Chronic Pain | Chronic Fatigue | Depression | Anxiety
Sleep Dysfunction | Vitamin and Mineral Deficiency

Chronic Pain

Chronic PainPatients describe their pain as stabbing, throbbing, burning, shooting, tingling, aching, sharp, dull, or felling bruised all over:

widespread pain/achiness

Myofascial Pain Syndrome: regional or local with trigger points

stiffness: worse upon awakening

non-anatomical distribution of pain: the pain does not follow any structure or nerve root distribution.  This pain also shifts locations and is often unexpected.

diffuse arthralgia: pain in joints with swelling or redness

chest pain and SOB:  pain which appears to be cardiac and often is called "atypical angina"

low back pain, leg cramps, and chronic H/A

Characteristics of Fibromyalgia Syndrome Pain

Allodynia: pain resulting from a stimulus that normally would not be painful

Hyperalgesia: abnormally high sensitivity to pain

Persistent Pain: pain persists for a longer duration than normal

Tenderness on Examination: 18 tender points of fibromyalgia syndrome

Chronic Pain Fibromyalgia Syndrome Pain Physiological Factors Which Determine PainPhysiological Factors Which Determine Pain

Factors which amplify pain: 

substance P (neurotransmitter)

glutamine (amino acid)

magnesium and zinc deficiency (mg and zn inhibit NMDA, the receptor which when stimulated increases pain)

Neurochemicals Which Decrease Pain

serotonin:  low levels of serotonin are due to low levels of 5HTP (a molecule which converts to serotonin) in platelets


Nerve Growth Factor

Nerve growth factor is a neurotransmitter in cerebral spinal fluid which increases the number of Substance P neurons and therefore increases painful symptoms of fibromyalgia syndrome

Myofascial Pain Syndrome

The diagnosis of Myofascial Pain Syndrome is based on the detection of objective abnormalities on careful physical examination. Abnormalities include trigger points, taut myofascial bands, and local twitch response of the taut bands. The involvement of the nervous system is very important in the perpetuation and prolongation of pain, thus preventing full recovery. Damage to the nervous system acts as an endogenous perpetuating factor susceptible to augmentation by severe pain, additional trauma, vibration, loud noises, prolonged physical activity, and emotional stress.  return to top of page

Mariposa Dreams

Plymouth Integrative Medicine Center
Fibromyalgia Doctor ~ Irene Metro MD
44670 Ann Arbor Rd, Ste 100, Plymouth, MI 48170

Call 734.432.1900 for an appointment with Fibromyalgia Doctor ~ Irene C. Metro MD

The information contained on this web site is not intended to treat, diagnose, cure or prevent any disease, nor is it intended to replace proper medical care. All material provided in this web site is provided for educational purposes only. Always seek the advice of your physician or other qualified health care provider with any questions you have regarding a medical condition, and before undertaking any diet, exercise or other health program.

Fibromyalgia doctor Irene C. Metro, MD, Board Certified Internal Medicine, Board Certified American Board of Integrative & Holistic Medicine, is the medical director of the Plymouth Integrative Medicine Center in Livonia, Michigan. This medical clinic has internal medicine, integrative medicine, physical therapy, acupuncture, lifestyle coaching, nutritional counseling, and psychotherapy, and specializes in fibromyalgia, chronic fatigue syndrome, hypertension, high blood pressure, insomnia, anxiety, depression, chronic pain, trigger point therapy, vitamin therapy, and pain relief. This medical clinic is located across from St. Mary Mercy Hospital and is easily accessible from Plymouth, Livonia, Canton, Northville, Redford, Westland, Farmington Hills, Southfield, Dearborn Heights, and other locations in Oakland County and Wayne County Michigan. Call 734-432-1900 to make an appointment with the fibromyalgia doctor MI today!