A 28-year-old male asked:
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i've been dealing with all of of bodily issues. my back, neck and shoulder, all have began hurting and they all have to do with my the left side of my body due to my knee reconstruction that i had 8 years ago. i need advice from a knowledgeable dr !!

2 doctor answers
Dr. Robert Kwok
33 years experience Pediatrics
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Answered on Sep 10, 2019
Dr. Laurence Badgley
53 years experience General Practice
See Osteopath : 28y male w. neck, shoulder, back pain & regards secondary to remote knee repair. Altered symmetry of upright body tower oft co-factor for widespread pain, signature symptom of Fibromyalgia. Unstable/painful joints induce unconscious splinting/guarding &, over time, beget crossed muscle syndromes: bilateral pair evolves one spastic/hypertrophic & other atrophic/weak; begetting greater tower tilt.
Answered on Sep 7, 2015
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Dr. Laurence Badgley
53 years experience General Practice
Provided original answer
Current speculation & fashionable theory holds Fibromyalgia, FM, to be caused by reset of CNS brain center registration of pain & faulty subjective experience of "pain" in sufferers. Dr. Shah of NIH showed tender FM "trigger" points as ischemic/anoxic foci releasing reactive substances. FM peripheral neuropathic pain generation? CNS changes secondary?
Sep 5, 2015
Dr. Laurence Badgley
53 years experience General Practice
Provided original answer
Cytokines TNF & substance P, are released from cells/tissues under assault/injury. Soft tissues: ligaments, tendons, muscles & fascia, release these substances when injured. Mechanical stretch/stress/strain injury causes soft tissue ischemia/anoxia & release of reactive substances; shown by Dr. Shah at NIH. In Fibromyalgia, soft tissues chronically & mechanically stretched.
Sep 5, 2015
Dr. Laurence Badgley
53 years experience General Practice
Provided original answer
Medically "-itis" denotes inflammation; in muscle tissue termed "myositis"; in muscle covering, fascia, is "fasciitis". Fascia & muscle are "soft tissues"; as are ligaments & tendons. Mechanically stretched/stressed/strained soft tissues develop inflammation via process of ischemia/anoxia & release of painful reactive substances like substance P; elevated in Fibromyalgia sufferers.
Sep 5, 2015

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