Do you suffer with fibromyalgia leg pain? Pain that is associated with the tender points and trigger points in multiple sites? Although we often refer to them as tender POINTS, they are actually more like tender AREAS.
Now most people with fibro describe an “area” of pain that radiates to the surrounding tendons or trigger points. Often there is an involvement with an associated tendon, ligament or TRP(trigger point). This is what causes the pain to radiate or extend.I have yet to meet someone with fibromyalgia that has merely a POINT of pain or tenderness. (However, the 18 tender points test is still used as ONE part of diagnosing fibro) And because tender points differ from trigger points, refer also to the ‘trigger points’ article for a more in depth discussion on TRP’s in fibromyalgia.
Let’s take for example the tender points on the inside of the knee. This area can extend on average from 2-4 inches above and below the inside of the knee. So it really makes more sense for reference to call this an AREA of pain, especially when it comes to working solutions.
Certain Activities Of Daily Living (ADLs) Can Exacerbate Fibromyalgia Leg Pain
Yes, there are many tender points in the lower extremity of the fibro body. Certain ADL’s (Activities of Daily Living) can exacerbate these tender AREAS.
Examples are sitting for extended periods, standing in one place, displacement OR shifting of weight while standing, driving, travel, cleaning activities, etc.
What else can exacerbate fibromyalgia leg pain? Trigger points, inactivity, loss of muscle mass, lower back pain, sciatica, SI joint involvement, certain medications, cold/flu and more. The interesting thing about fibromyalgia related leg pain is that it doesn’t matter whether you are standing, sitting or lying down.
The propensity for pain in the lower quadrant of the fibro body is just greater due to trigger points woven within layers of muscle and extremely tender areas that are not directly related to any activity or exercise.
The longest and most widely used muscle in the leg (otherwise known as the Sartorius muscle in the quadricep area) is responsible for much of our mobility in the lower quadrant of the fibro body. Here in the adjacent picture I have hi-lited these areas that cause most pain within the lower fibro body.
When this muscle and the surrounding muscles become de-conditioned, everything around this area also weakens including tendons and ligaments.