You may not be familiar with Posttraumatic Hyperirritability Syndrome (PTHS), but it has been described as “extreme sensitization.”1,3 PTHS is more common in people with fibromyalgia (FMS) and chronic myofascial pain (CMP) caused by physcial trauma.2 PTHS is a condition in which a physical trauma injures the sensory modulating mechanism of the spinal cord or brain stem. Travell and Simmons describe this condition in their text, and determined that PTHS is the same condition as neuromyelopathic pain syndrome.2 Chances are, if you have FMS or CMP you are susceptiable to PTHS. Much of the research already shows that FMS is a problem with the way pain signals are interpreted by the brain. It seems that PTHS is a more severe version of increased pain sensitization than what is typically seen in fibromyalgia. It does appear that persons with FMS and CFS can develop PTHS if they have repeated trauma.
The treatments we use in our office are specifically designed to treat these problems. Our continued persuit to better understand the problems of our patients, thorough study of research, and through continuing education is what sets us apart. Our practice uses a combination of traditional chiropractic, functional medicine, and neurologically based therapies that are not commonly found in clinical practice. If you have any questions, or would like to know if our care could be of benefit to you, please don’t hesitate to give us a call, or email Dr. Shook at DrShook@alliancechiropracticcenter.com. For a free phone consultation or to schedule an appointment with Dr. Shook call (828) 324-0800.
- Starlanyl, Devin and Copeland, Mary Ellen. 2001. Fibromyalgia & Chronic Myofascial Pain, A Survival Manual 2nd Edition. Oakland: New Harbinger Publications, Inc.
- Simons, D.G., J.G. Travell, and L.S. Simons. 1999. Travell and Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Second edition. Baltimore: Williams and Wilkins.
- Margoles M. 1983. Stress neuromyelopathic pain syndrome (SNPS): Report of 333 patients. J Neuro Ortho Surg 4(4):317-322.
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