Fibromyalgia is considered a disease by the World Health Organization since 1992. It affects approximately 2 to 5% of the general population in different countries and in our country affected could be around 1,300,000 people. Some hypotheses point to a genetic predisposition, because fibromyalgia is 8 times more common among members of the same family.
It is a condition of character not articulate and unknown cause although it has seen some relation to alterations in stage 4 sleep and phenomena of emotional stress, usually it affects mainly females, young and middle-aged women, sometimes the trigger It can be either an infection or trauma patients may have suffered. The most frequently affected fibromuscular territory runs from the back of the head, neck, shoulders, chest, lower back and thighs.
As for the symptoms correspond to a typical neuromuscular box with stiffness and progressive and diffuse pain , plus there is a peculiarity, the pain is usually continuous. The symptoms may be increased in certain situations such as a lack of sleep (insomnia), emotional stress to circumstances that create stress and anxiety to trauma, to simply moisture or feeling cold and when patients find some misunderstanding, doubt and lack of support from your doctor.
Its cause is unknown although it has seen some relation to alterations in stage 4 sleep and phenomena of emotional stress also it tends to affect primarily females, young women and middle – aged
Besides this typically fibromuscular box patients often refer stress , mental stress, anxiety phenomena, fatigue or feeling tired in certain cases can be intense, Reactive depression his situation, tension headaches (headache), migraine phenomena, irritable bowel syndrome with abnormal bowel habits (constipation or diarrhea, flatulence, etc …). In any case the fibromuscular pain is significantly worse with fatigue and in fact can be observed painful spots sensitive to palpation in the muscle affected territories.
The main consequences of this pathology are working and activities of daily living limitations, undermining self – esteem and anxiety and depression causing secondary symptoms. It is very important to note that fibromyalgia may go unnoticed in men, children and adolescents. It is also a closely related disease with celiac disease .
Regarding diagnosis essentially is based on the clinical picture (tenderness in muscle territories) which is characteristic associated with a normality in analytical tests for patients and a feeling of fatigue or feeling of generalized fatigue. A syndrome that may be similar in its manifestations is the chronic fatigue syndrome (characterized by a disabling and severe fatigue long evolution without demonstrable muscle weakness since there is no underlying disorders apparent that might explain the degree of fatigue. Treatment consists of psychological support measures that often include antidepressants and limited rest, not prolonged, with physical rehabilitation and regular exercise);polymyalgia rheumatica also presents a similar clinical symptoms , although in this case the muscle involvement is usually proximal and in the blood erythrocyte sedimentation rate (ESR) appears increased.
The evolution of this disease is tending to become chronic , although improving triggers undoubtedly enhance your remission, but recurrences are frequent. Why and facing its functionality, it is essential that patients have a program full support from your doctor.
As for treatment, this is a medical aspect to managing situations of stress and anxiety, use of analgesics, tricyclic antidepressants to improve sleep and physiotherapy component by stretching of the affected muscles (30 seconds stretching and Repeat 5 times), aerobic exercise (walking, swimming, cycling), local heat and massage.
According to experts say should be improved two fundamental aspects: from the medical point of view, a greater predisposition to time to recognize the disease and investigate more about it ; and from the patient, a greater social recognition of an “invisible” illness and assume all personal, family and social drama work and other limitations that causes fibromyalgia.