Overview:
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by tiredness, sleep, memory, and mood difficulties.
Researchers believe that fibromyalgia amplifies painful sensations by changing the way your brain and spinal cord process painful and no painful signals.
Symptoms often start after an event, such as physical trauma, surgery, infection, or major psychological strain.
In other instances, symptoms slowly accumulate over time without a single triggering event.
Girls are more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have stress headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety, and depression.
While there’s no cure for fibromyalgia, a number of medications can help control symptoms. Exercise, relaxation, and stress-reduction measures can also help.
Symptoms of Fibromyalgia:
The main symptoms of fibromyalgia include: -The pain associated with fibromyalgia often is described as a continuous dull ache that has lasted for at least three months.
To be considered widespread, the pain must occur on each side of your body and above and below your waist.
Individuals with fibromyalgia often awaken tired, even though they report sleeping for long intervals.
Kidney problems – A symptom is commonly known as “fibro fog” that impairs the capacity to focus, listen and concentrate on mental tasks.
Fibromyalgia often co-exists with other states, for example:
Chronic fatigue syndrome
Migraine and other types of headaches
Interstitial cystitis or painful bladder syndrome
Temporomandibular joint disorders
Depression
Reasons for Fibromyalgia:
Many researchers think that replicated nerve stimulation induces the brain and spinal cord of individuals with fibromyalgia to change.
This shift entails an abnormal increase in levels of specific substances in the brain that indicate pain.
Additionally, the brain’s pain receptors appear to come up with a type of memory of the pain and eventually become sensitized, meaning they are able to overreact to painful and nonpainful signals.
There are probably many factors that contribute to these changes, such as fibromyalgia will run in families, there may be certain genetic mutations that may make you more susceptible to developing the disease.
Some illnesses seem to trigger or aggravate fibromyalgia.
Physical or emotional events – Fibromyalgia can sometimes be triggered by a physical event, like a car accident. Prolonged psychological stress may also trigger the problem.
Your sex – Fibromyalgia is diagnosed more frequently in women than in men.
Family history – You may be more likely to develop fibromyalgia if a sibling or parent also has the condition.
Other disorders – For those who have osteoarthritis, rheumatoid arthritis, or lupus, you might be more likely to develop fibromyalgia.
Infection of Fibromyalgia:
The pain, fatigue, and poor sleep quality associated with fibromyalgia can interfere with your ability to work at home or at work.
The frustration of dealing with an often-misunderstood illness also could result in depression and health-related anxiety.
Diagnosis of Fibromyalgia:
In the past, doctors would check 18 specific points on a person’s body to learn how many of them were painful when pressed firmly.
Newer guidelines from the American College of Rheumatology don’t demand a tender point examination.
Instead, the principal factor required for a fibromyalgia diagnosis is widespread pain throughout the human body for at least three weeks.
To Satisfy the criteria, you should have pain in at least a few of those five areas:
Left upper region, such as shoulder, arm, or jaw
The right upper area, including shoulder, arm, or jaw
Left lower region, including hip, buttock, or leg
The right lower area, including hip, buttock, or leg
Axial area, which includes the throat, back, chest, or abdomen.
Tests of Fibromyalgia:
Your physician may want to rule out other illnesses that might have similar symptoms. Blood tests may include:
Complete blood count
Erythrocyte sedimentation rate
Rheumatoid factor
Thyroid function tests
Celiac serology
If there is a chance you might be suffering from sleep apnea, your doctor may recommend an overnight sleep study.
Treatment of Fibromyalgia:
Generally speaking, treatments for fibromyalgia include both medication and treatment plans. The emphasis is on minimizing symptoms and improving overall health.
Nobody treatment works for all indications, but trying an assortment of treatment plans can have a cumulative effect.
Drugs of Fibromyalgia:
Medications can decrease the pain of fibromyalgia and also improve sleep. Typical choices include:
Pain relievers- Opioid medications aren’t recommended, because they may lead to significant side effects and dependence and will worsen the pain with time.
Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia.
Your physician can prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep.
Anti-seizure drugs – Medicines made to deal with epilepsy are often useful in reducing certain types of pain.
Gabapentin (Neurontin) is occasionally helpful in reducing fibromyalgia symptoms, whilst pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia.
Treatments of Fibromyalgia:
A variety of different treatments can help reduce the impact that fibromyalgia has on your body and your life. Examples include:
Physical treatment – A physical therapist may teach you exercises that will improve your strength, flexibility, and stamina. Water-based exercises might be particularly helpful.
Occupational treatment – An occupational therapist can help you make adjustments to your own workplace or the way you perform specific tasks that will cause less strain in your body.
Counseling -Talking with a counselor can greatly strengthen your belief in your skills and educate you on strategies for dealing with stressful circumstances.
Lifestyle and home remedies:
Self-care is critical in the management of fibromyalgia.
Stress management – Develop a strategy to avoid or limit overexertion and emotional stress. Allow yourself time every day to relax.
That may mean learning how to say no without guilt. But try not to change your routine entirely.
People who quit work or fall all-action tend to do worse than do people who remain active.
Try stress management techniques, for example, deep-breathing exercises or meditation.
Sleep hygiene – Because fatigue is one of the chief components of fibromyalgia, obtaining good excellent sleep is vital.
In addition to devoting sufficient time for sleep, exercise good sleep habits, such as going to bed and getting up at the exact same time each day and limiting daytime napping.
Exercise regularly -At first, exercise might boost your pain. But doing it slowly and frequently often reduces symptoms.
Appropriate exercises may include walking, swimming, biking, and water aerobics. A physical therapist can help you build a house exercise program.
Stretching, good posture, and comfort exercises are also helpful -Maintain your action on an even level. If you do too much on your good days, you might have more bad days.
Moderation means not overdoing it on your good days, but likewise, it means not self-limiting or doing too small on the days when symptoms.
Eat healthy foods – Don’t use tobacco products. Limit your caffeine intake. Do something that you find enjoyable and fulfilling every day.
Alternative medicine:
Complementary and alternative therapies for stress and pain management are not new. Some, such as meditation and yoga, have been practiced for centuries.
But their use has become more popular in recent years, especially with individuals who have chronic illnesses, such as fibromyalgia.
Several of these treatments do appear to safely relieve tension and decrease pain, and a few are gaining acceptance in mainstream medication.
But many practices remain unproved since they haven’t been adequately studied.
Acupuncture is a Chinese medical system based on restoring the normal equilibrium of life forces by inserting very fine needles through the skin to several depths.
According to Western theories of acupuncture, the needles cause changes in blood circulation and levels of neurotransmitters in the brain and spinal cord.
Some studies indicate that acupuncture helps relieve fibromyalgia symptoms, but others show no advantage.
Massage treatment -This is among the oldest methods of health care nevertheless in practice. It involves the use of different manipulative methods to move your body’s muscles and soft tissues.
Massage may reduce your heart rate, relax your muscles, improve range of motion in your joints and increase the production of your body’s natural painkillers.
It often can help relieve stress and anxiety.
Yoga and tai chi – All these practices combine meditation, slow movements, deep breathing, and relaxation. Both are proven to be useful in controlling fibromyalgia symptoms.
Preparing for your appointment:
Since many of the signs and symptoms of fibromyalgia are very similar to various other ailments, you might see several doctors before getting a diagnosis.
Your family doctor may consult with a doctor who specializes in the treatment of arthritis and other related conditions (rheumatologist).
What you can do
Before your appointment, you Might want to write a list that includes:
Thorough descriptions of your symptoms
Info about medical problems you have had previously
Information Regarding the medical problems of your parents or siblings
All the medications and dietary supplements you take
Questions you want to ask the doctor
Things to expect from your Physician
As well as a physical examination, your doctor will most likely ask you in the event that you have problems sleeping and if you have been feeling depressed or anxious.
Ask your friends and loved ones for support. If you’re feeling anxious or depressed, consider joining a support group or seeking counseling. Believe in your ability to take control of the pain…
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