The pain of fibromyalgia syndrome is due to muscle hypoperfusion induced by regional vasomotor dysregulation.
In a recent edition of Medical Hypothesis is a thought provoking article titled The pain of fibromyalgia syndrome is due to muscle hypoperfusion induced by regional vasomotor dysregulation by David L. Katza, Lindsey Greene, Ather Alia and Zubaida Faridia from Yale University that begins “Fibromyalgia syndrome (FMS) is a condition of chronic muscle pain and fatigue of unknown etiology and pathogenesis. There is limited support for the various hypotheses espoused to account for the manifestations of FMS, including immunogenic, endocrine, and neurological mechanisms. Treatment, partially effective at best, is directed toward symptomatic relief without the benefit of targeting known, underlying pathology.
“A noteworthy commonality among partially effective therapies is a vasodilatory effect. This is true both of conventional treatments, unconventional treatments such as intravenous micronutrient therapy, and lifestyle treatments, specifically graduated exercise. The pain of fibromyalgia is described in terms suggestive of the pain in muscles following extreme exertion and anaerobic metabolism. Taken together, these characteristics suggest that the pain could be induced by vasomotor dysregulation, and vasoconstriction in muscle, leading to low-level ischemia and its metabolic sequelae. Vasodilatory influences, including physical activity, relieve the pain of FMS by increasing muscle perfusion. There are some preliminary data consistent with this hypothesis, and nothing known about FMS that refutes it. The hypothesis that the downstream cause of FMS symptoms is muscle hypoperfusion due to regional vasomotor dysregulation has clear implications for treatment; is testable with current technology; and should be investigated.”
Medical Hypotheses, Volume 69, Issue 3, 2007, Pages 517-525 doi:10.1016/j.mehy.2005.10.037 © 2007 Elsevier Ltd All rights reserved.
The pain of fibromyalgia syndrome is due to muscle hypoperfusion induced by regional vasomotor dysregulation. David L. Katza, Lindsey Greene, Ather Alia and Zubaida Faridia.
Synopsis edited by Dr Jim Vause, Blenheim, New Zealand. Posted on Global Family Doctor 20 August 2007
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