I have been having some serious pain issues with my fibromyalgia lately. It isn’t a Flare because it has been ongoing for some time now and it is compromising my capacity to walk far or exercise.
We do have an issue with tender points in the legs as with elsewhere so that is always an issue. 2 of those tender points are around the knees… so knee pain is common. And muscle weakness, including in the legs, is a symptom that can occur.
For me it involves:
- Severe paresthesia in the legs
- Severe foot pain that makes it hard to walk, especially in the morning
- Leg pain and weakness. Especially a calf pain I cannot stretch out or get rid of. And a very sharp pain in my knees which feel really tender and bruised.
- Very severe episodes of Restless Leg Syndrome where I Cannot Sleep through the agonizing sensations.
I take magnesium and B12 of which would be the main things to do for leg pain and paresthesia and without much help, if any. It started with severe paresthesia and then the foot pain, then the leg pain and then when I went off my tramadol, hello severe RLS. It is rather impairing my capacity to function.
- Crawling itch
- Can cause pain
- Can cause skin sensitivity.
And oh, it can be so intense. This crawling, uncomfortable painful tingle. And it can cause numbness, and has in me in the past done so for extended periods of time. B12 is definitely recommended for this. It is a common fibromyalgia type of pain and symptom in us. Lately I am getting it waist down, much more severely at night.
Other than a B12 issue, low levels of magnesium and/or serotonin can cause this
We can also get plantar fasciitis and in fact I have had long enduring episodes of this before. And this can be the cause of foot pain that can be quite severe. “Plantar fasciitis is inflammation of the thick band of tissue (also called a fascia) at the bottom of your foot that runs from your heel to your toes.”- WEB MD
It causes heel pain and is worse when you get up, gets better with motion, but the more you walk the worse it can get again. Now, personally, I am prone to this due to flexible flat feet. I treated mine in the past with shoe inserts. But it took years for it to diminish and who knows if this is what it was or some other fibromyalgia related pain.
Treatment can be: via WEB MD
- Icing the area.
- Night splints. You wear these to stretch your calf and foot while you sleep.
- Physical therapy. Certain exercises can stretch your fascia and Achilles tendon and strengthen your leg muscles, which will make your ankle and heel more stable.
- Rest. Stop doing things that make the pain worse. This might include some types of exercise, like running or jumping.
- Supportive shoes or inserts. Shoes with thick soles and extra cushioning will make it less painful for you to stand or walk. Arch supports can distribute pressure more evenly across your feet.
- Taking pain-relieving non-steroidal anti-inflammatories (NSAIDs) like ibuprofen or naproxen sodium. You shouldn’t take these for more than a month, so talk with your doctor.
I have never heard of this one but it makes sense. The main symptom is pain on the outer side of the knee which I certainly feel like extreme painful tenderness.
- Aching, burning, or tenderness on the outside of your knee
- Feeling a click, pop, or snap on the outside of your knee
- Pain up and down your leg
- Warmth and redness on the outside of your knee
Again treatment can involve ice and shoe inserts.
Causes other than being a runner:
- Bowed legs
- Knee arthritis
- One leg that’s longer than the other
- Rotating your foot or ankle inward when you walk or run
- Rotating your whole leg inward when you walk or run
- Weakness in your abs, glutes, or hip muscles
This interests me because I am double jointed in my hips, knees, ankles and feet which means my gait is off. My knees bow back. And that Does cause knee pain and maybe it does complicate things.
Neuropathy causes tingling or pain in the extremities, including the feet. Some patients with fibromyalgia may actually have a related disorder known as small-fiber polyneuropathy (SFPN), according to a study presented at a meeting of the American Neurological Association.Pain Doctor
Researchers found 46% of patients with fibromyalgia had SFPN, which is a type of peripheral neuropathy that is sometimes treatable. Anne Louise Oaklander, an associate professor of neurology at Harvard Medical School and study author, notes: “This provides some of the first objective evidence of a mechanism behind some cases of fibromyalgia, and identifying an underlying cause is the first step towards finding better treatments,”
SFPN causes widespread pain, similar to fibromyalgia, but has tests that can offer a definitive diagnosis, which is not the case with fibromyalgia.
There has been a lot of research on SFPN and even small-fiber neuropathy so this could also be a leg pain issue.
Things I am trying
I can’t say the cause of this pain I am having. Other than RLS at night is one cause. And paresthesia is another major issue. But the pain in the feet and legs I am not sure about. I don’t know the cause or treatment. I just know it is extremely painful.
- I already take Epsom salt baths all the time
- I already take magnesium
- I already take B12
- I use pain creams. Including a NSAID one my doc gave me because I can’t internally take NSAIDs.
- I am thinking of trying a Magnesium oil or spray
- I am definitely thinking I may need shoe inserts again and more stable shoes
- I am trying to do gentle leg stretches but so far this is not alleviating the pain in any way