Fibromyalgia, or Fibromyalgia Pain Syndrome, is a chronic and widespread musculoskeletal pain and fatigue disorder. It is defined as a long-term, body-wide pain in muscles, ligaments and tendons – the soft fibrous tissues in the body.
The symptoms of peripheral neuropathy are usually constant, while those of fibromyalgia tend to come and go. Fibromyalgia is believed to result primarily from pain-processing problems in the central nervous system. As far as we know, the peripheral nerves are not damaged in any way.
Fibromyalgia is a condition that causes pain in muscles and soft tissues all over the body. It is an ongoing (chronic) condition. It can affect your neck, shoulders, back, chest, hips, buttocks, arms, and legs. The pain may be worse in the morning and evening.
The primary symptoms of fibromyalgia include: Widespread pain. The pain associated with fibromyalgia often is described as a constant dull ache that has lasted for at least three months. To be considered widespread, the pain must occur on both sides of your body and above and below your waist.
The central feature of fibromyalgia is chronic pain in multiple sites. These sites are the head, each arm, the chest, the abdomen, each leg, the upper back and spine, and the lower back and spine (including the buttocks). The pain may be mild to severe. It may feel like a deep ache, or a stabbing, burning pain.
Medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful.
The main symptoms of fibromyalgia are: Chronic, widespread pain throughout the body or at multiple sites. Pain is often felt in the arms, legs, head, chest, abdomen, back, and buttocks. People often describe it as aching, burning, or throbbing.
Physical and emotional stress are the most common triggers of fibromyalgia flares. Other triggers include lack of sleep, weather changes, and hormone imbalances.
Fibromyalgia is often triggered by an event that causes physical stress or emotional (psychological) stress. Possible triggers include: a serious injury, such as after a car accident. an infection, such as Epstein-Barr virus or Lyme disease.
Other health conditions that cause similar symptoms must be ruled out before a fibromyalgia diagnosis can be made. Medical tests that may be ordered during the diagnostic process include blood and lab tests, imaging studies, and nerve function tests.
A flare can be over in 1 to 2 days or last as long as a few weeks. Here are some of the most common symptoms of fibromyalgia: Muscle achiness: often in the neck, back, arms, and legs. Joint pain: in your knees, hips, hands, etc.
Any soft tissue (muscles, tendons, and ligaments) may be affected. But soft tissue of the neck, upper shoulders, chest, rib cage, lower back, thighs, arms, and areas around certain joints are especially likely to be painful. Less often, the lower legs, hands, and feet are painful and stiff.
The FM/a ® Test analyzes your immune system's white blood cells for their chemokine and cytokine protein patterns. Those who suffer from fibromyalgia will show an abnormal pattern of these protective proteins.
an overwhelming urge to move your legs (restless legs syndrome) tingling, numbness, prickling or burning sensations in your hands and feet (pins and needles, also known as paraesthesia) in women, unusually painful periods. anxiety.
Fibromyalgia's link to central sensitization
“All nerves in fibromyalgia patients are more sensitive than they should be — including the brain and spinal cord,” says Dr. Berenger. “Many patients have difficulty with concentration or have hypersensitivity to light, odors or sounds.
Results: There were four parent stages of FM identified and labeled: 1) regional FM with classic symptoms; 2) generalized FM with increasing widespread pain and some additional symptoms; 3) FM with advanced and associated conditions, increasing widespread pain, increased sleep disturbances, and chemical sensitivity; ...
There's no cure for fibromyalgia, but your healthcare provider will help you find a combination of treatments that relieve your symptoms. Even though experts don't know what causes fibromyalgia, it's real — and so are your symptoms. They might come and go or be hard to describe, but how you feel is valid and important.
Fibromyalgia was formerly classified as an inflammatory musculoskeletal disease but is now considered to be an illness that primarily affects the central nervous system.
The drugs amitriptyline, duloxetine, milnacipran and pregabalin can relieve fibromyalgia pain in some people. They may cause side effects such as a dry mouth or nausea. Normal painkillers like ibuprofen or acetaminophen (paracetamol) aren't recommended for the treatment of fibromyalgia.
People with fibromyalgia should generally avoid activities that involve fast, sudden movements and high impact activities, such as running and jumping, although some people may progress to this level of activity.
Experts typically recommend any low-impact aerobic activity, such as walking, swimming, or cycling. Your doctor may advise you to work with a physical therapist on exercises specifically aimed at reducing pain and stiffness and improving function.
Fibromyalgia is diagnosed based primarily on having pain all over the body, along with other symptoms. Currently, there are no specific laboratory or imaging tests for fibromyalgia.
Currently the two drugs that are approved by the United States Food and Drug Administration (FDA) for the management of fibromyalgia are pregabalin and duloxetine. Newer data suggests that milnacipran, a dual norepinephrine and serotonin reuptake inhibitor, may be promising for the treatment of fibromyalgia.
0 – No problem. 1 – A slight or mild problem (generally mild or intermittent) 2 – A moderate or considerable problem (often present and/or at a moderate level) 3 – A severe, continuous, life-disturbing problem.