Health Management

fibromyalgia joint pain : Causes, Diagnosis & Treatment

The multiple joint pain or fibromyalgi.

Fibromyalgia is the widespread body pain (generalised pain) of adults after 3rd or 4th decade of their life, associated mainly with women (specially who are mothers). fibromyalgia Is a neurological disorder but not mental disorder. It is the chronic condition which causes pain in multiple joint and muscles stiffness. The disease is usually divided in two phases i.e., flare and relieve phases. During flare up phase the patient maximally effected and the symptoms appear at its most whereas during relief phase the patient carry out his/ her daily tasks normal as before the conditions. Pain experienced due to this condition is often described by patient as dull, numbing, aching and sometimes burning. People suffering with this condition, feel difficulty in sleeping due to discomfort. That further lead to certain psychological symptoms.

Stages

The four stages of fibromyalgia are,

  • Regional

initially when the symptoms are originally localised (related to any particular region)

  • Generalised

When the condition has progressed, and the symptoms are observed throughout the body that cannot be localised.

  • Advanced

During this stage the pain become more generalised, sleep disturbances increases and there will be chemical sensitivity in such patient.

  • Secondary to other disease

It is the stage in which the FM symptoms appear due to some other disease.

Signs and symptoms

The symptoms of FM overlap with many other disease symptoms. Pain due to muscular stiffness throughout the body, general illness, fatigue, sleep disturbances due to generalised pain and discomfort, stress, anxiety, psychological problems such cognition impairment and etc, excessive hair loss.

Causes

Though the causes of FM are not yet clearly understood but in multiple cases it is seen associated with stress, trauma in past, emotional disturbances, excess activity, weakness, etc. These causes can also trigger the already existing condition.

Diagnosis

Fibromyalgia or FM can be diagnosed during physical examination by orthopaedic and rheumatologists. There is no CT, Xray or any other diagnostic test yet designed to diagnose fibromyalgia. The reason for that is the disease is not yet properly understood or worked on.

Treatment

  • Self-care

Self-care means to take one’s own care in various aspects of life. This will help patient to be happy all the time that will reduce the feelings of inferiority complex.

  • Physical activity

Women most likely tend to rest during flare up time as the pain due to FM unable them to carry out normal daily work and work as much as possible during normal days. This lead to Rest during flare ups and controlled exercise during normal days.

  • CBT

Cognitive behavioural therapy helps to reduce brain response that worsens the pain. As FM is also linked to emotional abnormalities, this is the type of talking therapy that help to change negative thoughts about oneself and others.

  • Medications

Painkillers and spasmolytics (the inhibit muscular spasms) are the drugs of choice during flare ups of pain. Whereas in normal days patients are advised to refrain from taking drugs.

Epidemiology

the prevalence of fibromyalgia is estimated around 2 percent adults 40 million in US at present is suffering with this condition. This incidence is expected to increase due to multiple reasons for example, poor women health, malnutrition, psychological disorder and etc.

new research

latest research about FM treatment produces some very promising results. During this research, researchers prove that antibodies when administered in a subject increases the pain sensitivity of brain.

Conclusion

To conclude the above discussion, fibromyalgia is widespread varying intensity pain and stiffness in the body. The stiffness in the body mostly occur in shoulder (trapezius muscles) and legs and elbows. The symptoms progress and triggers with emotional disturbance and intense physical activity. It is observed that women suffer more due to fibromyalgia. It may be due to rapid hormonal changes in women with respect to males. That is the reason women are more emotional than men. These emotional abnormalities also lead to FM. Furthermore, women of age around 35 to 45yrs are more prone to FM obviously along with other factors.

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