Fibromyalgia - Treatment

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.
Pharmacologic therapy.Fibromyalgia therapy combines with the pharmacological pharmacological regimens, particularly relaxation techniques, aerobic exercise, psychotherapy. It will treat comorbid depression.Opioids are used, anxioliticele, musculoskeletal relaxants and hypnotics. Tricyclic antidepressants have a proven benefit. Some anticonvulsants and antidepressants decrease sensitivity to pain.Corticosteroids and NSAIDs are useful only in controlling inflammatory processes coexisting. Therapies to improve sleep benefit and patient well-being.
Capsaicin, a substance extracted from chili peppers, followed by topical and local massage relieves pain. Selective estrogen receptor modulator, raloxifene is effective in relieving pain, fatigue in postmenopausal women with fibromyalgia. Modafinil approved for narcolepsy and sleep disorders and fatigue improves cognitive impairment. Dopamine agonist pramipexole approved for restless legs syndrome is a new option for fibromyalgia. Beta-adrenergicele, pinodol and propranolol administered in small doses at bedtime relieves pain and agitation.
injection therapy.Infiltration injections and stick needles into specific pain points is an important technique for the outburst of pain myolysis. This interruption UNCRC to reduce pain, increase circulation and exercise tolerance. Inject 1% lidocaine or procaine 0. 5%.Lidocaine is preferred because it has fewer allergic reactions, a rapid onset of action and high potency. Saline solutions are used for patients allergic to local anesthetics.
Therapy for sleep.An effective drug for improving sleep disorders is zolpidem.Antidepresantele are generally used because of their effects on serotonin. Tricyclic antidepressants are the most potent. The standard is amitriptyline, but many patients do not tolerate the drug. If the patient has restless leg syndrome clonazepam indicate.Tiagabina increase sleep efficiency, sleep helps keep gabapentin.
Diet.Patients with fibromyalgia produce a greater quantity of oxidizing free radicals and metabolic toxins from healthy ones. Indicate increased food intake or vitamin supplementation, C, A, C, zinc and selenium. Vegetarian diet ameliorates some symptoms. Most patients with fibromyalgia consume large amounts of carbohydrates that contribute to worsening symptoms. We recommend removal of eating refined sugars, alcohol, caffeine, smoking, chimicalizate products, pasta, aspartame and monosodium glutamate.For a good night sleep are recommended:A schedule of hours of sleep at night-Avoiding periods of sleep during the day-Avoid spicy foods, sweet drinks before bedRegular exercise-day performance, but not before bedtime-Avoid watching TV, reading books in bed at night-Keep quiet room, dark and cool-Performing a warm bath before bedtime.
Prognosis.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. Although reversible allodinia and hyperalgesia in patients with fibromyalgia can be annoying.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.The characteristics of patients with poor prognosis include:-High level of distress, fibromyalgia longMajor psychiatric illness, severe anxiety or depression do not respond to treatment-Avoidance of physical activity, functional impairment markers, opioids and alcohol dependence.