Diagnosis and Treatment of Fibromyalgia

Fibromyalgia is a chronic, widespread, debilitatingneck, shoulders, lower back and hips…
disease that often manifests as diffuse pain,Individual cases of fibromyalgia have a wide
constant muscle aches and overwhelming fatigue.variability, but many patients also suffer from
Although it affects about 2-6% of the generalother disorders as well. These comorbid
population (about five million people), fibromyalgiasyndromes commonly include chronic clinical
is not a contagious disease. Women are about 9depression, lyme disease, chronic fatigue
times more likely to be diagnosed than men, andsydrome, premenstrual syndrome, restless legs
it is most prevalent in prevalent in peoplesyndrome, spinal disorders, or hypothyroidism.
between 20-50 years of age.There are also many factors that can aggravate
Fibromyalgia usually displays a variety offibromyalgia. Severe weather changes, nutritional
symptoms including generalized aches and pains,deficiencies, over-exertion, increases in stress
increased sensitivity of the skin, chronic fatigue,levels, allergies and cold weather have all been
weakness or dizziness, muscle stiffness or jointshown to contribute to flare-ups.
pain and migraine headaches. Symptoms ofTreatment of fibromyalgia has historically been
fibromyalgia vary greatly between individuals butinadequate at best. There is no cure for the
almost all suffer from an associated sleepdisease and therapies are usually aimed at
disorder. Depression, anxiety, irritable bowelalleviating the symptoms and improving quality of
syndrome, numbness and tingling of thesleep. Medications commonly prescribed for
extremities and heightened sensitivity to stimulifibromyalgia include conventional analgesics,
may also be present.low-dose antidepressants, muscle relaxants and
Currently, there is no known specific cause ofsleep-inducing agents. Alternative therapies that
fibromyalgia. Popular opinion suggests a disorder inhave shown some promise include acupuncture,
pain perception and processing in the pathways tochiropractic care, physical therapy, meditation or
the brain. Research has shown that fibromyalgiarelaxation techniques and a gentle aerobic
patients have elevated levels of substance Pexercise program. Other important considerations
(involved with enhanced pain perception) and ato prevent fibromyalgia from flaring up include a
lower than normal production of natural stressregular sleep routine, emotional and physical stress
hormones. Another theory revolves around areduction, good social support networks and
sleep disturbance as the cause, because manystrategies to conserve energy and minimize
fibromyalgia patients cannot attain deep sleep. Stilltriggering factors.
other theories have implicated reduced immuneFibromyalgia can be a very difficult disease to live
system function, environmental toxins, abnormalwith because of its chronic, disabling nature and
hormonal fluctuations, viral causes, genetic linksthe presence of widespread skepticism. There is
and dysfunctional neurotransmitters. Althoughoften no objective evidence of physical illness and
exciting new research is constantly being done,the disease is very poorly understood. Sufferers
the cause of fibromyalgia remains elusive and hasof fibromyalgia face accusations of laziness or
the medical world stumped.feigning illness. Social activity and recreation is
Diagnosis of fibromyalgia is based on a specific setoften be avoided and the patient's career is
of criteria, including a physical examination orusually affected as well. Although fibromyalgia can
observation, and the symptoms described by theaffect every aspect of its victims' lives, it does
patient. Ruling out other possible diseases is key.not have to be as devastating as it once was.
Currently, there are no conclusive laboratory testsWith advanced scientific research and promising
to identify fibromyalgia but for diagnosticnew treatments waiting in the wings, anything's
purposes, there has to be a history of diffusepossible.
pain lasting longer than three months. AnotherDisclaimer: The information presented here should
diagnostic requirement is the presence of at leastnot be interpreted as or substituted for medical
11 "tender points" out of a possible 18 and theseadvice. Please talk to a qualified professional for
are typically located at elbow and knee joints, themore information about fibromyalgia.