The Chronic Fatigue Syndrome


Diagnosis and Treatment of Fibromyalgia

Fibromyalgia is a chronic, widespread,
debilitating disease that often manifests asIndividual cases of fibromyalgia have a wide
diffuse pain, constant muscle aches andvariability, but many patients also suffer
overwhelming fatigue. Although it affectsfrom other disorders as well. These comorbid
about 2-6% of the general population (aboutsyndromes commonly include chronic clinical
five million people), fibromyalgia is not adepression, lyme disease, chronic fatigue
contagious disease. Women are about 9 timessydrome, premenstrual syndrome, restless legs
more likely to be diagnosed than men, and itsyndrome, spinal disorders, or
is most prevalent in prevalent in peoplehypothyroidism. There are also many factors
between  20-50  years  of  age.that can aggravate fibromyalgia. Severe
weather changes, nutritional deficiencies,
Fibromyalgia usually displays a variety ofover-exertion, increases in stress levels,
symptoms including generalized aches andallergies and cold weather have all been
pains, increased sensitivity of the skin,shown  to  contribute  to  flare-ups.
chronic fatigue, weakness or dizziness,
muscle stiffness or joint pain and migraineTreatment of fibromyalgia has historically
headaches. Symptoms of fibromyalgia varybeen inadequate at best. There is no cure for
greatly between individuals but almost allthe disease and therapies are usually aimed
suffer from an associated sleep disorder.at alleviating the symptoms and improving
Depression, anxiety, irritable bowelquality of sleep. Medications commonly
syndrome, numbness and tingling of theprescribed for fibromyalgia include
extremities and heightened sensitivity toconventional analgesics, low-dose
stimuli  may  also  be  present.antidepressants, muscle relaxants and
sleep-inducing agents. Alternative therapies
Currently, there is no known specific causethat have shown some promise include
of fibromyalgia. Popular opinion suggests aacupuncture, chiropractic care, physical
disorder in pain perception and processing intherapy, meditation or relaxation techniques
the pathways to the brain. Research has shownand a gentle aerobic exercise program. Other
that fibromyalgia patients have elevatedimportant considerations to prevent
levels of substance P (involved with enhancedfibromyalgia from flaring up include a
pain perception) and a lower than normalregular sleep routine, emotional and physical
production of natural stress hormones.stress reduction, good social support
Another theory revolves around a sleepnetworks and strategies to conserve energy
disturbance as the cause, because manyand  minimize  triggering  factors.
fibromyalgia patients cannot attain deep
sleep. Still other theories have implicatedFibromyalgia can be a very difficult disease
reduced immune system function, environmentalto live with because of its chronic,
toxins, abnormal hormonal fluctuations, viraldisabling nature and the presence of
causes, genetic links and dysfunctionalwidespread skepticism. There is often no
neurotransmitters. Although exciting newobjective evidence of physical illness and
research is constantly being done, the causethe disease is very poorly understood.
of fibromyalgia remains elusive and has theSufferers of fibromyalgia face accusations of
medical  world  stumped.laziness or feigning illness. Social activity
and recreation is often be avoided and the
Diagnosis of fibromyalgia is based on apatient's career is usually affected as well.
specific set of criteria, including aAlthough fibromyalgia can affect every aspect
physical examination or observation, and theof its victims' lives, it does not have to be
symptoms described by the patient. Ruling outas devastating as it once was. With advanced
other possible diseases is key. Currently,scientific research and promising new
there are no conclusive laboratory tests totreatments waiting in the wings, anything's
identify fibromyalgia but for diagnosticpossible.
purposes, there has to be a history of
diffuse pain lasting longer than threeDisclaimer: The information presented here
months. Another diagnostic requirement is theshould not be interpreted as or substituted
presence of at least 11 "tender points" outfor medical advice. Please talk to a
of a possible 18 and these are typicallyqualified professional for more information
located at elbow and knee joints, the neck,about fibromyalgia.
shoulders,  lower  back  and  hips…



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