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- Aching/stiffness usually occurs in neck, shoulders, low back, and hips; but can affect the whole body
- Fatigue
- Headaches
- Sleep problems
- Irritable Bowel Syndrome
- Numbness
- Depression
- Pain may improve with stress reduction, and increase with stressful activities and Anxiety.
- Exercise helps to reduce the pain.
- Pressure on trigger points produces the pain.
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- Trigger points of tenderness are found on exam
- Diagnosis is made by excluding other causes such as lupus, Hypothyroidism, or arthritis
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- Graded exercise programs
- Nonsteroidal anti-inflammatories such as aspirin, Motrin, and others may help with pain.
- Amitriptyline (Elavil)Elavil) before bed
- Cyclobenzaprine before bed
- Stress reductions, such as meditation and a change of environment may help.
- With narcotic painkillers (e.g., codeine, etc.) and sleeping pills, there is a risk of addiction. Discuss the risks with your doctor.
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