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Dr. Pedro Gismondi

A regional or localized muscle pain. Many patients with Fibromyalgia suffer with this condition as well. It is nearly impossible to describe and deal with this complex issue in this small space. However I will give an example of THE most common presentation in my office.

Patients come to complain of "back pain" or "hip pain" and point to their buttock. This is an interesting phenomenon. Nobody comes to say "I have a buttock pain". I asked a group of 200 people during a public presentation titled "Aches and Pains" whether they perceived that "buttock" was a "legal" or acceptable English word. They all said, "Yes!"
This pain is at times sharp, especially on certain positions and motions. The pain may be poorly localized but most patients perceive it in mid buttock or just lateral to such point.

Most of these patients have an associated VERY tender place in the most lateral point of the area, the bony "trochanter" of the femur, the long bone of the thigh. This is bursitis. They also may have pain above and below the trochanter.

I tell patients to do the following: a) Apply a hot moist pack to the painful area; i.e. soak a towel in very warm water, wring it and apply it to a wide area around the pain for 30 minutes. b) Then dry well so that evaporating moisture does not cool the area again and apply (if you have it) a muscle rub like "Dr. Gismondi's Classic Rub", and proceed to c) STRETCH by pulling the knee of the same side across your chest toward the opposite shoulder with your hands clasped in front and below the knee cap. I call this "the cross your heart with your knee" exercise (So just you remember the position). Pull steadily and GENTLY for 2 minutes (No rocking no pulses of it) but STEADY motionless pulling. Breathe easy so that you are relaxed. If you do it too hard, you may get worse instead. The reason is that you will tense up and practically work against the stretch.

Do this whole procedure morning and evening or twice in the evening. BUT the stretching itself should be done every 2 hours or at least 4 times per day.
The "Bible" about these painful problems is a 2 volume text by Travell & Simons "Myofascial Pain and Dysfunction: The Trigger Point Manual". You may also find helpful resources in the Fibromyalgia literature. Or send me an e-mail for specific questions.

Dr. Gismondi was trained in Internal Medicine at the Mayo Clinic in Rochester, MN. He later completed specialty Fellowships in Rheumatology at Indiana University and the Emory Clinic in Atlanta, Georgia. Dr. Gismondi was born in Peru, South America, and married a Georgia “peach”, Glenda. They live in northwest Oklahoma City. They have three grown children, Mark and his wife Tammy, Michael, and Matthew.

Dr. Gismondi has developed Classic Rub to help anyone suffering from pain including those experiencing the pain of fibomyalgia.  For more information concerning the Classic Rub click here.

Dietary supplements are not to be used to prevent or treat any disease. The Statements on this web page have not been evaluated by the FDA. Any information provided on this website is not a substitute for the advice of a licensed medical practitioner. Individuals are advised not to self-medicate in the presence of significant illness. Ingredients in supplements are not drugs and may not be foods.

Dr. Gismondi's Classic Rub is marketed by G.G. Companies.  To order Classic Rub
for your store please call 405-720-2996 or email us at


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