Medicare magazine » Fibromyalgia

Fibromyalgia can affect anyone

admin — Wed, 07 Jan 2009 11:27:51 +0000

“What is this diseases – fibromyalgia - of which suffer?”
“Fibromyalgia is a syndrome, then it comes to fibromyalgia syndrome. It is diagnosed by some clinical signs and symptoms that occur together and affects all fiber, namely the muscles of the body, causing chronic inflammation, pain, stiffness and fatigue.”
“Type rheumatism?”
“Kind. But unlike rheumatism not the evidence from clinical symptoms but only by referring to that doctor.”
“But what is, that is, as you take? E ‘viral …?”
“Mah, its origin is still uncertain. It seems to be an alteration of a neurotransmitter in the brain, like Parkinson’s. But it’s caused by stress. This alteration causes contractions continue to tissues under stress and depleting muscle fibers. For this reason I take so much magnesium and potassium. ” “Ah”.
“Then causes so much fatigue. It becomes more difficult to do normal daily chores, do not you tell the stairs! But the biggest problem is that alters sleep with micro preventing risvegli night vacation. If you do not take my goccine homeopathic sleeping The morning would be a rag!
“Nanny. But the blood tests do not you see?”
“No, there are no clinical tests confirm that. For the moment …”
“Bel problem. You have to show you, anyway? Is there a cure?”
“Even here there is confusion. Every doctor tells her … but there is a cure that face heal. There are those who care as rheumatism and some as a depression. Do you think a doctor was filled with antidepressants! But that stuff I did not take. ”
“Of course that depends on whether stress can affect anyone …”
“Of course.”
“But with your work … how do you get by?”
“I try to take everything calmly. Clipping I can relax, read, I try and move all the leisure activities that enable me to download the daily tensions. Moving is the best thing to deal with this syndrome, even if it is not easy because you are male: feel much pain and you suddenly tightened in the strangest positions. The other day I was stuck on the seat while the car down. You can not margined the pain … But the worst was one evening while I was lesson. I was showing a movement with the dock when I took a cramp incredible to Chiappa left! I saw all black and I was there when I last down tears. I could not move because the pain came to me and I blocked brain. The class was astonished. You know, is not that I go around telling all my facts, but in the end I had to explain. Now that they know when, you give me a hand. ”
“What a situation!”
“You can say it strong.”
“And Zoe is fibromyalgia? So I laugh when you speak of Zoe.”
“Yes, it is my way of tackling the disease. It seems that see the pain aid. The name is Zoe to give it a name, an identity. And ‘despite a monkey that bites and tighten the bastarda! This week is on the right side and not taking spring. ”
“What do you feel?”
“Pain, mostly. It rigidity in all movements. Even when I’m lying in bed hurts me. Sometimes both, sometimes not.”
“Listen; if you need a hand … call, ok?”
“Do not fail.”

What is Fibromyalgia

admin — Wed, 07 Jan 2009 11:17:10 +0000

The fibromyalgia syndrome is a disease of the spot-engine associated with pain and signs of fatigue in the muscles, ligaments and tendons (that level of connective tissues of the body, composed of tissue fibers).
“Fiber” defines the fiber component, “My” component muscle and “pain” the state painful.
How is it diagnosed fibromyalgia?
Normally, the laboratory tests are normal, in particular, it is possible that was not detected any alteration, as is the case for the classic rheumatism and chronic poly arthritis.
These fact correct and important causes, contrary to rheumatism true, it speaks simply of “rheumatism false.” While true for rheumatism is necessary to the use of cortisone, according to the American rheumatology the use of cortisone is wrong in the case of fibromyalgia.

Fibromyalgia daily

admin — Thu, 18 Dec 2008 13:03:00 +0000

The permanent disabling symptoms of concern and cut sick the rest of the world range. A study conducted in Canada by Dr. Carol S. Burckhardt on patients with FM, rheumatoid arthritis, of osteoarthritis, chronic pulmonary disease found that people Fibromyalgia questions were those that had a quality of life significantly lower than other groups mentioned above.
Because of its chronic and its moments pejorative often unpredictable, FM leads inevitably personal deprivation that have adverse consequences on family and social life of patients.
Inability to complete the study or attend refresher courses
Loss of employment or advancement in the profession
Face skepticism expressed by the (family, friends or medical) before their symptoms appear “ghost”
Feeling of helplessness at the loss of autonomy and power
The brutal practice of sports or other recreation important for the person Loss of contact or control over events and / or social
Loss of instinctive self-fulfillment and pleasure
Thus arise difficulties in the workplace and occupation, relationship difficulties both at home and professional level, increased personal difficulties (including low esteem of care) due to the number of affected areas, which – far from help the sick – the result in a vicious circle from which it will be difficult to sorter. That is why a bio-psycho-social syndrome is the best approach to try to halt the spiral of which patients are struggling to exit. It is a holistic approach to the person it spares no spheres affected by the syndrome and allows the person with Fibromyalgia to develop step by step strategies to recover an acceptable quality of life.
Only health professionals about Fibromyalgia and its many facets can bring to patients of proven ways to help themselves. This is to address regarding:
The biological approach: to physicians, rheumatologists, neurologists, allergists, lung … to health professionals such as physiotherapists, therapists practicing visualization, aqua therapists… recognizing all Fibromyalgia
The psychological approach: to psychiatrists, psychologists and other therapists of mental health therapy include in their work and support on self-image
The social approach which helps prevent social isolation.
This approach, far from advocating an accumulation of therapies, aims to sign the entry in a multi that allows patients to make a complete health check (for the exclusion of another disease that FM) and Undertake an interdisciplinary program and make the choice between drug therapy and medication from the three spheres (bio-psycho-social), choices that help progress towards a better quality of life.

Patient relationship – doctor

admin — Thu, 18 Dec 2008 13:01:12 +0000

Many patients who talked about their disappointment with their doctor. They feel ill at ease with their sense of powerlessness or pressing their attitude. We must recognize that the quarter hour allowed is often too short to put words on any symptoms they suffer. As a result, serious disturbances are ignored, the disorder which doctors should be informed. On the one hand, patients are asked to commit to develop a sense of responsibility towards their disease, on the other hand, the means to do so are limited.
The first problem often encountered between patient and doctor is the lack of communication which complicates treatment. The doctor seeks primarily to measure the patient’s complaints to identify the possible cause of its ills. The training he received taught him to focus on criteria of scientific reviews for specific diseases in which Fibromyalgia is not. What is the role of doctor?
Its primary role is to listen to subjective signs of the patient. The interest shown for the suffering issued (the patient has a greater need to be heard and to understand that to feel relieved by medication), signed an alliance with the therapeutic effects will be vital for their cooperation.
Its second role is information. The physician’s interest to explain to patients that the real cause of FM remains unknown at the moment and it is difficult to get quick relief satisfactory. It will take perseverance and courage to maintain a satisfactory quality of life, because there is no miracle pill to solve all its symptoms. The information should not be limited to the patient, but should include the spouse or another family member if the patient lives alone.
A third role is to encourage the patient in all initiatives so that it retains the necessary courage to take an active part in the management of health and reorganize its lifestyle. The reassurance that his quality of life can be maintained even if the effects of the disease can persist. Offer emotional support and suggest behavioral changes particularly with regard to aggravating factors. Explain the benefits to be derived from an interdisciplinary program.
What is the role of the patient?
Its primary role is to inform the doctor all the symptoms he feels in his body. No symptom is trivial: whether digestive disorders, headaches persistent sleep disorders, muscle pain, etc. .. Too often a symptom is highlighted and other equally important ones are forgotten. Also, it may be necessary to prepare its next RV in drawing up a list of its concerns speak frankly and openly with her doctor, to keep informed of taking drugs and their effects (positive or negative), Do not hesitate to ask questions and demand explanations, not be embarrassed if one feels the need to take notes for important suggestions, etc …
Then, it is important to choose a doctor with whom one feels comfortable and confident (it seems to listen? Apparently angered at the sight of a list of questions? Does it questions accurately and understandable? Does it reassuring and encouraging? he admits initiatives patient? …).
Do not hesitate to change their doctor, if he is skeptical towards the invisible suffering of Fibromyalgia.
The two partners, patient and physician, as in any other relationship, should strive to maintain mutual trust.

The treatment of Fibromyalgia

admin — Thu, 18 Dec 2008 12:59:11 +0000

The following are offered as references only and do not replace, in any case, a medical consultation.
IMPORTANT:
There is currently no specific drug to Fibromyalgia since its causes are unknown.
Chronic pain does not treat acute pain, chronic pain is a disease in itself that requires support as such.
Two patient’s Fibromyalgia questions may respond differently to the same drugs.
It is essential to go to a doctor recognizing Fibromyalgia in its three main symptoms are pain, fatigue and insomnia.
There are centers of chronic pain who, in an interdisciplinary approach, involving specialists. Who seek with the patient the treatment best suited to his case. The temporary blocking of certain exacerbated neurons can lead them to an operation to be more the norm. Rehabilitation exercises will be introduced gradually to improve the movement. The cardiovascular system will be strengthened by endurance exercises. Relaxation, stress management, behavioral change patient about the disease in the daily reintroduce the concept of fun severely tested in any chronic illness. Drug treatment:
Against pain:
the non-narcotic analgesics act on both the brain and on the seat of pain.
Narcotic analgesics (morphine derivatives morphine) are to be used with great caution and especially over a short period to avoid addiction.
creams, patches, gels analgesics apply locally.
Against insomnia:
hypnosis dative the (the family of benzodiazepines) to be used with care, help restore sleep by reducing the activity of brain nerve cells. Some are also muscle relaxants. Used for short durations.
The tricycles anti-depressants prescribed low dose that can improve sleep. They also act positively on muscle aches.
The natural anti-depressant based wort.
The hypnotic natural melatonin.
Against muscle contractures:
the muscle relaxants
However, medication alone can not eradicate the pain. The partial reduction of the latter, however, to introduce non-drug treatments for medium-term fully or partially replace the former.
SALARIES NON-MEDICATED:
to rely much on the benefits of
1) physical activity
These activities must be measured at every stage of progress and especially be practiced regularly. Initially, it is important to seek the help of physical therapists or other trained health:
progressive muscle relaxation (method Jacobson)
the aqua therapy (attention to the temperature of the water)
gentle massage.
deep breathing
The rebalancing postural
Acupuncture
The hypnotherapy
It is recommended to introduce a therapy for both well able to define if it brings the expected improvement or not.
The introduction or reintroduction of the march as the capabilities of time with the aim of gradually increasing the length, even if it is only by 5 minutes per day, leading to sequences of 20 minutes, allows ‘Get good results by the regularity of practice (on average 3x per week).
2) a psychological support necessary because Fibromyalgia induced disability difficult to agree with its unpredictable symptoms. Resulting feelings of bitterness, frustration, insecurity, frustration, loss of solitude and understandable, difficult to overcome. These feelings become stressors additional aggravating physical symptoms. Breaking this vicious circle becomes the objective of any person with Fibromyalgia. The latter implies a necessary development by the staff to find a new balance physical and psychic whose definition of basic needs, self-assertion, the restoration of self-esteem and optimism are the cornerstones.
Among the psychotherapy was the inspiration analytical psychotherapy, behavioral psychotherapy, gestalt, psychotherapy mediated single mode or multi artistic. The latter using the visual arts or drama has a double effect, the first resolution negative feelings associated with any chronic illness and decrease pain by focusing on the creative act.

Diagnosis of Fibromyalgia

admin — Thu, 18 Dec 2008 12:56:02 +0000

The elements that must be systematically sought are:
pain
myalgia
arthralgia
anxiety
depression
fatigability
sensitive osteotendineux
negativity of the clinical examination (especially rheumatology and neurological) asthenia morning
The search for painful points (11 out of 18 according to the criteria of the ACR, American College of RHEUMATOLOGY) is essential for diagnosis and less useful to measure the progress of the disease.
The Para clinical minimum balance for the exclusion of another pathology must include:
numeration formula platelets
VS / CPR
Potassium
Calcium
KPC
AST / ALT
TSH
With regard to the differentiation between Fibromyalgia and chronic fatigue syndrome (CFS), the minimum balance for the exclusion of another pathology must behave more:
glucose
cortisol

The syndrome of Fibromyalgia

admin — Thu, 18 Dec 2008 12:54:21 +0000

People with Fibromyalgia show first three primary symptoms of chronic pain, fatigue and sleep disturbances. Then other ailments regularly called secondary symptoms concomitant which we list the main.
PRIMARY SYMPTOMS:
Chronic pain
Affecting all patients Fibromyalgia, the pain is characterized by sensitive to the touch in nine bilateral well-defined bodies. This pain extends mainly in the region’s muscular neck, shoulders, arms, pelvis and knee. She sits in the soft tissues of the muscles surrounding the joints (unlike arthritis that directly affects the joints). It is a non-inflammatory and degenerative.
Chronic fatigue
Next in importance chronic pain, chronic fatigue is characterized by fatigue languishing as a result of physical, intellectual work extended, or a sudden weakness without apparent cause. It intensified by a lack of sleep and stressful situations, prolonged or consecutively.
Present in all patients Fibromyalgia symptoms that can last for several days and weeks, even months. It reduces substantially – even dramatically – the daily activities and quality of life of patients.
Caution: Since chronic fatigue associated with Fibromyalgia and chronic fatigue syndrome is two syndromes which are very close, it is difficult to differentiate these two diseases. A doctor will in a person diagnosed with chronic fatigue, while another will that of Fibromyalgia. Sleep
They are characterized by difficulty falling asleep, frequent awakenings and a loss of deep sleep. This type of chronic insomnia resulting in stiffness and fatigue languishing from the morning alarm clock.
Among the good sleepers, the phase of deep sleep restores the forces necessary to balance the body. In Fibromyalgia, the frequency of alpha waves (Stage drowsiness) beyond abnormally on the frequency of delta waves during deep sleep cycle. This anomaly creates a state of light sleep depriving the body of a crucial rest.
SYMPTOMS CONTEMPORANEOUS:
Although the diagnostic criteria for Fibromyalgia not rely on the presence of sensitive, patients often suffer other symptoms Key:
Allergies
carpal tunnel syndrome
irritable bowel (alternating diarrhea and constipation)
cystitis (inflammation of the bladder) or irritable bladder
depression (mild to severe often proportional to the intensity of pain
numbness and tingling
sore throat (hoarseness or difficulty swallowing)
headache (in the form of migraine headaches)
loss of cognition (memory troubles)
gastro esophageal reflux (heartburn)
Premenstrual syndrome
dry eyes, dry mouth
violation of the thyroid (hypothyroidism)
cold extremities similar events Raynaud’s disease
Maxillo-facial pain
It is important to note that Fibromyalgia is a diagnosis of exclusion. Before concluding a Fibromyalgia, it is necessary to make certain tests to exclude any other disease speaking by similar symptoms.