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Fibromyalgia is a relatively new disease, if it is possible can say such a thing. It sometimes goes by the name of polymyalgia rheumatica. It is characterised by diffuse and variable pain symptoms felt in the muscles and joints of primarily the upper aspects of the arms and legs. It is reported to affect significantly more women than men and has associated and marked fatigue type symptoms. It is seemingly able to manifest for many months if not years, without a definite end point. There are a considerable number of experts who consider fibromyalgia to have a major psychological cause. This is commonly termed psychogenic or psychosomatic. Symptomatically the disease tends to have flare ups or exacerbations and remissions. Exacerbations are commonly associated with stressful situations as well as low temperature exposure and physical exertion. A provisional diagnosis of fibromyalgia is often given if widespread undiagnosed pain is experienced in all four limbs for a continual period of three months or more. Further confirmation is with tender point analysis where patients feel specific and abnormal tenderness on certain points located around the body. These are located at the knees, elbows and neck and shoulders. Sufferers often report abnormal sleep patterns too. Fibromyalgia is also associated symptomatically with a number of other illnesses or diseases such as: metal poisoning post war syndromes chronic fatigue syndrome hypothyroidism depression influenza There is no known cure for fibromayalgia. Analgesia and low dose antidepressant medication is commonly used to treat symptoms. Alternative therapies and physiotherapy and massage have also been cited as helpful. Results and outcomes are not proven though and symptomatic and temporary relief seem to be the commonest outcome of treatments. However, it is commonly accepted that exercising to a level of fatigue has negative rather than positive results with sufferers. If the symptoms are in remission the exercfise tolerance levels of sufferers can be improved albeit slowly. The following are believed to be among the possible causes: Stress Genetics Endocrine deficiencies As you can probably tell there is an awful lot that of variation and debate on the subject. This is even to the point of doubt as to whether fibromyalgia is actually a definable and diagnosable disease or just a convenient label for a reported combination of a number of widespread signs and symptoms. There is portion of the medical fraternity who believe fibromyalgia to be a label for a group of psychosomatic symptoms rather than a specific and diagnosable illness in its own right. Undoubtedly fibromyalgia has become a relatively recent and additional drain on medical resources, certainly in the developed world. The increase in the numbers of sufferers leads to the thought that there could possibly be a link to the lifestyle we lead today. It is certainly getting attention and whether considered to be a 'proper disease' or not it is a label currently being given to an increasing number of patients.
Article Source: http://www.thehealthmanual.com
Robert Ryles is a Chartered Physical Therapist. He has worked extensively in orthopedic and sports medicine fields and in both International and Premiership football. He is also a lecturer, researcher and author in his expert field. His extensive rehabilitation and treatment of injuries advice is available on his website www.the-rehabilitation-room.com
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