremely difficult to function. You forget the names of nouns, especially, and your use of the word "thing" rises exponentially...You begin "tongue-tripping" - having difficulty pronouncing simple everyday words. Sometimes you say a word that begins with the same letter of the word you wanted to say, but it will be entirely inappropriate.
p16: In fibromyalgia, neurotransmitter dysfunction often has a direct impact on the cardiovascular system.
p106: [summary: rapid/fluttery/irregulat heartbeat can be caused by myofascial trigger points.]
p107: The Serratus anterior TrP is responsible for a "side stitch" and shortness of breath. There is referred pain to the side and to the back of the chest. This includes the lower interior border of the shoulder blade, sometimes running down the inner area of the arm, hand, and the last two fingers. There may be air hunger... in severe cases, there may be chest pain even at rest. Trigger points cause a reduced tidal volume because of reduced chest expansion. Also, the nerve supply to the serratus anterior muscle may be entrapped due to scalene muscle TrPs.
p111: Fibromyalgia Flare
Compounding the above symptoms, there may be "flaring" or worsening of the all-over flu-like achiness of FMS, and aggravation of these common symptoms: difficulty getting out known words, directional disorientation, visual perception problems, short-term memory impairment, panic attacks, confusional states, and "fugue" type states (staring into space before the brain can function again).
p123: Short-term memory problems and confusional states are common. We often can't do a number of steps in sequence... severe problems estimating distance and depth perception can cause driving to be extra exciting. Trigger points can cause severe dizziness when the field of vision is changing rapidly, as well as many other proprioceptor disturbances. Any pattern of light and dark, such as window blinds, escalator steps, trees along a road, or patterns in fabrics can cause dizziness or even a seizure-like feeling.
Free-floating anxiety, panic attacks, rapid mood swings, irritability with unknown cause, trouble concentrating, inability to recognize familiar surroundings - this is all what we term "fibrofog", and can be part of the neurotransmitter imbalance. "Sensory overload" is what I call the feeling that information and stimulation are coming at you so fast that you can't deal with it. We either go into a "fugue" state, or we close down some sensory input.
Sensitivity to cold, heat, humidity, and barometric pressure is a part of the body's "thermostat" regulating problems.
p177: Increased quinolinic acid formation also occurs after an acute systemic immune stimulation. It has been found that kynurenines in the hippocampus can contribute to seizure disorders (Schwarz, R., C. Speciale and ED French. 1987. Hippocampal kynurenines as etiological factors in seizure disorders. Pol J Pharmacol Pharm 39(5):485-494).
p235: Medicode ICD-9CM Codes (for SSD)
729.0: Rheumatism unspecified and fibrositis
729.1: muscle pain, myalgia, and myositis.