Fibromyalgia

Fibromyalgia


     Fibromyalgia is the term for a syndrome long known as the idiopathic syndrome diffuse. This condition is characterized by a chronic muscle pain condition (diffuse myalgia) extended or localized to various regions of the body, including the form of tactile allodynia, as well as persistent fatigue (tiredness).

     Psychological disorders (chronic symptoms, psychological) associated with it have led to many hypotheses on psycho-pathology plan. Historically, the importance of anxiety and depressive features (related to recurring pain, not relieved by analgesics) could even lead us to ask which of these two disciplines, rheumatology and psychiatry, was empowered to take charge of fibromyalgia.


Fibromyalgia symptoms:


     Fibromyalgia come in many forms of chronic pain (pain free, widespread pain, sensations of burning, beating, bruising, crushing, grubbing, etc..), skeletal muscles, tendons and less frequently joints, which can affect the whole body or parts of it (quadrant), most commonly the back, legs and arms. These fibromyalgia symptoms vary throughout the day, week, month, years. The fibromyalgia patient has some or all of the following symptoms:

  • pain in muscles, bones, joints, tendons;
  • physical fatigue;
  • mental fatigue, emotional emptiness, blurred vision;
  • general irritability (touch, stress, noise, light, presence of others, unusual odors, the smell of food, etc..) and impatience;
  • constant suicidal thoughts, depression;
  • need to consume carbohydrates (cakes, bread, potatoes, chips, etc..)
  • disorders severe enough memory (short or long term);
  • sensations of burning, beatings, bruises, crushing, grubbing, etc.. ;
  • digestive disorders (diarrhea, bloating);
  • drying and burning eyes;
  • insomnia, difficulty sleeping great and regenerate during sleep (stage 4 sleep, deep sleep phase regenerator, is absent or is too short);
  • heat in the palms and soles (need to move his hands and / or feet under the water tap to relieve pain).

Fibromyalgia causes:


     From 2000-2004, scientists are focusing more and more on disorders of immune-chemical nature and / or environmental, given the surprising resurgence of cases. A central nervous system impairment and neuronal dysfunction have been widely noted in fibromyalgia.

     There seems to be a different perception of pain in fibromyalgia, particularly with a threshold of perception more bas. The mechanism of this is still debated, but it is heavily linked to alleged neurotransmitters responsible for pain. It is possible that different variants of fibromyalgia are related to a combination of one or more of these believed fibromyalgia causes:

  • Genetic predisposition,
  • Hypothesis of a disruption of neurotransmitters,
  • Immune deregulation hypothesis,
  • Hypothesis of a dysfunction of the blood to the brain,
  • Sleep disturbance hypothesis,
  • Hypothesis of a hormonal deficiency disorder related to stress.

     Other hypotheses on fibromyalgia causes have been advanced, such as:

  • Some toxins in the environment of patient
  • a viral cause, such as Epstein-Barr
  • an abnormal immune response to intestinal bacteria
  • An erosion of the sheath around nerves chemical sensorial
  • deregulation of vasomotion resulting in ischemia of the muscles or abnormal bloodstream
  • deterioration of posture caused by the dysfunction of the temporal mandible joint itself due to a defective occlusion.

     The depletion generated by muscle contractions resulting from a twisted posture contribute to chronic fatigue syndrome, painful muscle making any effort. In addition, some of the people have a prior orthodontic treatment, often with extractions, with unbalanced occlusion and posture.


Treatment fibromyalgia:


     Although there is no treatment with proven effectiveness overall, there are solutions with proven clinical outcomes, including certain medications, exercise, and an education of the patient. There is no cure, no treatment fibromyalgia is assured of a long-term effectiveness.

     Contrary to what is indicated by some therapists, no treatment based mainly on a diet, homeopathy, psychoanalysis or psychotherapy has proved to be superior effective to the placebo effect. These techniques are not able to treat the appearance of the neuronal disease.

     For optimal management, the Canadian Agency for Drugs and Technologies in Health recommends a combination of painkillers, education about fibromyalgia, exercise, evaluation and treatment of mood disorders and sleep.


Fibromyalgia fatigue:


     Common symptoms associated with fatigue often called "chronic" reactive (not to be confused with chronic fatigue syndrome, which may have some more fibromyalgia). This fatigue is described as reactive as fluctuating according to the environment and circumstances, and could disappear completely and then reappear.

     Chronic fatigue syndrome is not related to an excess of substance P. The mechanisms responsible for pain are probably different for these two conditions.


Fibromyalgia diagnostic:


     Fibromyalgia is sometimes regarded as a controversial diagnosis, some authors claiming that it is a "no diagnosis," insofar as it selects fibromyalgia often having excluded all other common rheumatic diseases.

     In fact, there is still no specific and reliable test to 100% for the validation of fibromyalgia. The difficulty comes mainly from the fact that people can see all of its laboratory tests come back normal and many of the symptoms are found in other diseases (rheumatoid arthritis, osteoporosis). In most cases, the doctor's conclusion is based on a differential diagnosis, taking into question all the other options, symptoms, and the patient profile.

     This disease usually occurs in early to mid-adulthood, but it may arise during the childhood. It involves a significant work-related disability in 10% to 30% of those affected.

     Living with fibromyalgia is very difficult. Many patients claims that this disease is destroying their life.





Share with friends