fibromyalgia syndrome
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fi·bro·my·al·gi·a
(fī'brō-mī-al'jē-ă),Fibromyalgia is a disorder of unknown cause characterized by chronic widespread aching and stiffness, involving particularly the neck, shoulders, back, and hips, which is aggravated by use of the affected muscles. The American College of Rheumatology has established diagnostic criteria that include pain on both sides of the body, both above and below the waist, as well as in an axial distribution (cervical, thoracic, lumbar spine, or anterior chest). Additionally, point tenderness must be found in at least 11 of 18 specified sites. Tender points are sharply localized and often bilaterally symmetric. Some points may correspond to sites of pain and others may be painless until palpated. Usually associated fatigue, a sense of weakness or inability to perform certain movements, paresthesia, difficulty sleeping, and headaches are found. About one fourth of patients with fibromyalgia receive partial or total disability compensation. Fibromyalgia frequently occurs in conjunction with migraine headaches, temporomandibular joint dysfunction, irritable bowel syndrome, restless legs syndrome, chronic fatigue, and depression; symptoms are typically exacerbated by emotional stress. The prevalence in the U.S. is estimated at 1-3% of the population, with all races and socioeconomic strata affected about equally. Most patients (90%) are adult women. The onset of symptoms usually occurs before age 50. The disorder is chronic but not progressive. Routine hematologic, serologic, and imaging studies yield uniformly normal results. However, the sleep EEG typically shows intrusions of alpha waves into non-REM sleep and infrequent progression to stage 3 and stage 4 sleep. One third of patients with fibromyalgia have low insulinlike growth factor (IGF) levels. Elevation of cerebrospinal fluid substance P, depression of cortisol production, and orthostatic hypotension have also been reported. Most patients experience moderate to severe disability, but symptoms can usually be mitigated by treatment. Effective treatment programs include education, a regular program of low-impact aerobic exercise, and physical therapy as needed. Cognitive therapy and group therapy are often helpful. About one third of patients respond to pharmacologic agents such as antidepressants (amitriptyline, fluoxetine) and muscle relaxants (cyclobenzaprine).
fibromyalgia syndrome
Fibrositis, tension myalgia Psychiatry A condition characterized by muscular pain, fatigue, sleep disorders, anxiety, depression, headaches, IBS–possibly linked to anxiety and panic disorders Management Exercise, benzodiazepines, SSRIs, TCAs. See Chronic fatigue syndrome.fi·bro·my·al·gi·a
, fibromyalgia syndrome (fī'brō-mī-al'jē-ă, sin'drōm)See also: tender point
fibromyalgia syndrome
A condition featuring long-persisting general aches and pains, stiffness, fatigue and a considerable number of different points on the body that are tender to pressure. The condition affects women far more often than men. The cause is unknown and extensive investigations show no definite objective abnormality. Some experts believe that this is a psychiatric condition but the psychological problems it features are not typical of any such disorder.fi·bro·my·al·gi·a
, fibromyalgia syndrome (fī'brō-mī-al'jē-ă, sin'drōm)Patient discussion about fibromyalgia syndrome
Q. Is it Fibromyalgia. My uncle is suffering with extreme body pain. Doctors say it is fibromyalgia. His sedimentation rate and creactive protine is 3 times high than normal. would this confirm the diagnosis of FM? What is its actual symptom?
Q. Is it Fibromyalgia. My uncle is suffering with extreme body pain. Doctors say it is fibromyalgia. His sedimentation rate and c reactive protine is 3 times high than normal. would this confirm the diagnosis of FM? What is its actual symptom?
Q. how do you treat Fibromyalgia?
Good Luck and if you want to talk please email me!