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

Dr. Juan Muñoz Ortego is an expert in Rheumatology in the field of Pain . His scientific merits stand out for his Extraordinary Award of Doctorate in Internal Medicine by the UAB and his Master's Degree in Acupuncture by the UB.

In his aspect of care he is the Medical Director of the instituteMYM oriented to the multidisciplinary care of stress, fatigue and pain. He also holds the position of Clinical Coordinator of the Inflammatory & Systemic Autoimmune Diseases Multidisciplinary Unit ( ISADMU ) at the Teknon Medical Center , aimed at the diagnosis and treatment of systemic inflammatory and autoimmune diseases.

His teaching activity is focused on Medical Acupuncture : he is Director of the official Postgraduate Course in Acupuncture and Auricular Neuromodulation in the treatment of pain accredited by the Scientific Society of Acupuncture of the Academic of Medical Sciences of Catalonia and the Balearic Islands ( SCACB ) as well as professor associate of the UB in his Master of Acupuncture.

As a researcher, he directs the Acupuncture Research Group based on the Evidence of the SCACB and participates actively in the Research Groups of the Spanish Society of Rheumatology (SER) . He has published more than 50 articles in scientific journals nationally and internationally in the fields of osteoporosis , gout , osteoarthritis , arthritis , spondylitis , acupuncture and pain . He currently holds the positions of Deputy Secretary of the SER and Vice President of the SCACB .

For Dr. Juan Muñoz Ortego, Rheumatology is the medical specialty of reference in both musculoskeletal and systemic autoimmune diseases and considers Acupuncture as a first-line medical procedure in the management of stress, fatigue and pain . His integrative vision of medicine allows him to develop a medical practice oriented to the needs of each patient, achieving the efficiency and personalized healthcare excellence .

*Translated with Google translator. We apologize for any imperfection

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