Managing Chronic Muscle Pain
Vitamin D deficiency is increasing in North American and European populations, and occurs more frequently in patients with anxiety and depression. Chronic muscle pain (myalgia) is also a common problem throughout the world. Fibromyalgia is a chronic, widespread muscle tenderness syndrome, associated with central sensitization. It is often accompanied by chronic sleep disturbance and fatigue, as well as visceral pain like irritable bowel syndrome and interstitial cystitis. Myofascial pain syndrome is an overuse or muscle stress syndrome characterized by the presence of trigger points in muscle. The problems are not difficult to diagnose, but it is necessary to identify the underlying cause(s) in order to develop a specific treatment plan. Myalgia can be caused by metabolic factors like depleted tissue iron stores, hypothyroidism or vitamin D deficiency, and may resolve when these perpetuating problems are managed.