Fibrositis Health Dictionary

Most people suffer from backache at times during their lives, much of which has no identi?able cause – non-speci?c back pain. This diagnosis is one of the biggest single causes of sickness absence in the UK’s working population. Certain occupations, such as those involving long periods of sedentary work, lifting, bending and awkward physical work, are especially likely to cause backache. Back pain is commonly the result of sporting activities.

Non-speci?c back pain is probably the result of mechanical disorders in the muscles, ligaments and joints of the back: torn muscles, sprained LIGAMENTS, and FIBROSITIS. These disorders are not always easy to diagnose, but mild muscular and ligamentous injuries are usually relieved with symptomatic treatment – warmth, gentle massage, analgesics, etc. Sometimes back pain is caused or worsened by muscle spasms, which may call for the use of antispasmodic drugs. STRESS and DEPRESSION (see MENTAL ILLNESS) can sometimes result in chronic backache and should be considered if no clear physical diagnosis can be made.

If back pain is severe and/or recurrent, possibly radiating around to the abdomen or down the back of a leg (sciatica – see below), or is accompanied by weakness or loss of feeling in the leg(s), it may be caused by a prolapsed intervertebral disc (slipped disc) pressing on a nerve. The patient needs prompt investigation, including MRI. Resting on a ?rm bed or board can relieve the symptoms, but the patient may need a surgical operation to remove the disc and relieve pressure on the affected nerve.

The nucleus pulposus – the soft centre of the intervertebral disc – is at risk of prolapse under the age of 40 through an acquired defect in the ?brous cartilage ring surrounding it. Over 40 this nucleus is ?rmer and ‘slipped disc’ is less likely to occur. Once prolapse has taken place, however, that segment of the back is never quite the same again, as OSTEOARTHRITIS develops in the adjacent facet joints. Sti?ness and pain may develop, sometimes many years later. There may be accompanying pain in the legs: SCIATICA is pain in the line of the sciatic nerve, while its rarer analogue at the front of the leg is cruralgia, following the femoral nerve. Leg pain of this sort may not be true nerve pain but referred from arthritis in the spinal facet joints. Only about 5 per cent of patients with back pain have true sciatica, and spinal surgery is most successful (about 85 per cent) in this group.

When the complaint is of pain alone, surgery is much less successful. Manipulation by physiotherapists, doctors, osteopaths or chiropractors can relieve symptoms; it is important ?rst to make sure that there is not a serious disorder such as a fracture or cancer.

Other local causes of back pain are osteoarthritis of the vertebral joints, ankylosing spondylitis (an in?ammatory condition which can severely deform the spine), cancer (usually secondary cancer deposits spreading from a primary tumour elsewhere), osteomyelitis, osteoporosis, and PAGET’S DISEASE OF BONE. Fractures of the spine – compressed fracture of a vertebra or a break in one of its spinous processes – are painful and potentially dangerous. (See BONE, DISORDERS OF.)

Backache can also be caused by disease elsewhere, such as infection of the kidney or gall-bladder (see LIVER), in?ammation of the PANCREAS, disorders in the UTERUS and PELVIS or osteoarthritis of the HIP. Treatment is e?ected by tackling the underlying cause. Among the many known causes of back pain are:

Mechanical and traumatic causes

Congenital anomalies. Fractures of the spine. Muscular tenderness and ligament strain. Osteoarthritis. Prolapsed intervertebral disc. Spondylosis.

In?ammatory causes

Ankylosing spondylitis. Brucellosis. Osteomyelitis. Paravertebral abscess. Psoriatic arthropathy. Reiter’s syndrome. Spondyloarthropathy. Tuberculosis.

Neoplastic causes

Metastatic disease. Primary benign tumours. Primary malignant tumours.

Metabolic bone disease

Osteomalacia. Osteoporosis. Paget’s disease.

Referred pain

Carcinoma of the pancreas. Ovarian in?ammation and tumours. Pelvic disease. Posterior duodenal ulcer. Prolapse of the womb.

Psychogenic causes

Anxiety. Depression.

People with backache can obtain advice from www.backcare.org.uk... backache

Roxb.

Family: Burseraceae.

Habitat: The drier parts of Peninsular India.

English: Indian Frankincense, Indian Olibanum.

Ayurvedic: Shallaki, Susravaa, Gajabhakshyaa, Salai. Gum— Kunduru.

Unani: Kundur (gum).

Siddha/Tamil: Parangisambirani, Kungli.

Folk: Salai Guggul.

Action: Gum-resin—antiseptic, anti-inflammatory, antiatheroscle- rotic, emmenagogue, analgesic, sedative, hypotensive. Also used in obesity, diarrhoea, dysentery, piles, urinary disorders, scrofulous affections. Oil—used topically in chronic ulcers, ringworm.

Nonphenolic fraction of gum-resin exhibited marked sedative and analgesic effect in rats. It produced a marked and long-lasting hypotension in anaesthetized dogs.

Many derivatives of 3-keto-methyl- beta-boswellic ester, isolated from the gum-resin., have been prepared; a py- razoline derivative exhibited maximum anti-inflammatory activity. (Gum-resin is used in osteoarthri- tis, juvenile rheumatoid arthritis, soft tissue fibrositis and spondylitis, also for cough, bronchitis, asthma, mouth sores.)

Essential oil from gum-resin—anti- fungal.

Gum-resin contains triterpenes of oleanane, ursane and euphane series. Stem and fruit—hypoglycaemic.

Dosage: Gum-resin—1-3 g (API Vol. IV.)... boswellia serrata

Tablets: formulated in accordance with traditional and modern scientific phytotherapy to provide an over-the-counter (OTC) product for the symptomatic relief of rheumatic aches and pains as in lumbago, fibrositis, backache, stiffness of joints and other systemic connective tissue disorders. Formula: Guaiacum resin BHP (1983) (anti-inflammatory) 40mg. Black Cohosh BHP (1983) (soothing and sedative) 35mg. White Willow bark BHP (1983) (analgesic, anti-inflammatory) 100mg. Extract Sarsaparilla 4:1 (antiseptic) 25mg. Extract Poplar bark 7:1 (to reduce pain) 17mg. Product Licence No 1661/5016R. (Gerard House) ... ligvites

(Potter’s). For rheumatism, fibrositis, painful joints and muscles. Oil for external use.

Ingredients: Amber oil 4 per cent; Clove oil BP 1 per cent; Eucalyptus oil BP 4 per cent; Linseed oil 10 per cent; Methyl sal BP 4 per cent; Volatile Mustard oil 0.03 per cent; Turpentine oil BP 12.3 per cent; Thyme oil 2 per cent; Peppermint oil BP 2.1 per cent; Arachis oil BP to 100. ... nine rubbing oils

Swamp tea tree. Melaleuca leucadendron L. French: Cajeputier. German: Kajeputbaum. Contains terpenoids. Oil.

Action: Antiseptic, antispasmodic, rubefacient, anthelmintic, insect repellent. Antimicrobial. Antiscorbutic. Expectorant.

Uses: Used by natives of the Molucca Islands as a lotion for painful stiff joints. Advised by physicians at the turn of the century to combat the tubercle bacillus. Infections of the bronchi. Worms in children. Toothache. Headache.

Preparation. Topically for toothache, bruises, sprains, neuralgia. Cajuput oil BPC: dose, 0.05-0.2ml.

Today it is confined to external use only as an ingredient of stimulating liniments and ointments for aching joints, fibrositis, etc. An ingredient of Olbas oil. ... cajeput

Cinnamomum camphora. French: Laurier du Japon. German: Japanischer Kamferbaum. Spanish: Alcanfor. Italian: Alloro canforato. Indian: Kapur. Chinese: Chang. Gum camphor. Today its use is confined mostly to stimulating lotions for external use to increase surface heat in cold arthritic joints. Rubefacient. Chilblains, pains of rheumatism, nervous excitability and heart attack. Should not be used by epileptics.

Internal. Restricted dose: 10mg. Maximum daily dose: 30mg.

Historical. 1-2 drops on sugar 2-3 times daily, internally, to reduce troublesome sex-urge: priapism or nymphomania. Hourly, such doses were once classical treatment for cholera.

Liniment. 10 drops oil of Camphor to egg-cup Olive oil. Massage for relief of lumbago, fibrositis, neuralgia, chest and muscle pain.

Inhalant: Inhale the fumes for respiratory oppression with difficult breathing, heart failure, collapse, shock from injury, hypothermia, tobacco habit.

Camphor locket. A small square is sometimes hung in a small linen bag round the neck for prevention of infection, colds.

Camphorated oil: 1oz (30g) Flowers of Camphor to 4oz (125g) peanut oil. Dissolve in gentle heat. Camphor lotion. Dissolve teaspoon (4-6g) Camphor flowers in 4oz Cider vinegar.

GSL as restricted dose above.

Camphor Drops. At one time a bottle brandy with a knob of Camphor at the bottom was kept in every pantry to restore vitality and warmth to those suffering from exposure to cold and damp. One drop of the mixture in honey rapidly invigorates, imparts energy, and sustains the heart. A reaction is evoked almost immediately; it is harmlessly repeated hourly. Camphor should be given alone as it antidotes many drugs and other remedies. ... camphor

Agonising physical distress caused by sensory nerve irritation. Nature’s warning that something is wrong. Where persistent, investigation by a qualified person is essential. For mild pain natural non- suppressive herbs are available. The following are helpful until the doctor comes.

In the chest. When in the gullet it can closely resemble pain in the heart and can be mistaken for angina. Gullet pain, worse by acid and hot drinks, is always a background pain and fails to resolve after exercise. See: OESOPHAGEAL SPASM.

Aching muscles. Bio-strath Willow Formula.

In the hips. Ligvites. (Gerard House)

Ovarian. See: OVARIES.

Fibrositis, polymyalgia. Low degree pain in muscles. Any one:– Black Cohosh, Devil’s Claw, Wild Lettuce, Wild Yam, Wintergreen, Lavender, Parsley, Fenugreek seeds, Meadowsweet, German Chamomile.

In the chest. (Lungs) Balm of Gilead. (Heart) Motherwort. Breast. Evening Primrose oil.

Spine. St John’s Wort.

Aching teeth. Oil of Cloves.

Lumbago, sciatica, backache. Bio-Strath Willow formula.

Gout, rheumatism, osteo-arthritis. Poultice or compress – Comfrey, Plantain leaves, Olbas oil, Weleda Massage oil.

The acute abdomen. Carminative herbs for flatulent colic.

Pain in bowels. (Internal) Wild Yam, Cinnamon, Ginger, Caraway. (External) Cold-pack with Castor oil, Chamomile poultice.

Sprains, bruises. 5 drops Oil of Camphor to egg-cup Olive oil, rub-in relief.

Facial stabbing pains. Plantain, Chamomile, Rosemary, or Wintergreen (external) compress, lotion, tincture.

Womb. Raspberry leaf/Motherwort tea (equal parts), internal.

Head. Feverfew, Skullcap, Passion flower.

Nerve pains. Valerian. Jamaica Dogwood.

See: ANALGESICS, ANTISPASMODICS, NEURALGIA, PLEURODYNIA, etc.

Aromatherapy. Combine, equal parts Oils of Clove, Sassafras and Camphor. Add 10 drops to egg-cup Olive oil: use as a rub for aching muscles and stiff joints.

Drugs suppress pain without necessarily removing the underlying cause. The natural response to pain is to tighten, but if the patient lets go and relaxes into it, then he finds he can better control it. ... pain

any aching pain in the muscles and joints. Commonly the symptoms are due to *fibrositis; wear and tear of the joints (*osteoarthritis); or to inflammation of the muscles associated with abnormal immune reactions (*polymyalgia rheumatica). Generalized muscle pain with specific tender points and fatigue is called *fibromyalgia.... muscular rheumatism