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11.05.2014

What is fibromyalgia pain like, sleep remedies uk - Plans Download

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Fibromyalgia is not always easy to diagnose because symptoms vary from person to person, many of the symptoms mimic those of other disorders, there are no visible signs of the disorder that a physician can see, and there is no definitive laboratory test for fibromyalgia.
There are no blood tests or X-rays that specifically point the doctor to the diagnosis of fibromyalgia. Traditionally, the most effective medications in the treatment of fibromyalgia have been the tricyclic antidepressants, medications often used in treating depression. To individualize the reduction of stress in the treatment of fibromyalgia, biofeedback is often recommended.
Fibromyalgia syndrome (FMS or Fibro for short) is a chronic condition, which causes widespread pain and fatigue as well as a variety of other symptoms. The pain of fibromyalgia is often described as an aching or burning in many areas of the body and is often accompanied by muscle spasms and stiffness.
One of the biggest problems and injustices that has occurred for those suffering from fibromyalgia is the fact that for so many years it has been totally undiagnosed or dismissed by many in the medical community. Several studies, including resources from The American College of Rheumatology and also the John Hopkins University of Medicine estimate that Fibromyalgia Syndrome affects approximately 3-4% of the population of the USA (10 million – 12 million) or up to 6% of patients seen in doctor’s offices.
The exact cause of fibromyalgia is unknown, however researches have identified some clues that may explain how certain people develop this syndrome. It is important to mention that there is another condition that often co exists with fibromyalgia known as CMP or chronic myofasical pain.
The easiest way for a practitioner to differentially diagnose FMS from CMP is to palpate for sensitive points in the musculature and see if pressing on those points refers pain elsewhere. The word fibromyalgia comes from the Greek myos meaning "muscle", Greek algos meaning "pain", and New Latin fibro meaning "fibrous tissue".
Even though fibromyalgia is frequently referred to as an arthritis-related condition, it does not cause joint damage or inflammation, as arthritis does.
According to reported cases in the USA, approximately 1 in every 73 American adults suffers from fibromyalgia. People who suffer from rheumatoid arthritis, lupus (systemic lupus erythematosus), or spinal arthritis (ankylosing spondylitis) have a higher risk of developing fibromyalgia, as well as patients with some other rheumatic diseases.
A patient with fibromyalgia will usually keep going back to the doctor many times before a proper diagnosis is made. As laboratory tests do not show a physical reason for the pain that goes with fibromyalgia, there are not any diagnostic laboratory tests for it. It is important that the patient's doctor is trained in treating fibromyalgia, as it is not an easy condition to treat. Various studies have indicated that pharmacologic treatment (drugs) for fibromyalgia helped between one-third and one-half of all patients. Aerobic exercise combined with resistance training (strength-training) have been linked to a significant improvement in pain, tender point counts, and sleep disturbance. If the pain is severe, and other therapies have not been effective or cannot be utilized, chronic opioid analgesic therapy - oral painkillers - may be an option.
Visit our Fibromyalgia category page for the latest news on this subject.All references are available in the References tab. Fibromyalgia is a common syndrome of chronic widespread soft-tissue pain accompanied by weakness, fatigue, and sleep disturbances; the cause is unknown. Fibromyalgia tender points, or pressure points, are commonly found around the elbows, shoulders, knees, hips, back of the head, and the sides of the breastbone and are typical signs of fibromyalgia. Because many medical conditions can cause pain in different areas of the body, your doctor may still want to do blood tests or X-rays to rule out illnesses that mimic fibromyalgia.
Tricyclic antidepressants appear to reduce fatigue, relieve muscle pain and spasm, and promote deep, restorative sleep in patients with fibromyalgia.
The nonsteroidal anti-inflammatory drugs (NSAIDs), while very helpful in treating other rheumatic conditions, have only a limited value in treating fibromyalgia pain. People use it to treat pain of pressure points, back pain, neck pain, shoulder pain, headaches, and pain from musculoskeletal injuries. It can also improve circulation and range of motion and boost production of natural painkillers. The degree of pain can vary day-to-day and even minute-to-minute, often changing locations and setting up a confusing pattern.


The American College of Rheumatology says that between 3 and 6 million Americans have fibromyalgia.
Widespread means the pain affects the four parts (quadrants) of your body - the left, right, top and bottom sides. Patients have commented that pain perception, which is a very complicated phenomenon, may be altered with experience. Patients experience pain and stiffness in the muscles, but there are no measurable findings on X-rays or most lab tests. But fibromyalgia can (like arthritis) cause significant pain and fatigue, and it can similarly interfere with a person's ability to carry on daily activities.
Ultimately, the diagnosis of fibromyalgia is made purely on clinical grounds based on the doctor's history and physical examination. Low-impact aerobic exercises, such as swimming, cycling, walking, and stationary cross-country ski machines, can be effective fibromyalgia treatments.
Examples of tricyclic antidepressants commonly used in treating fibromyalgia include amitriptyline (Elavil) and doxepin (Sinequan). Narcotic pain relievers are typically avoided in fibromyalgia patients because they have not been shown to be beneficial and have potential adverse side effects, including dependency, when used long term.
Chiropractic may be effective for fibromyalgia because it helps improve pain levels and increases cervical and lumbar ranges of motion. In many people with FMS the pain can be so severe that it stops them from performing even simple tasks. However, it is similar to arthritis because it causes severe pain and tiredness, and can undermine the patient's ability to go about his daily activities. Factors such as a traumatic, stressful, or emotional event may be linked to developing fibromyalgia. Before diagnosing fibromyalgia the doctor needs to rule out other conditions and illnesses. Unfortunately, the patient still runs the risk of being told by an untrained doctor that his pain is not real and that there is therefore no treatment. At least 11 of these points need to be tender for a fibromyalgia diagnosis to be confirmed.
While fibromyalgia does not damage the joints or organs, the constant aches and fatigue can have a significant impact on daily life. Ultimately, the physician, physical therapist, and patient may all play an active role in the management of fibromyalgia.
Studies have shown that adding fluoxetine (Prozac), or related medications, to low-dose amitriptyline further reduces muscle pain, anxiety, and depression in patients with fibromyalgia. This reduction of activity leads to deconditioning and an overall downward spiral of pain and ill health. Likewise, when patients have accompanying interstitial cystitis, foods that irritate the bladder should be avoided. Formal studies of the effects of massage on fibromyalgia symptoms are few and results are mixed.
Preliminary findings suggest that a meditation-based stress-reduction program is effective for patients with fibromyalgia.
It is possible that a fibromyalgia patient feels pain at other points - however, for a diagnosis to be confirmed tenderness needs to be limited to those 18 points (at least 11 of them).
When these points are pressed, people with fibromyalgia feel pain, while people without the condition only feel pressure.
Sometimes, changes in environmental factors (such as noise, temperature, and weather exposure) can exacerbate the symptoms of fibromyalgia, and these factors need to be modified.
In 2007, pregabalin (Lyrica) became the first medication approved specifically for treating fibromyalgia. However, researchers at the University of Miami’s Touch Research Institute report that just 20 minutes of moderate-pressure massage can lessen the flow of chemicals associated with pain and stress while increasing production of serotonin. The pain from fibromyalgia is produced in the soft tissues of the body, including the muscles and tendons. If learned properly, electronic biofeedback can help you control your heart rate, blood pressure, breathing patterns, and muscle tension, potentially reducing pain.


Because fibromyalgia has few objective signs, and the pain is subjective, it has been called an invisible disability. Because traditionally no lab tests or X-rays could confirm a diagnosis of fibromyalgia, some patients were once led to believe this pain was "all in their heads." But the medical community now accepts that the pain of fibromyalgia is real.
More recently, duloxetine (Cymbalta) and milnacipran (Savella), drugs that simultaneously increase the amount of two brain nerve transmitters, serotonin and norepinephrine, have been approved to treat fibromyalgia in adults. These neurotransmitters stimulate or inhibit nerve impulses in the brain that relay information about external stimuli and sensations such as pain.
Doctors aren't sure why, but women are 10 times more likely to have the condition than men. Fibromyalgia and FatigueAfter pain, the most common and debilitating symptom of fibromyalgia is fatigue. People with fibromyalgia may feel tired first thing in the morning, even after hours spent in bed. Causes of FibromyalgiaThere are many theories about the causes of fibromyalgia, but research has yet to pinpoint a clear culprit. Most experts agree that fibromyalgia probably results from a combination of factors, rather than a single cause.
Fibromyalgia: Impact on Daily LifeConstantly fighting pain and fatigue can make people irritable, anxious, and depressed. Diagnosing FibromyalgiaYour doctor may diagnose fibromyalgia after hearing your symptoms and doing a physical exam. A fibromyalgia blood test may help too.And, your doctor may do other testing to rule out other conditions. Check with local support groups and hospitals for a list of fibromyalgia experts in your area. Fibromyalgia TriggersAn important first step is identifying what makes your symptoms worse. Fibromyalgia and DepressionNearly a third of people with fibromyalgia also have major depression when they are diagnosed. Others suggest that abnormalities in brain chemistry may lead to both depression and an unusual sensitivity to pain. Managing Fibromyalgia: MedicationThe goal of fibromyalgia treatment is to minimize pain, sleep disturbances, and mood disorders.
Doctors may recommend medications that help ease your symptoms -- ranging from familiar over-the-counter pain relievers to prescription drugs like amitriptyline.
There are also prescription drugs specifically approved for the treatment of fibromyalgia, which include Cymbalta (duloxetine), Lyrica (pregabalin), and Savella (milnacipran). Walking, stretching, and water aerobics are good forms of exercise to start with for people with fibromyalgia. Managing Fibromyalgia: DietSome experts say diet may play a role in fibromyalgia -- just not the same role in all patients.
To find out what works for you, try eliminating foods one at a time and recording whether your symptoms improve. Managing Fibromyalgia: MassageSome research suggests massage may help relieve fibromyalgia pain, though its value is not fully proven. Managing Fibromyalgia: AcupunctureFormal studies have produced mixed results on the use of acupuncture for fibromyalgia, but some patients say it eases their symptoms.
Managing Fibromyalgia: Fibro FogMany people with fibromyalgia have trouble concentrating, a phenomenon known as fibro fog.
While getting treatment for pain and insomnia may help, there are other steps you can take to improve your focus.
Managing Fibromyalgia: StressStress appears to be one of the most common triggers of fibromyalgia flare-ups. While fibromyalgia is a chronic condition, it does not damage the joints, muscles, or internal organs.



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