Unrefreshed sleep has been observed for a long time as a feature of fibromyalgia, and may be related to many of our symptoms.
One study reports that up to 95 percent of people with fibromyalgia report a restless sleep.
A growing body of research is leading to a better understanding of not sleep in this condition, its features, its effect on us and how it can be alleviated.
What is dreamless night ‘s sleep?
Restless sleep, is not the same as insomnia (which may also be present in fibromyalgia).
It is not related to how difficult it is to sleep or sleeping time.
Instead, restless sleep is more about the quality of your sleep. It is light, and even after sleeping for a full night, wake up feeling exhausted and as if barely had slept.
However, the impact of sleep can not go beyond feeling tired.
Although no sleep and other problems related to sleep are considered a symptom of fibromyalgia, research shows that are linked to abnormalities in brain chemistry, and the immune system in a complex manner and according to a 2012 study can serve as “a cause and a consequence of fibromyalgia.”
Impact of non – restful sleep
research relate this dream of poor quality with multiple symptoms of fibromyalgia, including:
² Increase sensitive points
² The lack of nocturnal pain recovery
² There is no feeling of wellbeing in the morning
² cognitive impairment (fibro fog)
² Poor performance on tasks
² Discomfort morning
² PSYCHOLOGICAL Disorder
Why not bring rest sleep in fibromyalgia?
So far, it is not well understood why sleep is usually not comforting in people with this condition.
The most obvious explanation is that it is difficult to sleep when you have pain, and many people with fibromyalgia report significant pain, simply lie on your sensitive muscles.
Cooling trends or overheat and sweat excessively, can also contribute to sleep problems.
Research shows that dysfunction in the autonomic nervous system (ANS) can also play a key role.
The SNA is divided into two parts: the sympathetic (fight or flight mode) and parasympathetic (sleep mode and digestion).
According to an emerging theory of fibromyalgia, the sympathetic nervous system seems to be “tied”. Preventing the body can actually relax and sleep.
This state is similar to “sleep with one eye open”, as do new parents when they are aware of every crying baby, or you may experience when you’re especially concerned about oversleeping, and therefore you wake up, and you check your watch again and again.
A 2009 study (Meadows) suggests that the variability of heart rate, which is a measure of autonomic function was abnormal during sleep in participants with fibromyalgia. This supports the theory of increased sympathetic activity that disrupts sleep.
Because the pain disrupts sleep and poor sleep causes pain, it can become a self-perpetuating cycle.
Treatment of sleep without proper rest:
Research suggests that several drugs can improve the quality of sleep in fibromyalgia.
² Lyrica (pregabalina)
² Cymbalta (duloxetina), Savella (milnacipran) y otros SNRI
² Elavil (amitriptilina)
² Xyrem (sodium oxybate)
Lyrica, Cymbalta and Savella FDA are approved for this disease. Elavil is a tricyclic antidepressant, and Xyrem is a drug for narcolepsy, strictly controlled.
Some people with fibromyalgia also report success with other prescription or nonprescription.
Research suggests that supplementation with melatonin can improve sleep and pain in fibromyalgia.