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Overview

1) What is fibromyalgia?

Fibromyalgia is a long-term (chronic) condition.

It causes:

a.pain in the muscles and bones (musculoskeletal pain)
b.areas of tenderness
c.general fatigue
d.sleep and cognitive disturbances.

This condition can be hard to understand, even for healthcare providers. Its symptoms mimic those of other conditions, and there aren’t any real tests to confirm the diagnosis.

2) Fibromyalgia symptoms

Fibromyalgia causes what’s now referred to as “regions of pain.” Some of these regions overlap with what was previously referred to as areas of tenderness called “trigger points” or “tender points.

The pain in these regions feels like a consistent dull ache. Your healthcare provider will consider a diagnosis of fibromyalgia if you’ve experienced musculoskeletal pain in 4 out of the 5 regions of pain outlined in the 2016
revisions to the fibromyalgia diagnostic criteria.

This diagnostic protocol is referred to as “multisite pain.” It’s in contrast to the 1990 fibromyalgia diagnostic criteria definition for “chronic widespread pain.

Other symptoms of fibromyalgia include:

A. fatigue
B. trouble sleeping
C. headaches
D. depression
E. anxiety

In people with fibromyalgia, the brain and nerves may misinterpret or overreact to normal pain signals. This may be due to a chemical imbalance in the brain or abnormality in the dorsal root ganglionTrusted Source affecting
central pain (brain) sensitization.

Learn which of its symptoms could have the biggest impact on your life.

3) Fibromyalgia fog | Fog

Fibromyalgia fog – also known as “fibro fog” or “brain fog” – is a term some people use to describe the fuzzy feeling they get. Signs of fibro fog include:

A. memory lapses
B. difficulty concentrating
C. trouble staying alert
D. According to a 2015 studyTrusted Source published in Rheumatology International, some people find mental fogginess from fibromyalgia more upsetting than pain.

4) Fibromyalgia trigger points

In the past, people were diagnosed with fibromyalgia if they had widespread pain and tenderness in at least 11 out of 18 specific trigger points around their body.

Common trigger points included the:

A. back of the head
B. tops of the shoulders
C. upper chest
D. hips
E. knees

For the most part, trigger points are no longer a part of the diagnostic process.

Instead, healthcare providers may diagnose fibromyalgia if you’ve had pain in 4 out of the 5 areas of pain as defined by the 2016 revised diagnostic criteria, and you have no other diagnosable medical condition that could
explain the pain.
5) Fibromyalgia pain.

Pain is the hallmark fibromyalgia symptom. You’ll feel it in various muscles and other soft tissues around your body.

The pain can range from a mild achiness to an intense and almost unbearable discomfort.

However, available research still doesn’t pinpoint an exact cause for fibromyalgia. Research continues to evolve in better understanding this condition and its origin.

A) Chest pain
When fibromyalgia pain is in your chest, it can feel frighteningly similar to the pain of a heart attack.

Chest pain in fibromyalgia is actually centered in the cartilage that connects your ribs to your breastbone. The pain may radiate to your shoulders and arms.

B) Fibromyalgia chest pain may feel:

A. sharp
B. stabbing
C. like a burning sensation
D. similar to a heart attack, it can make you struggle to catch your breath.

C) Back pain

Your back is one of the most common places to feel pain. About 80 percent of Americans have low back pain at some point in their lives. If your back hurts, it may not be clear whether fibromyalgia is to blame, or another
condition like arthritis or a pulled muscle.

Other symptoms like brain fog and fatigue can help pinpoint fibromyalgia as the cause. It’s also possible to have a combination of fibromyalgia and arthritis.

The same medications you take to relieve your other fibromyalgia symptoms can also help with back pain. Stretching and strengthening exercises can help provide support to the muscles and other soft tissues of your back.

D) Leg pain

You can also feel fibromyalgia pain in the muscles and soft tissues of your legs. Leg pain can feel similar to the soreness of a pulled muscle or the stiffness of arthritis.

It can be:

A. deep
B. burning
C. throbbing
Sometimes fibromyalgia in the legs feels like numbness or tingling. You may have a creepy crawling sensation.

Fatigue sometimes manifests in the legs. Your limbs can feel heavy, as if they’re held down by weights.

6) Fibromyalgia causes

According to the latest research, the cause appears to be a multiple-hit theory that involves genetic disposition (hereditary characteristics) complemented by a trigger, or a set of triggers, such as infection, trauma, and stress.

Let’s take a closer look at these potential factors and several more that may influence why people develop fibromyalgia.

A. Infections :

A past illness could trigger fibromyalgia or make its symptoms worse. The flu, pneumonia, GI infections, such as those caused by Salmonella and Shigella bacteria, and the Epstein-Barr virus all have possible links to
fibromyalgia.

B. Genes :

Fibromyalgia often runs in families. If you have a family member with this condition, you’re at higher risk for developing it.

Researchers think certain gene mutations may play a role. They’ve identified a few possible genes that affect the transmission of chemical pain signals between nerve cells.

C. Stress

Like trauma, stress can leave long-lasting effects on your body. Stress has been linked to hormonal changes that could contribute to fibromyalgia.

7) ibromyalgia risk factors.

Fibromyalgia flare-ups can be the result of:

A. stress
B. injury
C. an illness, such as the flu

An imbalance in brain chemicals may cause the brain and nervous system to misinterpret or overreact to normal pain signals.

Other factors that increase your risk of developing fibromyalgia include:

A. Gender : Most fibromyalgia cases are currently diagnosed in women, although the reason for this gender disparity isn’t clear.
B. Age : You’re most likely to be diagnosed in middle age, and your risk increases as you get older. However, children can develop fibromyalgia also.
C. Family history : If you have close family members with fibromyalgia, you may be at greater risk for developing it.
d.Disease. Although fibromyalgia isn’t a form of arthritis, having lupus or RA may increase your risk of also having fibromyalgia.
8) Fibromyalgia diagnosis.

Your healthcare provider may diagnose you with fibromyalgia if you’ve had widespread pain for 3 months or longer. “Widespread” means the pain is on both sides of your body, and you feel it above and below your waist.

After a thorough examination, your healthcare provider must conclude that no other condition is causing your pain.

Fibromyalgia can be hard for healthcare providers to distinguish from autoimmune diseases because the symptoms often overlap.

9) Fibromyalgia treatment.

Currently, there isn’t a cure for fibromyalgia.

Instead, treatment focuses on reducing symptoms and improving quality of life with:

a.medications
b.self-care strategies
c.lifestyle changes

Medications can relieve pain and help you sleep better. Physical and occupational therapy improve your strength and reduce stress on your body. Exercise and stress-reduction techniques can help you feel better, both
mentally and physically.

In addition, you may wish to seek out support and guidance. This may involve seeing a therapist or joining a support group.

10) Fibromyalgia medication

The goal of fibromyalgia treatment is to manage pain and improve quality of life. This is often accomplished through a two-pronged approach of self-care and medication.

Common medications for fibromyalgia include:

a.Pain relievers

Over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol) can help with mild pain.

Narcotics, such as tramadol (Ultram), which is an opioid, were previously prescribed for pain relief. However, research has shown they’re not effective. Also, the dosage for narcotics is typically increased rapidly, which can
pose a health risk for those prescribed these drugs.

Most healthcare providers recommend avoiding narcotics to treat fibromyalgia.

b.Antidepressants

Antidepressants such as duloxetine (Cymbalta) and milnacipran HCL (Savella) are sometimes used to treat pain and fatigue from fibromyalgia. These medications may also help improve sleep quality and work on rebalancing
neurotransmitters.

c.Antiseizure drugs

Gabapentin (Neurontin) was designed to treat epilepsy, but it may also help reduce symptoms in people with fibromyalgia. Pregabalin (Lyrica), another anti-seizure drug, was the first drug FDA-approved for fibromyalgia. It
blocks nerve cells from sending out pain signals.

A few drugs that aren’t FDA-approved to treat fibromyalgia, including antidepressants and sleep aids, can help with symptoms. Muscle relaxants, which were once used, are no longer recommended.

11) Fibromyalgia natural remedies

If the medications your healthcare provider prescribes don’t entirely relieve your fibromyalgia symptoms, you can look for alternatives. Many natural treatments focus on lowering stress and reducing pain. You can use them
alone or together with traditional medical treatments.

Natural remedies for fibromyalgia include:
A. physical therapy
B. acupuncture
C. 5-hydroxytryptophan (5-HTP)
D. meditation
E. yoga, use with caution if hypermobility is present

Therapy can potentially reduce the stress that triggers fibromyalgia symptoms and depression.

Group therapy may be the most affordable option, and it will give you a chance to meet others who are going through the same issues.

12) Fibromyalgia pain relief.
Fibromyalgia pain can be uncomfortable and consistent enough to interfere with your daily routine. Don’t just settle for pain. Talk to your healthcare provider about ways to manage it.

One option is to take pain relievers such as:

A. aspirin
b. ibuprofen
C. naproxen sodium
D. help with discomfort
E. lower pain levels

These medications bring down inflammation. Though inflammation is not a primary part of fibromyalgia, it may be present as an overlap with RA or another condition. Pain relievers may help you sleep better.

Please note that NSAIDS do have side effects. Caution is advised if NSAIDS are used for an extended period of time as is usually the case in managing a chronic pain condition.