With this condition, the body perceives pain to otherwise harmless physical (tactile) stimuli.
Fibromyalgia involves multiple pain types, including hyperalgesia (the overamplification of pain) and paresthesia (abnormal sensations like burning or tingling in the absence of stimuli). In addition to fibromyalgia, tactile allodynia can occur with peripheral neuropathy, postherpetic neuralgia, trigeminal neuralgia, and migraine.
Tactile Allodynia Symptoms
Tactile allodynia can range from mild to severe. It can affect areas all over the body or only certain areas. It can be constant or come and go with symptom flares. Sometimes, allodynia may be set off by a trigger, such as scratching or stepping on something sharp.
Common descriptions of tactile allodynia include:
Mechanical allodynia (associated with physical stimuli)Thermal allodynia (triggered by changes in temperature)
Burning pain from waistbands, bra straps, socks, and other pieces of constricting clothingPain from tags in shirts or stitching on clothingPain from fabrics bed sheets, towels, or blankets that are not abrasivePain when rubbing against objectsPain with hugging or even a firm handshakePain when grabbing something cold from the refrigerator or freezerPain when stepping out into extreme cold
Causes
Tactile allodynia is a form of pain that arises from a malfunction of nociceptors, which are specialized nerves. Nociceptors sense information about your environment, such as temperature, pressure, and conditions that could cause you harm at the cutaneous (skin) level.
Do you know how your hand will pull away from a hot burner before you even realize that you’re about to burn yourself? This is due to the unique action of nociceptors, in which a reflexive response is triggered without the need for a separate signal from the brain.
With fibromyalgia, nociceptors may perceive normal sensations as painful. Researchers believe that this is the result of central sensitization. Rather than pain being triggered locally in the peripheral nervous system, fibromyalgia pain is caused by an overall amplification of pain in the central nervous system.
Treatment
Many of the treatments that lessen your fibromyalgia symptoms can help alleviate symptoms of tactile allodynia. Treatment options include:
Tricyclic antidepressants SNRIs like Cymbalta (duloxetine) and Effexor (venlafaxine) Seizure drugs, especially Lyrica (pregabalin) and Neurontin (gabapentin) Topical lidocaine
Some people also get relief from topical pain creams, including Tiger Balm, Aspercreme, BioFreeze, and capsaicin-containing ointments and patches. You may also want to identify and avoid triggers that incite allodynia flares.
