Many people suffer from it. Despite visits to the doctor, the overall condition does not seem to improve. Patients feel the same thing: a condition of chronic muscular pain extended to more or less all parts of the body and manifested by asthenia and permanent fatigue with important sleep disorders. Is it fibromyalgia?
Fibromyalgia, also called diffuse idiopathic or polyalgic syndrome SPID is a psychosomatic illness that causes widespread pain in patients: they have bad … everywhere. This disease occurs in people between the ages of 30 and 60 but mostly around 45, affects 2-6% of the population in industrialized countries, with a predominance of females (80% females).
Various causes … involved
Genetic factors can be mentioned: people suffering from fibromyalgia often have someone in the family who has experienced the same problem. One can also assume a central nervous system anomaly, with lower rates of neurotransmitters, such as serotonin in patients. They also include the possibility of a metabolic disorder of substance P leading to the transmission of nociceptive nerve impulses, which increases sensitivity to pain. Infectious factors, such as hepatitis B or C virus, may also be the cause of this syndrome. On the other hand, psychological problems, particularly pathological stress, anxiety and depression, are also involved. finally,
Pain, sleep disorders, chronic fatigue
Fibromyalgia can be considered as a pain perception disorder, with reduced pain threshold and lack of ability to cope with pain. It manifests clinically as diffuse, predominantly muscular pain associated with chronic fatigue and sleep disorders. Diffuse muscle pain affects certain areas of the body that are very painful and involve a muscle contraction, starting with the neck, shoulders and then even touching the back, chest, arms to finally reach the legs.
The patient often feels that the painful areas are swollen. Intense headaches and migraines are sometimes associated with SPID as well as irritable bowel syndrome (constipation, abdominal pain, flatulence …). difficulty concentrating are also found in these patients and often depression and anxiety or in a third of patients.
As for the medical diagnosis, it is done according to criteria established by the American College of Rheumatology developed in 1990. To maintain the diagnosis of fibromyalgia, it should attend a clinical history of generalized muscle pain over 3 months as well as in the clinical evaluation of the patient of 11 painful points in 18 characteristic points of the disease.
Warning: aggravating factors!
Trauma, stress, emotional shock, other somatic diseases (diabetes, infection …), noise, promiscuity, heavy physical exertion, cold, humidity, heat, some stressful conversations, lack of sleep … All this can lead to a fibromyalgia crisis .
Fibromyalgia is not a serious disease in the vital plane, which does not cause major health problems, but is chronic and often resistant to medical treatment. It can have family consequences for the couple and the family as family tensions. It may also sound about work with a high rate of absenteeism and inability to concentrate, which can decrease performance.
Let’s avoid it!
As for prevention, it is based essentially on the examination of anxiety states, chronic or depressive, in patients with diffuse chronic pain, mainly muscular pain. A treatment is necessary to avoid the chronicity of the pains and to prevent the installation of the vicious circle.
Treatment, a real headache
“The treatment is very difficult and poorly coded,” says the specialist. Analgesics (with 3 WHO levels) and anti-inflammatory drugs used alone are often ineffective by themselves. eventually, can be used as anti-depressants or anti-convulsants instead of their analgesic effects on the central nervous system. And as an antidepressant, those in the tricyclic family who are very effective against lack of sleep allow pain and improved quality of life reduced. Other antidepressants are also effective as selective serotonin reuptake inhibitors (which seem to be implicated in the pathophysiology of fibromyalgia).
“Etymology glosses, the term fibromyalgia comes from the Latin” fiber “(fiber), the ancient Greek” myos “or muscle and the Greek” algos “which is pain.
Anxiolytics may also be used for their efficacy in sleep. In particular, benzodiazepines may be prescribed, but this can lead to addiction and addiction. Other treatments include muscle relaxants such as thiocholicosic, which works on muscle contraction. Finally, hypnotics can be used for the restorative effect of sleep disorders. Special importance for psychological support to these patients by a psychologist or psychiatrist Some physicians propose a balanced diet, the dumping of stimulants such as tobacco and alcohol and the use of homeopathy. Balneotherapy exercises as well as physical therapy programs, including aerobic exercises,