Chronic Fibromyalgia

Chronic fibromyalgia


     Chronic fibromyalgia is a chronic disease, rarely researched in Europe, but widely diagnosed and studied in America, which is manifested by pain in the whole body, muscle aches, headache, fatigue, sleep disorders, hypersensitivity.

     Chronic fibromyalgia does not hurt your muscles, joints or organs and there are many ways to control it. If not controlled, the patient feels a depressed mood, has trouble sleeping or feels like he miss quite energy. These symptoms are sufficient to damage both professional life and the family. But with treatment, the patient can return to work and to daily activities soon.


What causes chronic fibromyalgia?


     Currently, the cause of chronic fibromyalgia is still unknown. Some experts feel that this disease occurs in people with sensitive nerve cells, others say that it can occur due to trauma caused by various happenings of life (illness, accidents, deaths, etc.). It can also occur following a viral infection or a period of maximum stress. It is thought that fibromyalgia is based on a psychological component manifested by distorted perception of pain. It is certain that the disease occurs in people more sensitive to pain, depression or anxiety, which is why it was called and syndrome of central sensitivity.


How is chronic fibromyalgia diagnosed?


     Diagnosis is available by the rheumatologist doctor and is based on two things: the doctor tests first if the pain is felt in the whole body and secondly if the pain is found only in certain points which are identifiable by palpation. Chronic fibromyalgia can be easily confused with other diseases such as rheumatism, rheumatic arthritis, lupus, depression and chronic fatigue.

     It is a syndrome with chronic evolution, and not a physiological medical condition. It is characterized by pronounced fatigue, diffuse pain and tenderness in muscles and soft tissue (tendons, ligaments), sensitive points located and sleeping, weakness, and a variety of other symptoms. Of these, the noted are headaches, flu-like symptoms, itching, tingling in hands and other parts of the body, and even intestinal dysfunction. These problems can be quite annoying, going to the interruption of the daily activities of the person. Fortunately however, chronic fibromyalgia does not permanently affect muscles, joints or internal organs.

     

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For a long time fibromyalgia manifestations were sometimes believed to be exaggerated sensitivity attributed to women, doctors considering that women are more imaginary. But thanks to medical advances, studies have shown that pain is real and is associated with changes observed in investigations of nuclear magnetic resonance imaging (MRI). However, fibromyalgia marks the quality of life for patients, the pain being intense, equivalent to those of chronic rheumatic diseases.

     Diagnosis is based on subjective symptoms which the patient reports. Therefore, a correct diagnosis depends on the doctor's ability to speak with the patient (history) and to perform a thorough clinical examination. However, physicians should keep in mind that chronic fibromyalgia may occur as a single disease or may be associated with chronic diseases such as rheumatoid arthritis, osteoarthritis, or some infectious diseases.

     Chronic fibromyalgia typically starts in young adults or in middle-aged women as diffuse pain, fatigue, disrupted sleep and cognitive difficulties often accompanied by multiple organic unexplained symptoms, anxiety and depression with impaired to perform daily physical activities. Chronic fibromyalgia is not life threatening, deformed or progressive disease. Fibromyalgia symptoms are variable. Without proper diagnosis and treatment the patient might have the illusion that the disease is progressive. This is mediated by sleep deprivation.




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