We may have cancer and feel good, or be submitted to substantial disability and suffering without doctors finding any evidence of disease. Medicine gives no acceptable answers to the last situation and arbitrarily appeals to denying the reality of suffering, making the calvary of patients even more unbearable. This blog tries to contribute with the knowledge of the neuronal network, giving a little light to this confusing section of pathology.

Monday, February 28, 2011

Primary and secondary pain





The “classifiers” distinguish between primary and secondary pain. The latter arise as a result of damage in the place where we feel pain, and the firsts appear without us detecting anything relevant where it hurts.


There are primary headaches (migraine, tension headache ...) and secondary (tumor, hemorrhage, bump ...).


Primary pain is supposed to have origins, even when they aren’t tangible. Migraine, they say, arises from some genes that build hypersensitive cerebral generators of migraines. Tension headaches are generated by states of anxiety, nerves that contract muscles excessively. Primary pain is actually secondary. The pain comes from something. That’s what the patients always say.


It’s not clear whether the "spine" pain is primary or not, without a tangible cause. If something hurts, it’s taken for granted that one’s lower back or neck isn’t well. Mechanics, loads, physical effort, postures, wear, years are what matter. The "bone pain", depending on the point of view, is primary or secondary.


- My bones ache ...


The statement stands for itself. It could be a primary pain derived from the condition of the bones, which is hurting themselves.


- The bones don’t hurt ...


If one wants to lose the confidence of the patient, all he/she has to do is that staggering claim. However, it is so. Bones don’t hurt. The pain may arise from harmful events of the bones, events that generate neuronal signals that reach the brain areas able to project the perception of pain in the conscious display of the individual. The "bone pain" would, therefore, always be secondary.


- When the weather changes, my bones can feel it.


Time is to the bones the same as nerves are to the head. The primary headache would be secondary to the overwhelm, and the primary bones would be secondary to the cold and damp.


Something similar happens with discouragement. Depression can be primary, without an apparent reason, or secondary to a depressing event. Psychiatrists prefer to call the primary endogenous and the secondary exogenous.


I've never understood the difference between endogenous-exogenous or primary-secondary. What is perceived is always the result of a complex cerebral evaluation process. There is always a decision of the network.


- I have a primary pain for no reason. They say it’s the brain, which has its reasons to turn it on, but I don’t know them. The MRI is normal. There really is no reason. The brain is wrong.


- Exactly. The primary pain is a secondary pain to an erroneous cerebral evaluation.


There are primary and secondary people. A primary person is someone we can see without there being a person. If we take a picture of where we see them, they don’t appear in the picture. A secondary person is the one we see for the simple reason that he or she is really there. He/she is in the picture.


- A hallucination?


- Yes.


There is primary pain in the absence of states and agents that activate the nociceptor network. We are sorry, but on the area of the disease there is nothing relevant, harmful.


- A hallucination?


- Technically it is a hallucination, but don’t go around saying that...


Pain without harm, hunger without malnutrition, cold without low temperature, loneliness in a crowd ... are primary. The necessary and sufficient objective condition to be explained and understood is not given.


I don’t like the classification of primary-secondary, endogenous-exogenous. I prefer to distinguish between perceptions-right productive choices, and wrong-unproductive.


There is pain, discouragement, cold, hunger, dizziness; unnecessary, disabling, sterile, pure pathological tiredness. They are secondary to an erroneous assessment of relevance-probability, that is ... primary, as “classifiers” claim.


There is pain, discouragement, cold, heat, hunger, tiredness ... that are necessary, convenient to guide the behaviour of the individual in the right direction. Secondary, exogenous, justified ...


The content of what is perceived does not guarantee its objectivity. There may not always be people where we see them. People may not always be where we see them. The MRI may always be normal wherever we feel pain.


- There is a threatening man in the living room.


- Let's see ... There’s no one. He’s a primary man...


- What do I do? What do I tell him to go away?


- Don’t pay attention to something that doesn’t exist. If you do so, you’re lost.


Checking account balances are sometimes negative. Classifiers distinguish between the primary negative, which appears without one finding the reason for it, and others that arise after a lavish expenditure.


Negative checking accounts express the balance between what goes in and out over time. The usual expenditure is enough for the alarm to go off, without us getting any benefit from it.


The brain manages our account. It doesn’t need to run out of money. If it considers that we shouldn’t spend it, it blocks our account without further explanation.


- I’ve been feeling discouraged lately. I don’t get it, everything is right ...


- Everything hurts, always, and they can’t find anything.


The primary is that way... Homo sapiens (ma non troppo) is perhaps a more primary species than we think ...

Saturday, February 26, 2011

Hyperalgesia





- I have a high rate of pain. Everything hurts, always.


Pain is a perception that should emerge only in situations of damage that require protective behavior of tissue integrity. We should only open our umbrella when it’s raining. Always carrying an open umbrella just in case it starts raining is not a good idea.


- I always have high blood pressure.


Hypertension is only justified when we are in a situation that requires a blood flow rate that ensures the blood supply to tissues to cope with certain situations. Giraffes have high blood pressure. Otherwise, blood would not reach their head.


Sustained hypertension ends up damaging the arteries. It’s important to control it with drugs and healthy lifestyles.


Now they say that continued, chronic pain, ends up damaging the brain and, the same way it happens with blood pressure, it should be controlled with drugs and healthy lifestyles.


There is a problem with that proposal: the chronic use of analgesics is a major cause of mortality. An analgesic is an addictive toxic.


- Control your pain. Don’t take too many analgesics. Ask your doctor.


- I have already asked. She tells me to always take the medicine early.


The pain is considered (erroneously) as something that arises from tissues and that when it reaches the brain it generates disrupted, neuronal stress that ends up shrinking the cortex.


- I’m hungry. Always. I would eat anything.


- Eat something. Don’t wait. Hunger ends up creating health problems.


Food is effective in controlling short-term hunger, but it prepares more future hunger. What affects health is not always feeling hungry but always eating, obeying the brain’s requirement.


- Give me something so I’m not hungry. I don’t want to be eating all day. I’m gaining weight. Food has side effects.


The role of hunger is to encourage the individual to seek and swallow food. The role of pain is to encourage us to stay still.


- It hurts.


- Don’t move.


- I need to move. Give me something for it to stop hurting so I can move.


Other times, the brain uses pain to avoid the individual standing still.


- I can’t lay still in bed. I need to move my legs or get up and walk.


- Get up.


- I need to be in bed in order to sleep. Give me something for it to stop hurting so I can stay still.


- You have the "restless legs syndrome".


The restless legs syndrome is one of many syndromes of cerebral anxiety and restlessness. Nothing is wrong with the legs. There are no problems of circulation or any other kind. It’s the brain that expresses its concern at the scene of nightly rest and prefers, God knows why, the individual to stay awake, exploring the world, alert.


- I’m sad and I don’t know why.


- Do something interesting and enjoyable.


- I don’t feel like it. Give me something so I feel like it.


The brain is dangerous for the individual. It’s not always right in its assessments. The ancestral fear of harm and failure makes it protect us too much, for no reason. It forces us to always carry an open umbrella for the fear that something will wet us or that we will stay, unwilling, at home.


We must know that there is a pathology of cerebral decisions, the policy of preventive excess. The individual must know that the management of the organism's programs is in the hands of a system that can make serious strategy errors.


- I’m worried about my brain. I’m bored of its alarmism and its catastrophist predictions.


- Don’t mind it. Trust the real situation of your tissues. Don’t open your umbrella. It’s a lovely day. There isn’t a single cloud. The forecast for this entire week is of good weather.


- Can’t you give me something for the catastrophic brain?


- Common sense. Confidence. Rationality. Knowledge.


- Not for me. I was referring to some kind of therapy ...


Cerebral catastrophism and pessimism generate a system of neural activity that, if maintained in a chronic way, can cause cortical thinning and tonsil fattening. Boredom turns off hippocampal neurogenesis. Neurons need a nice atmosphere, good vibes.


Sometimes all we need is to wise up...


- Give me something for the “wising-up” ... With all the advances we have today, isn’t there anything for this...?


- No.

Tuesday, February 22, 2011

Control imagination

 

 

The brain receives information from the world (external and internal) through an extensive network of physical-chemical sensors. With the provided data, the ongoing interaction with reality and its impact (in our own flesh and others’) and what the wise and enlightened say about it, the brain builds a theory about the facts of the past, present and future and their relevance.


The available real-time information is partial, fragmentary, wrapped in considerable background noise. The brain has to fill gaps and solve uncertainties with imagination. It dreams, emulates reality, represents it on the blackboard of its circuits. With the individual turned off, with closed eyes and deactivated muscles, the cerebral dream has no moorings, no limits. When opening the eyes and reactivating movement, everything the brain imagined must abide by what the senses dictate.


The brain has books with missing chapters, chapters with missing pages, pages with missing paragraphs, paragraphs with missing words and words with missing letters, some of them somewhat confusing. That is the way it is and, with it, the brain has to draw conclusions about the possible-probable complete book that someone wrote. The remains can’t be deleted. The account must be respected. Controlled and constrained imagination by the demands of the sensory script.


The cerebral imaginative process is inevitable. It flows without a break. Imagining is a physiological neuronal activity as necessary as any other of the body (breathing, renal filtration, digestion...). Not always the imaginative process is connected, subjected to what the senses provide. If we are not focused intently on a task, the imaginative areas are activated and work once again reviewing one’s biography and others’, the future, the "what the others will say". It's the so-called "default mode" or daydreaming. It lets us act automatically while the mind wanders in virtual reality by the uncertain probability, by the turn to the past and the future.


Imagining the outside is relatively safe. Senses protect us from rantings. The interior is another matter. It’s a protected space in which everything must be controlled, regulated within narrow ranges of variation (homeostasis), but the brain is being bombarded by information on possible events and must be applied thoroughly to calculate probabilities of what it’s said to happen actually happening.


Cerebral imagination about the interior is no longer controlled, limited by the sensor data, but fed by the calculation of probabilities, by expectations. The brain rewrites books never written, not respecting the remains of letters, words, paragraphs and chapters but sayings, beliefs, myths, fallacies, theories ... Processing is dedicated to segregate the believable from the unbelievable, with a strong bias to take the feared for granted. The theoretical possibility and the creeds impose their beliefs. Despite that everything inside will follow a sufficient, predictable and controllable course, the brain can be driven by fear and imagines all sorts of terrifying internal events.


The out-of-control cerebral imaginative process, self-fed, can go beyond the limits and cross the threshold of consciousness and appear as reality. A slight push of activity to the imaginative areas is enough to move from being a faint and brief shadow of reality to having perceptive substance, consciousness, appearance of reality.


- My head started aching.


When pain emerges into consciousness, the brain receives the information that it has done so. This gives credibility to the imagined. It hurts, then something (the feared) is happening.


Brain and individual get into a spiral of agreement on the fact that something is going on. The belief System continues to inject more strength to the neural connections that used to build the virtual world and have crossed the limit.


- The pain is increasing ... It’s unbearable.


Something internal must be happening. Something harmful has crept inside. There’s nausea to eliminate it.


- I'm going to vomit.


The individual must be turned off but kept awake, alert, available, with the senses hypersensitive to any external stimulus. With no social interaction.


- I’m going to my room. Don’t talk to me, don’t turn on any lights... I have a migraine.


Control imagination. Be aware of its existence. Control the expectations and beliefs, the calculation of probabilities, its schooling.


Nothing is going on in the head. They are imaginations of the brain. That's why it hurts so badly, with no limit.

Monday, February 21, 2011

The first brain of the day



I’ve already said that there are many brains adapted to each time, place and circumstance. Each brain is a state of connectivity that is deployed by synchronizing the shooting of a group of neuronal junction points (synapses).

The brain of the night, the one of the dreams, is followed by the brain of the start-up, which evaluates the status of the organism in order to start a new day.

After being in a horizontal position and turned off in a minimal space of which we almost never fall, the brain of the start-up turns on the lights of consciousness, opens the way for sensory signals and cognitive flow, for the merged memories of past-present-future, and gives us the perceptive breakfast:

Hunger and urination ...

There is a diligent brain that wants to connect us with the world, with the standing position, work, coffee and toast. It competes with the lazy brain that encourages us to continue sleeping, horizontally ... The  lazy brain projects dreams, fatigue, pessimism. By the inertia of horizontality it imposes the interpretation that the world is moving when we try to sit up and forces us to stay in bed, motionless, taken aback by dizziness.

The brain of transition from the still and horizontal nocturnal cloister of the bed to the vertical and lively of the day, with joints that rub against each other, vertebrae that pinch nerves, muscles that haven’t rested despite being disconnected, still with the hangover of the catastrophism of the dreamed gives the troubled and just woken up individual fatigue, pain, stiffness, ruminant pessimism ...

- I wake up terribly tired, sore, stiff, too weak to face the day. I can’t rest. Maybe the mattress is not adequate. I use a special pillow for the neck but even so ...

- The brain ...

- I don’t think when I’m asleep. It’s not ME...

- The brain of transition ...

Changes, transitions, are sensitive moments in which the brain projects more perceptive, catastrophist errands of alert. It doesn’t matter if the weather, hormones, the year, working days and holidays, jobs, horizontality and verticality, stillness and motion change.


The moment of the turn on of the body’s engine is complicated, not because there is no energy in the muscles, or the joints have rust from the night, or the vertebrae have tightened and compressed the nerves. It's simply a conflict of interests between the brains that promote action and those that penalize and discourage, the ones that show the result of the debate to the individual, either as an asymptomatic animosity in the transition from night to day or with a served breakfast of pessimism.

We have to start working with brain programs from the very first moment of the day. As soon as the brains turn us on, our task begins: projecting rationality and pushing the network that manages us. The first brain of the day is essential. If we don’t know it’s there projecting its fears, we will be drawn by the appearance that those fears are well founded.

The brain that wakes us up prepares the brain that should turn us off at night. It fears that still and plane place in which the bones and joints suffer and muscles don’t rest, and one feels restless.

- I can’t sleep ... and I need to rest ...

The daytime and nighttime brains, the ones that turn us on and off, build circular interpretative alliances, fish that eat their own tail and get fatter instead of disappearing...

The start-up brain prefers that we stay in bed, and the one that turns off our lights wants them to stay on and wants us to get up and move (restless legs syndrome...)

The brains of unease take turns and make days and nights, waking up and sleeping, horizontality and verticality, stillness and movement miserable. They leave no breathing space, time, place or circumstances ...

- It’s a mysterious disease with no solution ... They say it’s the nerves, the years, the past...

The first brain of the day would need a good romp of reality, of constraint.

Friday, February 18, 2011

Congenital and acquired nervous system



We are born with circuits and programs that are already formed in the neural network. Certain stimuli will lead to reflex, predictable, forced responses. A harmless tactile stimulus applied near the lips generates the sucking action in the newborn. The little hand will close around the mother’s finger. An offensive stimulus will produce a strong retreat from the injured area.

The newborn has a congenital, programmed nervous system. The circuits that form it will always be active. They don’t disappear along with growth. They don’t evolve or change. Stimuli and responses are linked perpetually, immutably.

However, as the child’s development progresses, he/she stops responding in predictable ways. The same stimuli that used to produce always the same answers generates a different response in each individual. Stimuli that were irrelevant before become significant and what once seemed appetitive or aversive now evokes indifference.

Congenital, reflex responses have a neural architecture with a variable complexity of one or more layers of processing. The centers that integrate stimulus and response may be located in the spinal cord, the brain stem (joint area between spinal cord and brain), the deep brain or the corticothalamic circuit. There’s a hierarchical interaction between every level. It’s about circumstances, the event and its context. In general, the upper layers, the most complex ones, control the reflex, sensitive character of the lower layers’ responses. Control is, basically, inhibitory. Instincts are moderated.

The Nervous System contains circuits of closed, congenital architecture and an extensive network of outlined connections, taking care of tuning more precisely, analyzing the meanings of reality from a more complex perspective with more factors to consider and, above all, a distance in time and space. A stimulus or set of stimuli can mean many things. Nothing, something, a few, a lot. It depends on many circumstances. The significance of actions and events contains a lot of uncertainty. We must learn to separate the grain from the straw. To do this, we need to train not only the interpretation of sensory data every time, but especially memorize past and future relevances, the theoretical possibilities of variable probability.

The neural network’s open, alert, plastic architecture learns from the contact with reality. It continuously reorganizes its connectivity. It weaves and unweaves. It sensitizes and numbs. It removes and attributes relevances. It practises. It makes mistakes. It recognizes errors or gets stuck in them.

The brain is not intelligent by design. It’s a system that’s capable of learning, acquiring, evaluating. The “learnings” generate variable results. The course of our lives depends on them. The Acquired (learned) Nervous System can give meaning to our existence or make it an irrational hell.

Neuronal learning needs experience to collide with an appetitive and aversive reality, but also learns from observation of events in others and of what it’s said to be known about the occult. We have models and tutors.

Events, models and doctrines mark the course of learning. Depending on how our and others’ things go, depending on the moments and circumstances, depending on availability and attitudes of caregivers and the judgements and opinions from our tutors, the circuits with acquired connectivity will attribute relevance or deny what happened, happens, is going to happen or is believed to happen.

The connectivity of the Acquired Nervous System is culturized, embedded in beliefs, sayings, clichés, expectations, models. The responses are configured based on what the tutored learning process has generated. We are drawn according to predictable, known beliefs, those that the culture we are created in induce.

The Congenital Nervous System responds to the universal nocivity: extreme temperatures, mechanical energy over the tissue resistance, lethal metabolic conditions (lack of oxygen, acidity), germs ... and it’s indifferent to any state or agent that doesn’t contain such universal harm.

The Acquired Nervous System complements the congenital ability to feel the consummated or imminent damage. It senses danger. It’s always paying attention to an extensive set of signals that providing the display of hidden danger.

The Congenital Nervous System is intelligent. It’s always right. It moves us further away from the real harm but doesn’t sense danger. It just feels it. The Acquired Nervous System is the one that deals with presentiments.

The symptoms: pain, fatigue, dizziness, itching, hunger, thirst, loneliness, sadness, discouragement, anxiety ... arise, they are sometimes projected to conscience by the impulse of congenital connectivity, by an impact of the universal, by objectively intolerable states and agents that generate adversity or lack. Other times, they arise from the acquired, learnt connectivity, of the imaginative brain that has learned to sense the relevance from the uncertain viewpoint of beliefs and expectations. The symptoms are the same. Pain is pain, loneliness is loneliness, but the significance is different if the pulse comes from congenital connectivity, universal connectivity or acquired connectivity.

Wherever congenital sensitivity fails, the acquired pre-sensitivity can be right, and wherever this one senses threat it may have gone better for us with the indifference of congenital circuits.

It’s accepted that there is a Congenital Immune System and an acquired one. Surprisingly, the Acquired Nervous System is not considered.

Some inflammations are activated by the congenital immune system and others by the acquired one. There are default errors from the congenital and excess errors from the acquired.

There are pain and other somatic symptomatic perceptions projected to conscience by the impulse of congenital connectivity and there are also pain and other somatic perceptions projected to the same conscience with the same perceptive quality from the acquired, learned connectivity. There are default congenital errors and errors acquired by excess.

We find attenuators for the errors in the decision making of the acquired network in genes, in supposed neurotransmitter deficiencies, in reparative botched jobs of old tissue and heart wounds. The schooling process is not analyzed.

The Acquired Nervous System exists. It’s always there, learning and unlearning.


Learn to sense and feel it. Don’t let your guard down for the detection of errors.


Don’t rely on models or tutors. Demand rigor. Learn. Inject intelligence in the network. It doesn’t just fall from the sky.


Strive.

Wednesday, February 16, 2011

Beliefs and Knowledge



Louis Pasteur

Any kind of belief can orbit any issue or, rather, any kind of issue can orbit any belief.

I believe in medicines... for everything, in homeopathy for everything, in needles for everything ... Everything can be referred to the creed embraced by oneself ... at least for a while, the one that continues with the appearance of effectiveness:

- I only know that (right now) it works for me.

Beliefs about the body may be multicolored and evanescent, changing, capricious.

- Why don’t you try it?

Not everything (for everything) is always believable. Few citizens would accept being treated for bacterial meningitis or insulin-dependent diabetes with something other than antibiotics or insulin.

There are tangible diseases to which scientific knowledge has unveiled its dynamics, taken the initiative and overcome with therapy. There is little room left to believe whatever you like. It’s a matter of life or death.

One thing are tangible diseases and, another, suffering without a tangible disease substrate. A person with an objectively healthy body can suffer without limits. More than half the volume of health care is devoted to this area: chronic sufferers without a tangible medical certificate of disease. At most, a label (provisional) of supposed illness, a label that must be validated by the Diagnostic Labels Validation Office.

The lack of tangibility allows all sorts of speculations and proposals, both in Official and Alternative Medicine. In the intangible are the drugs, needles, herbs, homeopathic products, the "handicrafts" (chiropractic) ... disputing the creeds of the sufferers.

Before Pasteur demonstrated the tangibility of infectious diseases, those who offered explanations of the intangible would dispute the origins and true remedies. The great clinicals of European Officiality held the theory of miasma: “putrid effluvia from decomposing organic matter". They believed in miasma and ignored themselves as carriers of death in their hands, full of germs.

There are molecular explanations for intangibility (genes, neurotransmitters, toxins, food) or pseudo-molecular (molecule memory, faceless traces) and energetic (electromagnetism) or pseudo-energetic (ki, handicrafts, spirituality, mentalization, religiosity). Not in vain, everything is matter and energy (or pseudo-matter and pseudo-energy)... but there isn’t only matter and energy. We forget about history, evolution in time and space, the way matter and energy are intertwined, organized by evolution’s requirement. We forget about information, memory, prediction, probability, errors and their detection, learning ...

We know a lot about matter and energy, enough to handle some problems of the body that have their origin and possible remedy in terms of matter and energy. What happens with information?

Neurons are physical, tangible entities, that generate tangible, detectable and quantifiable molecules and electrical signals. However, signals and molecules are at the information’s expense: they express memories and probabilities, certainties, uncertainties, anxieties, desires and fears ... motivations, relevances, things not so tangible and quantifiable.

- It hurts

- You don’t have anything tangible. Which beliefs do you think can be responsible for this?

This comment is unthinkable at the doctor’s office. Perhaps the formula "what do you blame for it?” would be more fortunate ...

- I believe that nerves, changes in the weather, wear, years, cervicals, nutrition, hormones, stress, that accident I had, separation have an influence.

- What treatments have you followed?

- I tried everything. Drugs, needles, homeopathy, herbs, diets ... psychoanalysis ... Nothing worked.

- You are in a Neurology office. We Neurologists are trained to solve issues with medicines... Do you believe in medicines?

- They haven’t worked on me. I don’t like them. They damage the stomach and don’t take away my pain.

Sufferers involuntarily confess their pilgrimage around the market of faiths. Belief in therapies go below the minimum, they are on the edge of absolute disbelief, despair or self-sacrificing conformity.

- Beliefs are your problem. You must get rid of them and fill the gap with what we know about what’s afflicting you. Forget about the solution. Listen, read, think it over and learn. Let the knowledge module your brain’s decisions. Its matter and energy are sufficient. You may need to review the information that manages them.


Information exists. It’s a fundamental component of matter and energy, trapped in the history of living beings. When a living thing dies it’s because it runs out of information. It’s only matter and energy pending to be part of another living space-time, informed.

There is information that cheers life up, that projects it to explore the environment. There is information that encourages inaction, catastrophism, disease conviction, claim of an official label of illness.

Take care of your information. You need it in order to live. Don’t devote yourself to obtaining pro-disease information. You will live in anguish.

- You have nothing. It’s just information. Your matter and energy are adequate but poorly managed. Believe me ...

Tuesday, February 15, 2011

Saving the muscle




From the perspective of the pain always coming from wherever it’s felt and and hurting after  activity, we are tired without having made an effort, we sleep little and badly and we don’t recover energy nor muscle rest, it’s logical to conclude that widespread pain is a muscle-skeletal thing. The only thing left to do is feel the muscles to expose and objectify the corpus delicti. If we palpate muscles and get 11 painful points, the thing is clear: it’s fibromyalgia.

It’s the muscles. For the sufferers it’s clear. They don’t measure up. They are sore, bottomless, without energy, sensitive, inflamed. We must get them back with exercise but very gently, without excesses.

How did it all begin?

- In an accident, an idiot who hit us from behind on a red light.

- It was a time of a lot of stress ...

- The spine. Osteoarthritis ...

- It just happened ...

Experts seek and describe subtle chemical changes in muscles and nerve endings of nociceptors (vigilant neurons of harm). Something happens there. Wherever it hurts there is clear evidence of abnormality.

There is also evidence that the nervous system is hypersensitive. True, but this is due to the bombardment it’s submitted to from the center of muscle pain. It’s essential to identify and silence the nociceptive signal hideouts, hidden places from which the pain leaks and fills the neural network and keeps it at bay.

Massages, relaxations, gentle and progressive exercise, punctures on myofascial points, botulinum toxin, detachments, surgery ... Anything that puts out the muscle’s continuous fire will be beneficial.

Struggling with stress is necessary. No stress. Muscle contracture. No pain. Pain stresses. It’s prohibited.

Refreshing sleep is also needed. Insomnia is also prohibited.

The muscle must be treated with care. Non-toxic feeding. Healthy diet.

Positive attitude. Selflessness. Fortitude. Illness awareness. Hope. Optimism. Even pride if needed.

Drugs. Needles. Homeopathy. They don’t cure, but they relieve.

High spirits, even if the sky is falling. Don’t get depressed. Take antidepressants if needed.

It’s all about the muscle! It needs support, breath, be pampered.

Muscle fibers are hyperexcitable cells in their own right. If the environment is not adequate, they contracture creating vicious circles. If the task is not adequate, they suffer overload, abuse. There are "Cinderella" muscles. They’re the ones who deal with everything. The tasks of modernity aren’t the most appropriate. The computer... We don’t know why the sapiens’ (ma non troppo) cervicals are “pro-no”-ly selected for this damn modern life. What to say of the lumbar vertebrae! Why can’t we be quadrupeds! Bipedalism has given us an excessive bill. Free hands with an opponent thumb, yeah, that’s fine... but what about the back pain...?

There is an urge to protect the muscle since childhood. There are children with fibromyalgia. Muscularly healthy life. We already have the cardio-healthy proposals. The heart is also a muscle. Let’s do the same with the rest. Stretching. One hour before each game and one hour after. The kids need to acquire good habits.

There’s no doubt. The muscles are at their peak. We need them to be strong, energetic, relaxed...

- Brain, you say?

The brain decade has already passed. We are left with a lot of new and expensive drugs, social alarm for Alzheimer's and Parkinson's, promises ... and more suffering. More pain, more despair, more tiredness, more insomnia.

- Neurons? Are they cells?

When the embryo neurons first appear, they contact the muscle fibers and nothing will ever be the same for them. They will receive orders.

The muscle is a servant. Yes, the brain is the boss.

Fibromyalgia, a matter of muscle? A matter of brain?

Suit yourself...