Fibromyalgia

FIBROMYALGIA pain

Last Updated February 20th, 2019

Overview

Fibromyalgia is a disorder primarily characterized by chronic muscle soreness and aches throughout the body. Patients experience extreme fatigue and weakness because of which they may be unable to participate in everyday activities or exercise. They may find it difficult to get undisturbed sleep and, over time, the sleep deficit can lead to anxiety and depression. The quality of pain experienced can differ. Patients complain variously of ‘throbbing’, ‘sharp’, ‘tingling’ or ‘roving’ pains.

Unlike conditions such as arthritis, there is no actual inflammation or swelling giving rise to these pains. Further, fibromyalgia pain is not specific to any one part of the body and it may even ‘travel’. Patients typically report a heightened sensitivity to stimuli such as chafing from clothing, bright lights or loud noises.

Hence, it is believed that this disorder has more to do with an abnormality in the body’s ability to perceive and process pain. Based on the lack of objective indications, patients may be told that they are ‘making-up’ or imagining the symptoms and this might discourage them from seeking medical help.

 

Definition

FIBROMYALGIA painFibromyalgia is a chronic condition wherein the patient experiences a range of pains and tenderness throughout the body.

This results in severe fatigue and interferes with normal sleep and behavior patterns. Hence, certain cognitive and mood disturbances can also manifest.

Fibromyalgia is treated by some sources as a ‘functional somatic syndrome’ meaning that it produces somatic symptoms like pain and fatigue without any direct underlying cause like inflammation or injury. However, it is generally believed that fibromyalgia has a biological rather than a psychological basis. It is frequently accompanied by conditions such as irritable bowel syndrome and chronic fatigue syndrome although it is not clear which causes which.

 

Causes

Research indicates that fibromyalgia is brought on by changes in the way that stimuli are perceived and processed by the nervous system. Those suffering from fibromyalgia experience pain in response to stimuli that are not considered painful by others. Even a slight touch can be painful. This is believed to be triggered by certain changes in neurochemistry and may be attributed to an underlying genetic cause. Onset can be spontaneous or else it may be triggered by traumatic events or certain illnesses. The following are potential risk factors:

  • Psychological stress.
  • Physical trauma, particularly repetitive injury.
  • Having rheumatic or inflammatory disorders such as osteoarthritis, rheumatoid arthritis or systemic lupus erythematosus increases the likelihood of having fibromyalgia.
  • Having a family history of fibromyalgia.

 

Symptoms

Fibromyalgia fatigueThe most common indication is a chronic muscular ache throughout the body and a resultant fatigue. Symptoms can wax and wane and sometimes subside for weeks or months at a time before reappearing. They may even fluctuate through the course of a day or in response to changes in weather and hormonal activity. On average, female patients reportedly experience these symptoms with greater intensity than males. The following is a more extensive list of possible indications:

  • Widespread dull aches and chronic muscle pain throughout the body.
  • Tenderness and sensitivity to touch and pressure.
  • Tingling or crawling sensations.
  • Difficulty in sleeping, or insomnia.
  • Fatigue.
  • Muscle twitching.
  • Abdominal pain.
  • A sensation of bloating.
  • Nausea.
  • Painful menstrual cramps.
  • Migraine headaches.
  • Numbness in the face or limbs.
  • Tenderness in the region of the jaw.
  • Sensitivity to smells, sounds and lights.
  • Ringing in the ears.
  • Irritable bowel syndrome.
  • Inability to concentrate or think clearly.
  • A difficulty with memory.
  • Anxiety.
  • Depression.

 

Clinical Complications

Being constantly in pain adversely affects one’s quality of life and mental state. Patients may be unable to undertake recreational or occupational activities. Such withdrawal can leave them socially isolated. Typically, sleep deprivation makes it difficult for the person to remain mentally alert and function normally. Over the long term, this can lead to depression and cognitive dysfunction. A statistical association has been shown between fibromyalgia and a range of other disorders such as endometriosis, lupus, and osteoarthritis. However, it is not clear whether this link is one of causation.

 

Diagnosis

There is no specific test for diagnosing this condition because of the absence of objective pathological causes. There are no laboratory tests or imaging techniques that can offer a positive diagnosis of fibromyalgia. However, these can certainly help in ruling out other disorders that could conceivably be responsible for the symptoms. For instance, having an underactive thyroid gland can also produce fatigue and weakness. A simple blood test easily detects such thyroid insufficiency. If the patient is, in fact, suffering from fibromyalgia, his/her blood sample will test negative for thyroid disorder.

X-rays, magnetic resonance imaging, and ultrasounds may also be performed in order to determine whether there is any physiological basis for the patient’s pain and fatigue.

The American College of Rheumatology has established a guideline for diagnosing fibromyalgia. The first indicator is the persistence of widespread pain over a period of at least three months. By ‘widespread’ it is meant that pain is experienced on both sides of the body, both above and below the waist. Diagnosis may also take into account the number of tender points in the body although this is not strictly followed because of the inherently variable nature of the pain.

 

Treatment & Prevention

fibromyalgia malaiseTreatment – Medication and therapy can help reduce the pain of fibromyalgia.

  • Pain relievers – Over-the-counter medications to help ease the pain can be taken. The doctor may suggest prescription pain relievers. Narcotics are not advised as they could become addictive and worsen the pain over time.
  • Antidepressants – Can help relieve the pain and fatigue associated with fibromyalgia.
  • Anti-seizure drugs – Medications prescribed to treat epilepsy are often used to relieve certain types of pain.
  • Physiotherapy – A physical therapist can help teach you strengthening, flexibility, and stamina based exercises. Water-based exercises can be particularly helpful.
  • Occupational therapy – A therapist will help you make the necessary adjustments to your workspace and the way you perform your tasks to help you reduce the stress you put on your body.

Counseling is advised to patients suffering from fibromyalgia to help them cope with the pain.

Low FODMAP diet for fibromyalgia

FODMAPs are carbohydrates that are difficult for the gut to digest as they are fermented by the gut bacteria. Due to this fermentation, symptoms such as bloating, gas, stomach pain, constipation and diarrhea occur.

FODMAP in the daily diet include

Fructose – Fruits and honey.

Lactose – Dairy.

Fructans (insulin) – Wheat, onion, and garlic.

Galactans – Beans, lentils, and legumes.

Polyols – Avocado, apricot, cherries, peaches, and plums.

FODMAP stands for

  • F – Fermentable.
  • O – Oligosaccharides.
  • D – Disaccharides.
  • M – Monosaccharides.
    A – and
  • P – Polysaccharides.

Foods such as pasta, noodles, bread, pastries etc, may increase the symptoms of fibromyalgia. Foods such as salmon, trout etc, broccoli, oatmeal, almonds, hazelnut etc. can help in relieving symptoms of fibromyalgia. Consuming a low FODMAP diet can help in reducing the flare-up of fibromyalgia.

Preventions – Fibromyalgia cannot be prevented. Proper treatment and lifestyle changes can help in reducing the frequency and severity of the symptoms.

  • Get adequate sleep – Lack of sleep is both a cause and symptom of fibromyalgia flair-ups. Poor sleep creates a cycle of more pain, making it harder to sleep, which causes more pain and so on.
  • Reduce emotional and mental stress – The symptoms of fibromyalgia get worse with stress. You could try meditation, relaxing, acupuncture etc. to help reduce your stress levels.
  • Get regular exercise – Exercise on a regular and moderate level can help keep the muscles and joints healthy. Do not exert yourself as this can worsen the symptoms.
  • Eating a balanced diet – Certain patients of fibromyalgia have stated that certain food items worsen their symptoms. Having a balanced and healthy diet provides all the nutrients that are required by the body. Reducing caffeine, junk and processed food intake help in making you healthier and controlling your weight. Therefore, reducing the symptoms of fibromyalgia.

 

Facts

  • About 5 million people in the US who are 18 years or older have fibromyalgia.
  • Between 75-90% of people who are diagnosed with fibromyalgia are women. Men get diagnosed with this disease as well, but their symptoms are different altogether.

Facts

  • Many people with fibromyalgia have memory and concentration loss. This is called “brain fog” or “fibro fog.”
  • There is nothing that can be done to treat fibromyalgia.

Facts

  • Digestive disorders can be a symptom of fibromyalgia.
  • Fibromyalgia can cause heightened senses.
  • Though it is a primary health condition, it is often a secondary condition to ailments like rheumatoid arthritis and lupus.

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Dos and Don'ts

Dos
  • Pay attention to what you eat. Make sure that you have clean, healthy and nutritious food.
  • Reduce stress levels, as stress levels increase the symptoms of fibromyalgia.
  • Exercise
Don'ts
  • Over medicate.
  • Expect an immediate recovery. It will take time for the pain to subside.
  • Overdo thing on a good day. As it could lead to intense pain later.

 

 

 

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Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
Hysteroscopy_procedure
Hysteroscopy Hysteroscopy is a minimally invasive tool to help specialists view the uterus to diagnose and even treat several…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
hidden causes obesity
8 hidden causes of obesity you probably didn’t know! Did you know that around 2 billion people worldwide are either overweight or obese? Are you too a…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
Oxidative Stress: Understanding the most lethal phenomenon happening in your body right now Free radicals cause damage to the body, which is known as oxidation.  The amount of oxidation caused by…
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
Tissue Transglutaminase Antibody (tTG) Test Transglutaminase is an enzyme present in our body and is involved in protein metabolism. A tTg test is…
lp-pla2
LP-PLA2 Test The LP-PLA2 test is a test which is carried out to assess the levels of Lipoprotein-Associated Phospholipase A2…
immunoglobulin M
Immunoglobulin M Test Immunoglobulin M is the largest and the first produced antibody which helps in the prevention or fighting of…
Salt dangers
Sodium chloride: The wonders and dangers of the simple table salt Sodium chloride is a salt containing sodium and chlorine ions at a 1:1 ratio. It is edible and…
The right way to prepare Alfalfa sprouts at home Alfalfa or lusan ghas is not just a nutritious animal fodder. This flavonoid-rich herb has some amazing health…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
Coffee Enema: Turn your favorite morning beverage into a powerful colon cleanser The wonders of coffee are not just limited to waking you up every morning. You can now use…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
thyroid_scan
Thyroid Scan Thyroid scan is a diagnostic procedure that aims to view the thyroid gland and detect any growths or…
quinoa salad
Quinoa : A prodigious superfood you need to include in your diet today! Quinoa - what is so special about this native South American grain that has taken the world by…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
bananas exercise
10 health reasons why you should go “bananas” over bananas! Bananas:The world's most popular fruit comes with a host of unbelievable health benefits. Find out how you can…
ashwagandha brain
Ashwagandha: The best-kept secret of Ayurveda now revealed! Ashwagandha literally means "smell of horse". Don't get bogged down by that one tiny detail because this ayurveduic…
The complete “what to eat” guide for gluten intolerance Does eating breads and pastas often makes you nauseous? Gluten intolerance is a common reason why you might…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
shoudler exercises
Keep your shoulders pain-free with these shoulder exercises Shoulder exercises are important in order to prevent chronic back and neck pain. Learn more about how you…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…