What diseases rheumatologists deal?
For many years it has been a specialty rheumatology virtually unknown by the people who knew very well that we watched diseases rheumatologists. Today most people know that we are dedicated to bone diseases, especially osteoporosis, diseases of the joints, arthritis long as there is no history of trauma, disease with chronic noncancer pain as They are fibromyalgia, nonspecific back pain and chronic fatigue.
What is the most common rheumatic disease at the present time?
Osteoporosis is a disease that rheumatologists have dedicated ourselves and dedicate ourselves to its importance in preventing fractures. But perhaps now, we have a large percentage of our consultation with patients with a chronic noncancer pain, I am referring to fibromyalgia and back pain of unknown cause. There is not always a tax hernia or whenever there is an osteoarthritis can hold them back pain. Also CFS occupies a percentage of daily working activity.
What is known back of fibromyalgia and chronic fatigue?
For me the most important discovery has been made in the field of study of fibromyalgia and chronic fatigue has a direct relation to stress, that is suffering. Patients who develop a dialog box fibromyalgia or chronic fatigue or even a picture of back pain with contractions have a previous history of a stressful situation, a situation of suffering. Our group has worked hard on it with items such as cortisol, testosterone or determination in saliva of the above alpha-amylase.
What treatments are available for fibromyalgia and chronic fatigue?
The treatment of fibromyalgia and chronic fatigue is fully shown that must be multidisciplinary. When we say multidisciplinary we mean to be a treatment that starting the diet, because we now know that there are foods that the patient will feel anxious and there are foods that make you relax, following the exercise, the patient with chronic pain avoid exercise and just developed a syndrome of acquired non-use, it is necessary to make an exercise program. Also relaxation techniques, relaxation technique is essential, either, Schultz, Jacobson, even hypnosis. It is important to improve the quality of sleep of our patients do not improve your sleep difficulty disappears fatigue and pain patient has a painful fatigue, can not even move. To do this we help to many factors such as diet but also used the music that has a power of relaxation and change the mood of patients who can not forget and now form part of any working group dedicated to these diseases as Cochrane library collects. The drugs are indispensable but think that only drug will try and improve a patient with fibromyalgia or chronic fatigue is wrong. Invasibas also use techniques such as platelet growth factors with intra-articular injections or soft tissue and bursitis and enthesitis, or even the use of Kovacs technique for back pain relief.