Medicine Information

I Hurt All Over... How to Ease Away the Pain of Fibromyalgia!


At one moment, a life of activity consumed with enjoyable activities like biking, golfing, going to the movies, out to dinner. Then one day, it's gone. Replaced with constant pain and fatigue. Here's the lowdown on fibromyalgia.

Fibromyalgia is one of the most common forms of arthritis seen in a rheumatology practice. It is actually a soft tissue form of rheumatism. Typically, a patient will complain of feeling achy all over, being chronically tired, and feeling like they're walking around in a constant fog. Often a patient will complain of short term memory problems.

The American College of Rheumatology has set criteria by which fibromyalgia symptoms can be classified. These consist of a history of widespread pain for three or more months and pain in 11 of 18 tender point sites when 4 kilograms (about 9 pounds) of pressure is applied. When accompanied by a history of chronic fatigue and non-restorative sleep (waking up and feeling as if you haven't slept), there is a strong suspicion that fibromyalgia is to blame.

People affected by fibromyalgia experience two unique responses to stimuli. They perceive normal stimuli as being painful and they perceive painful stimuli as being more painful than it should be.

These abnormal responses are thought to be due to an abnormality involving pain-processing pathways within the central nervous system.

History and physical examination is the first step in evaluation. Unfortunately, there are no specific laboratory tests that confirm the diagnosis. However, the tests can be helpful in excluding other conditions that can mimic fibromyalgia such as hypothyroidism, lupus, and rheumatoid arthritis.

Treatment consists of a combination of four approaches. The first is patient education. Talking with the patient about the diagnosis and presenting what he options are. The second is institute medications. These may include one or more of the following:

? Analgesics which help to control pain. An example would be a drug such as tramadol
? Antidepressants which are used for their ability to elevate serotonin and nor-epiephrine levels in the brain. Examples include amitryptiline, fluoxitene, and duloxitene.
? Muscle relaxants like cyclobenzaprine
? Anti-seizure medicines like gabapentin
? Anti-fatigue medicines (modafinil)

The third therapy is non-impact aerobic exercise which helps to increase endorphin production in the brain and helps to recondition muscles.

Finally, the fourth is cognitive behavioral therapy which helps with goal-setting, coping and other measures which reduce the sense of victimization that people with fibromyalgia often have.

Fibromyalgia can be treated effectively. It is important that a patient seek out a qualified and empathetic rheumatologist to help them.

Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians.

For more information on arthritis and related conditions, go to: http://www.arthritis-treatment-and-relief.com


MORE RESOURCES:
This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news


Forbes

Medicine and Dentistry: Undoing an Illogical 150-Year Divide
Forbes
It's no secret that medicine and dentistry have evolved an unnatural professional separation that is helpful to no one and often causes unnecessary suffering on the part of patients. But we're in a moment—driven by our greater understanding of the ...



Mylan recalls batches of blood pressure medicine in US
Reuters
(Reuters) - Mylan NV said on Tuesday it would recall certain batches of blood pressure medicine valsartan in the United States after they were found to contain a probable cancer-causing impurity, the latest recall amid heightened safety concerns globally.

and more »


PharmaTimes

Mirati joins CR UK's Stratified Medicine Programme
PharmaTimes
Mirati Therapeutics has joined Cancer Research UK's Stratified Medicine Programme, bringing new investigational treatment options to eligible patients with advanced lung cancer. The partnership will make Mirati's experimental drug, sitravatinib ...



Healthcare IT News

Center for Connected Medicine polls top health systems about 2019 priorities
Healthcare IT News
The Center for Connected Medicine polled IT executives across 38 health systems for its 2019 Top of Mind survey. Cybersecurity continues to be the biggest concern across the industry, with telehealth and interoperability not far behind. Those topics ...

and more »


AAFP News (blog)

Bustling Clerkship Shows Family Medicine Is Never Boring
AAFP News (blog)
Not only was family medicine the first specialty I was ever interested in, it was my first third-year clerkship in medical school, too. Although I started medical school thinking family medicine was the specialty for me, it wasn't until my clinical ...



OncLive

Dr. Borgen on Precision Medicine in Breast Cancer
OncLive
The TAILORx trial, which was discussed at the 2018 ASCO Annual Meeting, is a perfect example of precision medicine making its way into this space, according to Borgen. Data from this trial suggested that by applying the precision medicine concept in ...



News3LV

Pulmonary Medicine
News3LV
Pulmonary Medicine. OptumCare Lung and Allergy Care. Chronic obstructive pulmonary disease, or “COPD” is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus production ...

and more »


Washington University School of Medicine in St. Louis

MRI scans shows promise in predicting dementia
Washington University School of Medicine in St. Louis
In a small study, MRI brain scans predicted with 89 percent accuracy who would go on to develop dementia within three years, according to research at Washington University School of Medicine in St. Louis and the University of California San Francisco.

and more »


Stanford Medical Center Report

Stanford Medicine magazine reports on ways digital technology is transforming health care
Stanford Medical Center Report
Four programs highlight how Stanford Medicine uses digital technology to fill in gaps in care: An emergency room physician uses tablet computers to train community health care workers in underserved areas of Haiti and India; radiologists transformed ...



KRVS

Medicine Ball Caravan: November 20, 2018
KRVS
We've got sound to heal you on Tuesday's MEDICINE BALL CARAVAN on KRVS (11am-noon Central Standard on 88.7FM locally or krvs.org) with recent selections from Paul McCartney, Zuider Zee, Sunflower Bean and The Record Company. Also: familiar ...


Google News

home | site map | Dr. Thad Thomas
© 2006