Tuesday, May 24, 2011

Fibromyalgia

Fibromyalgia typically begins in middle age or young adults, women serve as pain, stiffness, fatigue, disrupted sleep and cognitive difficulties often accompanied by multiple organic unexplained symptoms, anxiety and depression with impaired to perform daily physical activities.In the past Fibromyalgia was defined as a psychological illness due to absence of clinical signs on physical examination and laboratory tests and imaging studies. Many doctors still do not accept fibromyalgia as a disease by themselves. However, recent studies and clinical investigations have clarified the neurophysiological basis for fibromyalgia, leading to a new classification that central sensitivity syndrome. Today Fibromyalgia is considered a sensorineural disorder characterized in part by central nervous system abnormalities in pain processing.Increasing understanding of the biological basis of fibromyalgia have led to new pharmacological treatments for this condition.
Fibromyalgia Clinical pain is more than widespread. This partially overlaps than other central sensitivity syndromes: chronic fatigue syndrome, irritable bowel syndrome, chronic pelvic pain syndrome / primary dysmenorrhea, temporomandibular joint pain, headaches, posttraumatic stress disorders, periodic limb movements, restless legs syndrome, interstitial cystitis, regional pain syndromes and behavioral changes with anxiety.Development of fibromyalgia involve elements of vulnerability: female sex, genetics, abuse or other traumatic experiences in childhood when the brain is still developing and persistent stress or distress. Predictors of progression of acute pain chronic pain are high anxiety and distress, pain relief and slow history of trauma.
International Association for the Study of Pain defines pain as "an unpleasant emotional and sensory experience associated with actual or potential tissue destruction or described in terms of such destructions." By default there is fear associated with pain that can be trivial or profound. Neurophysiological experience painful sensations derived dintrun-perception complex interactions involving the simultaneous processing of nociceptive stimuli to the spinal cord to multiple brain regions.Pain in patients with fibromyalgia derives in part from a generalized loss of pain perception, reflecting a quality discrimination against a nonnociceptiva nociceptive (touch, heat, cold) and depending on the tolerance to pain, reflecting the stronger rejection of painful stimuli. These phenomena can be demonstrated clinically using quantitative sensory testing dolometrie or pressure, heat, cold or electricity as a stimulus.Underlying these changes be altered processing of nociceptive stimuli in the brain.
Fibromyalgia is a chronic relapsing disease. It is reported up to 10 visits per year to the doctor because of pain patients. Chronic fatigue and fibromyalgia pain increase the risk of metabolic syndrome. Approximately one third of patients with fibromyalgia report modification service. Some shorten the workday or change their service with a less stressful or less responsibility. Patients reported the inability to achieve a higher educational level or career.The disease has no cure. Enter avoid stressors factors. Deep nociceptive pain may respond to analgesics, psychological therapy, relaxation strategies, aerobic exercise. Heat, massage and other treatments are useful. Pain is relieved by diffuse and regional strategies such as saunas, hot baths and showers, hot mud and massage. Autostimulare electrical devices in light painful areas shows benefits.
Fibromyalgia is not life threatening, deforming or progressive disease. Symptoms of fibromyalgia vary. Without proper diagnosis and treatment of disease progression may be an illusion. This is mediated by sleep deprivation.
Signs and symptoms in fibromyalgiaAlthough considered a disease of women 20-50 years, fibromyalgia is seen at the pediatric population, especially in teenagers and older people. Fibromyalgia in children respond to the combination of psychotherapy, exercise, relaxation techniques, pharmacotherapy generally is not recommended. Fibromyalgia typically begins in middle age or young adults, women serve as pain, stiffness, fatigue, disrupted sleep and cognitive difficulties often accompanied by multiple organic unexplained symptoms, anxiety and depression with impaired to perform daily physical activities.
Fibromyalgia PainFibromyalgia patients with diffuse pain radiates from the axial skeleton of large areas of the body, predominantly involving muscles and joints, musculoskeletal, and joints, is described as burning, miserable, unbearable. Pain may also be multifocal and may present data migration.
Fatigue and sleep disordersThey are universal in individuals with fibromyalgia. Most fibromyalgia patients meet criteria for chronic fatigue syndrome.
Cognitive disorders associated with fibromyalgiaMay be the primary symptoms of fibromyalgia, reflecting the episodic and semantic memory impairment equivalent to 20 years of aging. Cognitive symptoms associated with fibromyalgia are exacerbated by pain, anxiety and lack somunlui.
Other conditions associated with fibromyalgia:-Weight fluctuations-Allergic symptoms: nasal congestion, sensitivity to odors, noises, bright lights and drugsIncluznoncardiaca regional-precordial pain, dyspepsia, headache, abdominal cramps, temporomandibular pain, chronic pelvic pain-Syncope and dizziness, tahipenee, female urinary syndrome.This partially overlaps than other central sensitivity syndromes: chronic fatigue syndrome, irritable bowel syndrome, chronic pelvic pain syndrome / primary dysmenorrhea, temporomandibular joint pain, headaches, posttraumatic stress disorders, periodic limb movements, restless legs syndrome, interstitial cystitis, regional pain syndromes and behavioral changes with anxiety.
Evolution fibromyalgia
Fibromyalgia is a chronic relapsing disease. Chronic fatigue and fibromyalgia pain increase the risk of metabolic syndrome.Approximately one third of patients with fibromyalgia report modification service. Some shorten the workday or change their service with a less stressful or less responsibility. Patients reported the inability to achieve a higher educational level or career.Fibromyalgia is a chronic relapsing disease. Viuzite relates to 10 patients per year to the doctor because of pain. Chronic fatigue and fibromyalgia pain increase the risk of metabolic syndrome.Approximately one third of patients with fibromyalgia report modification service. Some shorten the workday or change their service with a less stressful or less responsibility. Patients reported the inability to achieve a higher educational level or career.

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