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Fibromyalgia – What Is It and How Do I Manage It?

Incidence of Fibromyalgia

Fibromyalgia or FMS is characterized by chronic widespread pain and an increased and painful stress response. It is one of the most common causes of musculoskeletal pain, affecting 2 to 4% of the population. Fibromyalgia is usually accompanied by fatigue and poor sleeping habits. Much more common in women than men, the peak incidence is between the ages of 20 and 60, although it can occur even in children.

Causes of Fibromyalgia

While the exact cause is unknown, symptoms often begin after a physical or emotional trauma, and the condition may be associated with an underlying disease, such as rheumatoid or osteoarthritis, systemic lupus erythematosus, sleep apnea, and chronic fatigue syndrome.

Various theories claim that;

o Blood flow to the muscles is reduced due to the poor aerobic condition of the muscles.

o Blood flow to the thalamus and caudate nucleus is reduced leading to a lower pain threshold.

o Abnormal endocrine function is present.

o There are abnormal levels of the neurotransmitter Serotonin which affects pain and sleep.

o Due to the overlap with other pain syndromes such as CFS, there is potential for infection with germs such as parovirus B19.

Fibromyalgia signs and symptoms

The main symptom is a diffuse, dull pain that is concentrated in the neck and shoulders and spreads to the lower back and extremities. The pain is usually worse in the mornings and is worsened by stress, lack of sleep, weather changes and inactivity. Other signs may include; irritable bowel syndrome, tension headaches, depression and swollen hands.

Diagnosis of Fibromyalgia

Typically there are multiple tender points, sleep problems, morning stiffness, headaches and problems thinking clearly.

About 40% of fibromyalgia patients describe having alternating bouts of diarrhea and constipation, while experiencing bloating, cramping, and an increased urge to defecate. About 20% of people with fibromyalgia have an accompanying restless leg syndrome, and about 50% of fibromyalgia patients complain of swollen tissues, numbness, and tingling in the extremities.

Hormone levels under the direct or indirect control of human growth hormone including IGF 1, cortisol, leptin, and neuropeptide Y may be abnormal. Fibromyalgia patients show lower heart rate variability which may be indicative of sympathetic-parasympathetic imbalance.

While the pain is mainly located in the muscle areas, microscopic evaluation of tender point biopsies shows no abnormalities compared to normal muscle tissue.

Treatment of Fibromyalgia

As with many other medically unexplained syndromes, there is no known cure or universally accepted treatment for fibromyalgia, and treatment is usually aimed at managing symptoms. Comprehensive, individualized treatment plans that include medication, patient education, aerobic exercise, and cognitive behavioral therapy have been shown to be effective in relieving pain and other symptoms associated with fibromyalgia.

Prescription drugs such as amitriptyline and nortriptyline are used to improve sleep and reduce pain. Alternative therapies such as massage and physical therapy, chiropractic and acupuncture, vitamins and supplements, moderate exercise, lifestyle changes including diet and stress management all have their place. Studies show that strength training with free weights reduces pain and even reduces depression in people with fibromyalgia.

There are a number of interesting new theories that hypothesize that the role of the ever-increasing influence of toxins in modern life is involved in the increasing incidence of Fibromyalgia and other related diseases. One in particular may well be worth looking into further as it is based on a very large amount of research that has been done in the last 10 years on the effect of cell signaling molecules.

There is no doubt that when our cellular communication is disrupted due to an imbalance of REDOX status, there is a marked increase in the incidence of disorders such as fibromyalgia, cancer, wound healing, fibrosis, diabetes and neurodegenerative diseases such as Alzheimer’s and Parkinson’s.

So if you can restore your REDOX balance, you may well be able to restore health.

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