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
small space. However I will give an example of THE most common
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
of 200 people during a public presentation titled "Aches and Pains"
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
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
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
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"
(So just you remember the position). Pull steadily and GENTLY for 2
(No rocking no pulses of it) but STEADY motionless pulling. Breathe
so that you are relaxed. If you do it too hard, you may get worse
The reason is that you will tense up and practically work against the
Do this whole
procedure morning and
evening or twice in the evening. BUT the stretching itself should be
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
The Trigger Point Manual". You may also find helpful resources in the
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
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
They have three grown children, Mark and his wife Tammy, Michael, and
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
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