Fibromyalgia: Symptoms, Diagnosis and Treatment
Fibromyalgia is defined as a chronic pathology whose main manifestation is the pain that occurs both at the muscle level and in the tendons and ligaments. Many experts consider it to be an autoimmune disease. However, sufficient evidence has not yet been developed that is consistent to corroborate this claim. Patients with fibromyalgia often describe the symptoms as intense and extreme pain throughout the body. These individuals often express that they hurt everything, feel tired and cannot fall asleep.
It is a difficult diagnosis, which is quite unknown to society in general and even until not long ago, some doctors were also indifferent to this clinical picture. It was only in 1992 that the World Health Organization officially declared fibromyalgia as pathology. Fortunately with scientific development, fibromyalgia began to become more relevant and today there is a vast literature that contributed to generate a greater knowledge about various aspects of the disease. Although the cause of this disease is still subject to controversy, several specialists have agreed that it is due to an alteration of the central nervous system. On the other hand, there are also some investigations in which the possibility of some predisposition in the genes is considered. In line with these investigations, it has been shown that the family environment of people suffering from fibromyalgia is at higher risk for the disease compared to the rest of the population.
Some data that have been drawn from clinical trials indicate that fibromyalgia develops with a higher percentage in women compared to men. Although it can appear at any stage of life, it is estimated that this disease manifests most commonly in people between 40 and 50 years.
As mentioned previously the main symptom of this chronic disease is pain. This sensation may vary depending on the individual: in some cases it manifests mildly, particularly in certain parts of the body such as hands and legs. But in most patients it is present as an extremely intense pain that comes to affect certain capacities preventing the normal performance of daily tasks. It is very common that those who suffer from fibromyalgia also feel muscle tension, fundamentally when getting up. This symptom may remain for short periods of time, such as a few minutes or for several hours. While patients often comment that they feel pain throughout the body, there are some parts of the body that are perceived more strongly as in the neck, shoulders, lower back and hip. These are the most sensitive points and are of great clinical importance since the doctor can identify them on the physical examination by palpating the patient.
It is also clear that it is completely normal for the patient in some cases to feel contractures, cramps, stiffness, inflammation and punctures both in the legs and in the arms.
Another of the symptoms that becomes manifest in a high percentage of individuals who have fibromyalgia are sleep disorders. Most of the testimonies of these patients agree that they cannot sleep well, wake up several times at night or take a long time to fall asleep. This also leads to the existence of another physical manifestation that considerably affects the life of these patients: fatigue. Frequently a person diagnosed with fibromyalgia feel disheartened during the day, without strength and it is a sensation that can remain all day. Along with pain it is one of the most annoying symptoms of this disease since it does not disappear even with rest. Usually, it usually reaches its worst moment before night when much of the daily activity has already passed.
Complementarily to this symptom picture can also be generated other types of manifestations like dry mouth sensation, loss of stability, agitation, lack of lubrication in the eyes and a slight change of color in the hands. Finally the changes of mood due to all the suffering are very present. People with fibromyalgia in the long term start to feel worried and distressed. These patients should be closely monitored because in some cases these feelings may lead to depressive symptoms.
Performing the diagnosis to detect fibromyalgia is done by physical examination that the doctor must perform. The specialist should identify the punctual body zones that when felt give a deep pain. To date there are no clinical studies that confirm the disease. The American College of Rheumatology has developed a document outlining guidelines for proper diagnosis. According to this document, the essential feature to corroborate the presence of fibromyalgia is the chronic pain that is characterized by being generalized. In addition, the requirement is that the pain lasts for at least three months.
There are a number of commonly used medicines for fibromyalgia management. One of the recommendations most accepted by physicians is the combination of a therapeutic scheme combining strategies based on the use of drugs along with other methods such as physical activity.
Particularly some of the drugs indicated to treat this disease are pregabalin and gabapentin, which are approved by the FDA. Pregabalin is an antiepileptic drug that also has analgesic effects. Its efficacy and safety to counter the symptoms of fibromyalgia is based on a series of clinical studies that demonstrated excellent results. Researchers who conducted these trials found that pregabalin contributes positively to significantly reducing pain intensity. It also proved to be extremely useful and beneficial in managing other symptoms of fibromyalgia such as sleep disorders, fatigue and overall quality of life. The recommended dose to be administered initially is 300 mg daily. Buy Tramadol cheap online.
For its part, gabapentin is another drug that originally came on the market for the treatment of seizures resulting from epileptic episodes. However, later it began to be used with satisfactory results for pain management. These good results come from several investigations. In one trial, 1200 mg of gabapentin per day were given to patients who had fibromyalgia for at least one year. It was observed that the patients stopped suffering from severe or moderate pain and even in some cases disappeared almost completely. Buy Tramadol 50mg overnight FedEx to stop pain.