Friday

Fibro Friday week 396

WELCOME to this week's Fibromyalgia link-up hosted by Fibro Blogger Directory. We have thousands of articles about fibro here for you and you can access them by clicking Fibro Friday in the topics and then following the links. We would love you to join in this week.

Fibro Friday - the fibromyalgia link-up week 396


Fibro Friday articles week 396

Wednesday

Dizziness and fibromyalgia

Dizziness is a symptom that is often attributed to fibromyalgia but it is a complex symptom because it can have so many causes. It is also a symptom that may be overlooked, or not even mentioned to the doctor, because pain and stiffness and fatigue are just so much more demanding of our attention. 

I've collected information here on dizziness from a variety of sources including people who have fibromyalgia. 

Dizziness and fibromyalgia

DIZZINESS AND FIBROMYALGIA STATISTICS

Many people quote the statistic that 70% of people who have fibromyalgia have dizziness but they do not say where this statistic comes from. As far as I can work out it came from a study into 168 fibromyalgia patients that was done in 1996 at the Department of Audiology Karolinska Hospital, Sweden. Vertigo/dizziness was reported by 72% of these patients. The results of this study indicated "that central nervous system (CNS) dysfunction frequently occurs in patients with fibromyalgia, although proprioceptive disturbances might also explain some of the abnormalities observed."

CAUSES OF DIZZINESS IN FIBROMYALGIA

Celeste Cooper is a Registered Nurse, hospital educator, and nurse paralegal who has been living with fibromyalgia who has important recommendations for the symptom of dizziness:  

  • Report this to your doctor and discuss the possibilities of the presence of these conditions, there are tests that can be done. 
  • You must find out what is causing your dizziness. Dizziness is a symptom and can be caused by many conditions, but in FM the major culprits are hypothyroidism, Neurally Mediated Hypotension (NMH) or Postural Orthostatic Tachycardia (POTS). The presence of myofascial trigger points, causing chronic myofascial pain, located in muscles next to vital organs and blood vessels can also cause dizziness.
  • Identify the cause of your dizziness to know how it is best treated. The treatment for all of the disorders is different. 
  • Rule out other conditions such as hypoglycemia (low blood sugar), insulin resistance, impending stroke, etc.
  • Once any life-threatening cause has been ruled out, be sure to check for myofascial trigger points in the area. They can be easily felt by a trained examiner, and treated. Myofascial Pain is present in most if not all FM patients. 

NEURALLY MEDIATED HYPOTENSION (NMH) IN FIBROMYALGIA

Dr Oz says One potential side effect of fibromyalgia is a problem called neurally mediated hypotension. It simply means that your blood pressure is a bit too low. If you stand for a long time, your head may start spinning.

The best way to avoid dizziness that comes from this problem is to avoid standing for long periods, if possible. When you can't avoid standing, walk around as much as you can. You can also try wearing compression stockings, which help to relieve hypotension.

POSTURAL ORTHOSTATIC TACHYCARDIA (POTS)

PoTS UK says that this condition is due to an abnormal response by the autonomic nervous system and is characterised by orthostatic intolerance (the development of symptoms when upright that are mostly relieved by lying down). These symptoms include lightheadedness, fatigue, and fainting.

STEROCLEIDOMASTOID TRIGGER POINTS

These are trigger points in the neck that can cause dizziness, vertigo and imbalance. They can also cause hearing loss and tinnitus. They are created by postures that cause the neck muscle to contract such as forward head posture. These trigger points can be released by specific massage techniques. You may be able to find a Myofascial Trigger Point Therapist near you through this database.

POSTURE AND DIZZINESS

Having poor posture and weak muscles can mean that when people with fibromyalgia do many daily activities such as driving or working on a computer they can cause the creation of the trigger points mentioned above. If your neck is tight or sore it may indicate you have these issues. A trained physical therapist can help diagnose and treat these issues and will usually give you exercises to improve your posture.

MEDICATIONS FOR FIBROMYALGIA MAY CAUSE DIZZINESS

According to Dr. Congdon, “Many fibromyalgia medications have dizziness – and sometimes loss of balance – as a common side effect. That’s why it is important to talk to your doctor if you are experiencing dizziness or balance trouble to see if one of your medications could be contributing.”

Specifically, she mentioned pregabalin (eg, Lyrica), gabapentin (eg, Neurontin), and zolpidem (eg, Ambien), which helps with sleep and may cause next-day dizziness. If you are taking any of these medications and experiencing issues with balance, talk with your doctor about possible alternatives. FROM PRACTICAL PAIN MANAGEMENT ARTICLE

RESEARCH INTO FIBROMYALGIA AND DIZZINESS

A 2019 study into Impaired Balance in Patients with Fibromyalgia Syndrome found that many of the participants experienced dizziness in their daily life. This impacted their balance confidence as they were scared of falling over. 

To evaluate disability due to vertigo the dizziness handicap inventory (DHI) was used. This is a useful multi-dimensional tool for quantifying self-perceived disability in patients with vertigo, dizziness, or instability, and its impact on activities of daily living. It contains 25 self-administered questions, with a total range of 0 to 100 points. A higher score indicates a greater degree of disability due to the vertiginous symptoms.

A 2002 study found that dizziness was the most common complaint of the patients in the study and that they had symptoms of vestibular ear disorders even though they did not have any clinically or audiologically detectable ear disease. 


OTHER DIZZINESS RELATED CONDITIONS

Pituitary Adenoma ~ What is Your Fibromyalgia Hiding?

One of the symptoms of having a pituitary adenoma is dizziness. Find out more about this condition and read Suzanne's story with it from diagnosis to treatment.  

Vestibular migraine is a nervous system problem that causes repeated dizziness (or vertigo) in people who have a history of migraine symptoms.

A day in the life with vestibular migraine.

Symptoms of vestibular migraine can differ slightly amongst those with the condition. Two of the most common are dizziness, which VeDA describes as ‘a sensation of lightheadedness, faintness, or unsteadiness’, and imbalance, which is ‘unsteadiness or loss of equilibrium that is often accompanied by spatial disorientation’.

Other symptoms of vestibular migraine in particular, and those that affect me, are motion intolerance (can’t stand being on a bus), vertigo attacks (which I am thankful to have few of nowadays), and issues with heights or simply looking at tall buildings. Cobblestone streets and uneven ground throw out my balance, and you will never catch me going on a rollercoaster! Claire describes her day with this condition

Meniere's disease is an inner ear disorder probably caused by a fluid buildup and a feeling of fullness and pressure in the ear. The symptoms include episodes of vertigo, hearing loss, and tinnitus (ringing in the ears). 

Recurrent positional vertigo is most often caused by benign paroxysmal positional vertigo (BPPV). BPPV has the sudden sensation that you're spinning or that the inside of your head is spinning. BPPV causes brief episodes of mild to intense dizziness. It is usually triggered by specific changes in the position of your head. This might occur when you tip your head up or down, when you lie down, or when you turn over or sit up in bed. (MAYO CLINIC) 
If this is the cause of your dizziness your doctor can guide you through some exercises that are called the canalith repositioning procedure.

Multiple Chemical Sensitivity (MCS)

MCS is something that many people with fibromyalgia have and one of the symptoms is dizziness. this is usually brought on by strong smells such as household cleaners, perfumes and petrol fumes encountered when pumping petrol to your car. 

LIVING WITH DIZZINESS

STAY HYDRATED

This can seem a bit simplistic but being dehydrated can cause dizziness and lightheadedness. Naturopath Janet McKenzie gives us a guide on how to determine how much water we should be drinking. 

EXERCISE

Dizziness is something many of us who live with fibromyalgia struggle with, but it can also be a symptom of other medical issues. As it affects our balance, exercising while we’re dizzy can throw us off balance and result in falls and injury. Terri talks about this and how to determine if we should exercise on any particular day. 


TIPS FOR SHOWERING WHEN WE ARE DIZZY

Showering can be difficult when we have fibromyalgia for a variety of reasons including dizziness. Shelley talks about the reasons why showering is a complex issue and some suggestions for what to do to prevent dizziness and other showering issues here.

THE RIGHT PILLOW MAY HELP PREVENT DIZZINESS

For years Bethan would experience vertigo, a feeling of spinning if her head fell off her pillow while sleeping. Now she has found the perfect pillow for her to prevent this.

10 TIPS TO STOP DIZZINESS

Sue has some helpful tips including home remedies and trigger point massage that you can try yourself. She also recommends finding out what kind of dizziness you are experiencing so you know which treatments may help.

WHAT DOCTOR SHOULD I SEE FOR DIZZINESS?
A specialist is needed to diagnose these issues. The following specialist's may be able to help:
  • Audiologist
  • An ear nose and throat specialist (otolaryngologist)
  • Neurologist
ARTICLES IN SPANISH ABOUT FIBROMIALGIA  AND DIZZINESS

Mareos, falta de equilibrio y caídas durante los episodios agudos de Fibromialgia

Falta de equilibrio y Fibromialgia, un estudio demostró que las mujeres son más propensas a sufrirlo

Fibromialgia: averigua como prevenir y evitar los mareos, vértigo, caídas, caminar inestable

Dizziness and fibromyalgia


Friday

Fibro Friday week 395

WELCOME! to this week's Fibromyalgia link up where you can find out new and interesting information about FMS. It's a great place to find personal stories about fibromyalgia from fibro bloggers. 

While you are here you might want to check out last week's offerings as there were 21 interesting posts from heat helping pain to Ya gotta laugh!

This week please leave your own fibro-related link below and visit some of the other links too. 

Who can join in Fibro Friday? Anyone who has an article to share about fibromyalgia can join in. 

Fibromyalgia link-up Fibro Friday week 395


Thursday

How to optimize your images to get more traffic to your blog

Many bloggers are not utilizing the power of images in their blog posts so here is how you can make sure you are doing these things. This will help get more views on your blog posts through the images you share in your blog post.

How to optimize your images to get more traffic

Firstly understand:

1. There is a thing called Google Images. It's right up there on the top right corner of your Google search page, next to Gmail. It's something that you may not give much thought to. It's the way to visually discover information on the world wide web.

2. Many people use Google Images to search for images for a variety of reasons. They may be looking for a quote or an infographic, a template or a specific type of picture. 

3. It is easier to be on the first page of Google Images than it is to be on the first page of Google Search. Why? Firstly from my own personal experience over many years blogging, with multiple blogs I have seen this and secondly because of the many number of images that are shown in Google images as compared to the 10 or so on Google Search.

4. You must have an image in your post to get social media re-shares. Optimally it would be good if you had a Pinterest size image on, or hidden in, your post so that people will share your post on Pinterest. 

5. Google reads text so you have to provide text to your images. Google's crawlers cannot see your image so any words you provide in the filename, ALT attribute and caption help Google to rank your images in Google images.

How to optimize your images to get more traffic.

This is a simplified version of what you must do to get the best views on your blog images and therefore your blog. It's as simple as ABC:

A. Save the image on your computer, in pictures, or downloads, with a name relevant to your post. As an example let's consider a post about The Benefits of Walking. The image below was called  'Image00957' and I renamed it 'walking benefits'. 

This way Google will read it as  

<img src=”walking_benefits_.png”/> which is helpful. 

Whereas <img src=”IMG00957.png”/> is not helpful at all.

B. Make sure you use the ALT attribute on the image, when you put it in your post. Alt text was designed for visually impaired screen readers to explain what the image is about. It also gives Google extra information about the image.  Try and use a relevant keyword in the ALT text to describe the image, if it is relevant. For example in the image above the ALT attribute could be ' two people enjoying the benefits of walking in nature'.

C. Use a caption under the image. Did you know that this is often the most read text on your page? Also it gives google extra information about the image and your post. The example in the image above could be 'Jimmy and Lee are getting out of the house and enjoying the many benefits of walking every day at their local parks. Here they are seen at the newly updated Gannons Park.'

Ranking your blog image in Google Images.

Here are the ranking elements that Google uses according to Rand Fishkin of Moz 

A. The image file name

B. The alt attribute on the image.

C. The image caption.

D. Surrounding text content.

E. The page title

F. The page URL 

G. Image engagement and popularity

H. The image dimensions matter.

I. Image size

J. Embeds of the image

K. Traditional web ranking factors on the existing URL

L.  Image relevance and visual match 

As you can see there is a lot more to this optimizing images thing but if you just make sure you are doing the ABC described above you should start getting more traffic from your images.

Go to Moz to see more explanation of these elements A to L elements of ranking images and also an in-depth video on SEO for photos, visuals, and graphics. 

Bonus tip for getting more traffic by using images.

According to Hostgator we should be using more real images in our blog posts:

You may be tempted to pay for a stock image. While stock images are better than no images at all, research shows that real photos can result in a 35% increase in conversion.
So this means real images that you have taken because apparently people want to see images of you and your partner going for a walk or your kitten, or your sore foot or whatever is relevant to your post. Makes sense to me. What about you? Have you ever used your own photographs in your posts? You might want to go back and check if these are your popular, shared posts.

Final tip for getting more traffic by using images.

When you are revamping your old posts don't forget to optimize the images using ABC.

Your turn. I would love to hear from you in the comments. Are you already using these techniques on your images? Have you learned something today from reading this about optimizing your blog post images to get more readers?

How to optimize your images to get more traffic to your blog