Fibromyalgia, complex disease

Written by: Dr. Juan Muñoz Ortego
Edited by: Top Doctors®

Fibromyalgia presents a heterogeneous constellation of symptoms with chronic diffuse pain as common denominator. Its prevalence is about 3%, with a ratio of 20:1. For women

The symptomatology is functional pain, fatigue and sleep disturbance. However, the clinical courtship is very heterogeneous:

Functional Pain:for even nocturnal continuous type, which worsens with exercise. Global and imprecise affectation, covering limbs and trunk, especially large muscle mass. Pain and stiffness are higher in the morning and aggravated by cold and physical or psychic stress. Musculoskeletal dysfunction is common with contractures and transient episodes of loss of strength. Usually coexists temporomandibular joint dysfunction.

Asthenia:present in up to 70 % of cases, can lead to depletion crisis lasting 24-48 hours to slowly improve with rest. Refer decrease in its activity and physical and mental endurance.

Alteration of sleep:is the third major symptom and is characterized by difficulty in falling asleep, frequent awakenings and feeling of not having restful sleep. It may be associated myoclonus and restless legs syndrome.

Complex Manifestations ( cognitive, autonomic and endocrine ):symptomatology list is extensive, but highlight the chronic headaches ( migraine and tension ), the vertiginous syndrome, dysmenorrhea, colon syndrome irritable, urinary incontinence, emotional lability and reactive depression.

Diagnosis and treatment

The description of symptoms that make the patient as well as the data to remove the rheumatologist specialist exploration are essential for the diagnosis of fibromyalgia. Usually, the specialist may order complete laboratory to rule out other rheumatism.

The goal of treatment is to achieve an improvement in quality of life. This requires improving pain and treating symptoms accompanying people. The basic pillars of the explanation of the disease, mild physical exercise and physical therapy should be supplemented with Acupuncture. The Medical Acupuncture in expert hands is a highly effective therapeutic procedure which is a very powerful tool in addressing symptomatology experienced by patients with fibromyalgia.

More about fibromyalgia:

*Translated with Google translator. We apologize for any imperfection

By Dr. Juan Muñoz Ortego

*Translated with Google translator. We apologize for any imperfection

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