Fibromyalgia, a limiting disease that generates incomprehension

Fibromyalgia is considered a disease by the World Health Organization since 1992. It affects approximately 2 to 5% of the general population of different countries and in our country those affected could be around 1,300,000 people. Some hypotheses point to a genetic predisposition, since fibromyalgia is 8 times more frequent among members of the same family.
It is a condition of non-joint nature and of unknown cause although it has been seen some relationship with alterations in phase 4 of sleep and emotional stress phenomena, usually affects mainly female sex, young and middle-aged women, sometimes the trigger it can be either an infection or a trauma that patients may have suffered. The most frequently affected fibromuscular territory goes from the back of the head, neck, shoulders, chest, lower back and thighs.


Symptoms of Fibromyalgia
As for the symptoms correspond to a typically neuromuscular picture with rigidity and progressive pain and diffuse character, in addition there is a peculiarity, the pain is usually continuous. The symptomatology can be increased in certain situations such as a lack of sleep (insomnia), emotional stress in circumstances that generate stress and anxiety, in the face of trauma, at the mere fact of humidity or the sensation of cold and also when Patients find a certain incomprehension, doubt and lack of support in their doctor.

Its cause is unknown although it has been some relation with alterations in the phase 4 of the dream and with phenomena of emotional tension, in addition usually it affects fundamentally to the feminine sex, young and middle-aged women

In addition to this typically fibromuscular condition, patients usually report stress, psychic tension, anxiety, fatigue or fatigue that in certain cases can be intense, reactive depression to their situation, tension headaches (headache), migraine phenomena , irritable bowel with alterations of the intestinal rhythm (constipation or diarrhea, flatulence, etc …). In any case, the fibromuscular pain usually worsens markedly with fatigue and in fact painful points sensitive to palpation can be observed in the affected muscular territories.

The main consequences of this pathology are the work and activity limitations of daily life, reducing self-esteem and causing secondary anxious-depressive symptoms. It is very important to keep in mind that fibromyalgia can go unnoticed in men, children and adolescents. It is also a disease very related to celiac disease.

As for the diagnosis, it is fundamentally based on the clinical picture (pain on palpation in muscle areas) that is characteristic, associated with a normality in the analytical tests performed on patients and a sensation of asthenia or feeling of generalized fatigue. A syndrome that may be similar in its manifestations is the chronic fatigue syndrome (it is characterized by a debilitating and intense fatigue of long evolution without demonstrable muscular weakness since there are no apparent underlying disorders that can explain the degree of fatigue. psychological support measures that often include antidepressants and limited, non-prolonged rest, along with physical rehabilitation and regular exercise); also the polymyalgia rheumatica presents a similar clinical symptomatology, although in this case the muscle involvement is usually proximal and in the blood analysis the increased erythrocyte sedimentation rate (ESR) appears.

The evolution of this disease is aimed at chronification, although the improvement of the triggering factors undoubtedly favor its remission, but recurrences are frequent. Therefore, and in view of its functionality, it is essential that patients have a complete support program from their doctor.

The evolution of this disease is aimed at chronification, although the improvement of the triggering factors undoubtedly favor its remission, but recurrences are frequent.

Regarding the treatment, this has a medical side with the management of situations of stress and anxiety, the use of analgesics, tricyclic antidepressants to improve sleep and a physiotherapeutic component by stretching the affected muscles (30 seconds of stretching and repeat 5 times), aerobic exercise (walking, swimming, biking), local heat and massages.

According to the experts, it would be necessary to improve two fundamental aspects: from the medical point of view, a greater predisposition to recognize the disease and investigate more about it; and from the patient, a greater social recognition of an “invisible” disease and assume all The personal drama, family and work partner, as well as the other limitations that fibromyalgia causes.

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