
Fibromyalgia
What is fibromyalgia?
The
term fibromyalgia means pain in fibrous and muscular tissues. It
is a chronic (ongoing) condition of pain, stiffness, and usually
fatigue. Fibromyalgia, also called fibrositis and myofascial pain
syndrome, is more common than most people realize. As many as 3%
to 6% of all people have fibromyalgia. Sometimes children have fibromyalgia,
but it is more common in adults, and more women have it than men.
How
does it occur?
What
fibromyalgia is exactly, or what causes it, is not known. Sometimes
fibromyalgia occurs in more than one member of a family. This suggests
that the disorder may be inherited. Stress, anxiety, depression,
and poor sleep may contribute to it. The symptoms may get worse
when you overexert yourself or when the weather is damp and cold.
What
are the symptoms?
Pain
is the main symptom. The aches, pains, and stiffness in muscles,
joints, and soft tissues get worse or better from day to day or
week to week. The pain also tends to move from one part of the body
to another. It is most common in the neck, chest, arms, legs, hips,
and back. Other common symptoms are:
-
tiredness
-
headaches
-
anxiety
-
depression
-
problems with the digestive system, especially difficulty swallowing,
recurrent abdominal pain, or diarrhea.
How
is it diagnosed?
Your
health care provider will ask about your symptoms and do a physical
exam. Several blood tests may be done. Fibromyalgia can be difficult
to diagnose. The diagnosis is usually made after ruling out other
medical problems that have similar symptoms.
How
is it treated?
The
most successful treatment for fibromyalgia is a healthy diet and
balanced exercise and rest. The diet should include a large variety
of fruits and vegetables. These foods provide the body with trace
elements and minerals that help the muscles. Also, the fiber in
fruits and vegetables helps the digestive system.
Exercise
affects the levels of many biochemicals in the body, particularly
in the nervous system. This may be why symptoms of fibromyalgia
often improve when people exercise regularly. Because much of the
pain of fibromyalgia is in the muscles and joints, you should begin
an exercise program gradually. Include good warm-ups and cool-downs.
Do types of exercise that do not hurt your joints.
Rest
is as important as diet and exercise in the treatment of fibromyalgia.
Make sure you get enough restful sleep. In the evening avoid stimulating
foods and drinks (such as coffee) and certain medications (for example,
decongestants). If diet, exercise, and adequate rest do not relieve
your symptoms, your health care provider may prescribe medication.
These drugs might include antidepressants, muscle relaxants, and
anti-inflammatory drugs.
Your
health care provider can also help to find other ways to reduce
your pain and fatigue. For example, you may benefit from massage
therapy or a home exercise program recommended by a physical therapist.
How
long will the effects last?
Fibromyalgia
is a chronic problem. The symptoms sometimes improve and at other
times worsen, but they will probably continue for months to years.
What
can I do to prevent fibromyalgia?
There
is no known way to prevent fibromyalgia. However, as with many medical
conditions, staying as healthy as possible with a good diet, safe
exercise, and adequate rest is the best prevention.
Robert
B. McWilliams, M.
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