Fibromyalgia Pain

Fibromyalgia pain

     Fibromyalgia primarily occurs through numerous visits to many doctors before the diagnosis is discovered. The most important reason is pain "from top to toe", especially in the neck, shoulders, lower back, hips, but also the knees, ankles, feet, face and hands. Fibromyalgia pain is generally described as burning, tension, or stabbing sensation of swelling. Although permanent, intensities and locations may vary according to time of day or effort. On the other hand, the medical examination of muscle, joint or radiological is always normal.

     In the case of most severely affected patients, pain can be disabling, disturbing the work and domestic activities.

     Another inconvenience is usually seen in chronic fatigue, many patients accusing insomnia, morning fatigue, difficulty falling asleep, frequent awakenings. Often they say they are tired in the morning than the evening before bedtime.

     Electrophysiological studies show disturbances of phase IV of sleep, with invasion of alpha waves. There are some researchers who believe that impaired sleep quality is a cause of fibromyalgia, and is not just a symptom.

     Approximately to half of patients appears numbness or tingling sensations in the extremities, most commonly in the upper. Alterations in mood and depression are common.

     To more than one third of patients appear alternating constipation, diarrhea, bloating, cramps, in an irritable bowel syndrome. Pelvic pain and dysmenorrhea may occur.

     Psychologically, cognitive disorders are present, related to the imbalance of some neuro mediators in the brain and of the state of alert due to fibromyalgia pain. Confusion, memory and attention disorders are common. Short-term memory appears to be similar to that of people with twenty years older.

Fibromyalgia pain in time:

     Described by two centuries, for a long time its existence as a disease has been questioned, rather being associated with psychiatric disorders.

     In 1990, American College of Rheumatology defines it as a painful musculoskeletal condition diffuse and bilateral appeared for at least three months and associated with a clinical examination of at least 11 trigger points (micro zone of contracted muscle fiber, hypersensitive) of 18. Fibromyalgia is consider a disease just in 1992

     Today there are several hypotheses on the mechanisms of fibromyalgia. There are studies that show the existence of biochemical and metabolic changes such as the lowering brain serotonin, the increase in neural growth factor and substance P (substances involved in pain modulation). These changes produce an increase in fibromyalgia pain perception in the brain, a real sensitivity to brain areas that process pain (thalamus, caudate nucleus). In other words, those affected by ordinary stimuli perceive pain, are feeling them much more intensely than those nuisances.

     Functional brain imaging studies have shown an increase of the vascular centers during the stimulation of pain sensitive points, which is not connected with the presence or the absence of depression.

Fibromyalgia pain theories:

     The psychologist explanations are also very interesting. The pertinent theory is the so-called "model of disorder". Basically, emotions should act on neurobiological functions associated with them, and then being able to lead to their disruption.

     Furthermore, some psychological trauma would leave some distinct neurological "fingerprints" which influence the neural circuit development. A weakening of emotion cognitive therapy would cause changes in the endocrine and neurovegetative systems, which in the long term, can have an impact on the body.

Fibromyalgia pain - localization

     Fibromyalgia pain is found in different parts of the body:

  • Headaches, facial pain (pain in the facial area) - Headaches may appear because of pain in the neck area (tendons) or shoulder area, or may be associated with muscle pain in muscles around the joints.
  • Abdominal discomfort - Fibromyalgia symptoms include digestive disorders, abdominal pain, diarrhea states interspersed with feelings of constipation. Stiffness or itching also known as the term "paresthesia" (the unpleasant numbness, stitches, grilling, which occur spontaneously), most commonly felt in the extremities.
  • Pain in the thoracic area (chest), which means that muscles are involved in the area where the ribs meet the sternum. Since fibromyalgia pain "mimics" (is like) cardiac pain, it is important for the patient to see a cardiologist.
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Fibromyalgia Pain Pictures

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