Fibromyalgia
What is fibromyalgia?
Fibromyalgia
is a condition that causes pain in muscles and soft tissues around the body. It
is an ongoing (chronic) condition. It can affect the neck, shoulders, back,
chest, hips, buttocks, arms and legs. The pain may be worse in the morning and
evening. Sometimes, the pain may occur all day long. The pain may increase with
activity, cold or damp weather, anxiety and stress. The condition affects about
2 to 4 percent of the U.S. population. It is most common in middle-aged women.
What causes fibromyalgia?
The cause of
fibromyalgia is unknown. Researchers think there may be a link with sleep
problems and stress. It may also be linked to immune, endocrine, or biochemical
problems.
What are the symptoms of fibromyalgia?
Each person may feel symptoms a bit differently.
Chronic pain is the most common symptom of fibromyalgia. The pain most often
affects the muscles and the points at which the muscles attach to the bone.
These are the ligaments and tendons. Pain may begin in one area of the body,
such as the neck and shoulders. Over time the entire body may be affected. The
pain ranges from mild to severe. It may feel like burning, soreness, stiffness,
aching, or gnawing pain. There may be tender spots of pain in certain areas of
the muscles. It may feel similar to arthritis, but it is not a degenerative
condition and doesn't cause damage to muscles or bones. Other common symptoms
of fibromyalgia include:
·
Medium to severe fatigue
·
Less exercise endurance
·
Sleep problems at night
·
Depressed mood
·
Anxiety
·
Headaches
·
Irritable bowel symptoms,
such as abdominal pain and bloating, diarrhea, and constipation
·
Restless legs
·
Painful menstrual periods
·
Trouble thinking clearly
(called "fibro fog")
The symptoms of fibromyalgia can be like other
health conditions. Make sure to see your health care provider for a diagnosis.
How is fibromyalgia diagnosed?
There are no tests that can confirm a diagnosis
of fibromyalgia. Instead, diagnosis is based on your symptoms and a physical
exam. Your health care provider may diagnose you with fibromyalgia if you have:
·
Widespread pain for more than
three months
·
18 tender points on your body
during that time
·
At least 11 tender points
during the physical exam
How is fibromyalgia treated?
Treatment will depend on your symptoms, your age,
and your general health. There's no cure for fibromyalgia, but the symptoms can
be managed. Mild cases of fibromyalgia may get better with stress reduction or
lifestyle changes. More severe cases may need to be treated with a team. This
may include your primary health care provider, a rheumatologist, physical
therapist, and a pain management clinic. Treatment may include:
·
Anti-inflammatory
medications, to relieve pain and improve sleep
·
Other pain medications
·
Medications approved for treating
fibromyalgia: duloxetine, pregabalin, and milnacipran
·
Antidepressants
·
Exercise and physical
therapy, to stretch muscles and improve cardiovascular fitness
·
Relaxation methods
·
Heat treatments
·
Occasional cold treatments
·
Massage
Talk with your health care providers about the
risks, benefits, and possible side effects of all medications.
Living with fibromyalgia
Fibromyalgia
is a chronic condition. But you can manage it by working with your health care
provider to create a treatment plan. In addition to medications, lifestyle
changes can help symptoms. These include getting enough sleep and exercise.
When should I call my health care provider?
If your
symptoms get worse or you have new symptoms, let your health care provider
know.
মন্তব্যসমূহ
একটি মন্তব্য পোস্ট করুন