Fibromyalgia: symptoms, causes, diagnosis, and treatment

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The term Fibromyalgia is a Latin word for fibrous tissue and the Greek terms for muscle (myo) and pain (algia). This is a disorder, which consists of pains all over the body .people with this disease having tender points throughout the bodies, tender points are at neck, shoulder, back, hips, arms and legs that hurt when pressure applied on them.This disorder is misunderstood and misdiagnosed with osteoarthritis, but it is the next level of the osteoarthritis, as well as the symptoms of this can lead to the depression and social isolation.

Fibromyalgia tender points:

It is a disorder with multiple tender points wide spreads  deep muscle pain, sleep disturbances fatigue and depression. Tender points are the pain points or localized areas of the tenderness around the joints tender points are not the deep areas of the pain but they are upper or under the surface of the skin, such as the area over the elbow or shoulder.

The actual size of the point of most tenderness is usually very small, these areas are the much more sensitive than other areas nearby, and the cause of these pressure points is not known. Even though these areas might be inflamed, researchers have not found the particular sign of the inflammation when examining the tissue. They occur in the different places of the body, this means many people with disease experience similar symptoms with tender points.

Fibromyalgia symptoms:

Symptoms of this disease include:

  • Chronic muscle pain
  • Severe fatigue decreased energy
  • Insomnia(sleeplessness)
  • Stiffness of the muscle, for staying in the same position for too long
  • Difficulty in remembering, and performing simple tasks
  • Abdominal pain
  • Migraine headache
  • Jaws and facial tenderness
  • Numbness
  • Increased urinary urgency
  • Reduced tolerance
  • A feeling of swelling, without actual swelling in the hands and feet

 Fibromyalgia causes:

There are several causes of this disease such as hormonal disturbances to stress to genetics, and also some have that low-level of a brain neurotransmitter called serotonin leads to lowered pain threshold or an increased sensitivity to pain, serotonin-related to the calming and anxiety-reducing reaction.

This disease is far more common in women than in men. Some studies show that women who have approximately seven times less serotonin in the brain, this explain why this disease is more common in women.

Another theory states that this disease caused by biochemical changes in the body and may be related to hormonal changes or menopause. Some state that stress or poor physical conditioning are the factors that can cause this disease.

Most of the people have sleep problems, this leads to the lower levels of serotonin , which results from pain and sensitivity.

Like other rheumatic disorders, this disease is may be the result of the genetic tendency that passed from mother to daughter. Several genes have been found to occur more often in people with this disorder.

Fibromyalgia diagnosis:

The symptoms of this  disease  are also found in many other conditions, there is no simple test no simple test to diagnose Fibromyalgia, In the past , millions of this disease patients were misdiagnosed as having depression, inflammatory arthritis, but this different, it is a distinct condition that needs an accurate diagnosis and appropriate treatment.

Physical exam:

  • Complete blood count test
  • Sedimentation rate
  • Rheumatoid factor
  • X-rays

Fibromyalgia treatment:

When it comes to treatment there are drugs and alternative treatments and healthy lifestyle that may help to decrease symptoms, decrease pain, improve sleep.

The Fibromyalgia specialist may prescribe the pain medication or antidepressants to help to treat the pain.

There is no pill that treats this disease; a multidisciplinary approach that uses both medication and alternative or lifestyle strategies seems to work best to treat the symptoms of this disease.

Medication:

anti-depressant: duloxetine*

Anticonvulsants: pregabalin (Lyrica)*

Anti-inflammatory: ibuprofen*, naproxen*

Pain relievers: acetaminophen*

Muscle relaxants: cyclobenzaprine*

Steroids: prednisone*

Alternative treatments:

  • Acupuncture
  • Chiropractic
  • Deep tissue massage
  • Neuromuscular massage
  • Meditation
  • Herbal medicines
  • Natural dietary supplements

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