Fibromyalgia

Fibromyalgia is a condition marked by chronic body-wide musculoskeletal pain. Patients with fibromyalgia (FM) usually complain of fatigue, headaches, anxiety or depression, sleeping difficulties, and other discomforts in conjunction with the general pain syndrome. It is thought that fibromyalgia affects how the brain processes pain sensation, creating a more robust and longer-lasting effect.

Those diagnosed with fibromyalgia describe the pain they feel as a constant dull ache that has lasted for longer than three months. The pain is widespread throughout the body, both above and below the waist and on both the left and right sides. The general pain experienced can increase when pressure is applied to specific body areas, known as tender points.

Understanding the symptoms

There are familiar places where tender points occur in fibromyalgia. The back of the head, forward sides of the neck, top of the shoulders, shoulder blades, upper chest, elbows, hips, and knees are all prime tender points. Symptoms can develop suddenly, usually following surgery, trauma, or an intense psychological problem.

At other times, the symptoms gradually appear with no apparent event as a precursor. This condition can affect either men or women of any age. Women between the range of 20 and 50 have a higher diagnosis rate. Those with a rheumatic disease history are also more likely to develop fibromyalgia symptoms.

Other symptoms may also include anxiety, depression, fatigue, irritability, and sleeping disturbances.

Treatment options

Fibromyalgia currently has no cure. The primary treatment is focused on lessening the symptoms of the individual. Techniques may include learning coping skills, an exercise regime, antidepressant medications or muscle relaxers, and proper nutrition. Some individuals claim to experience relief with alternative therapies such as massage, acupuncture, practicing yoga, and tai chi. Each person responds differently to a treatment. It may take time to establish the right therapy or combination of therapies.

Medical Management

The FDA has approved three medications for the treatment of fibromyalgia: the antidepressants duloxetine (Cymbalta) and milnacipran (Savella), as well as the seizure medication pregabalin (Lyrica). However, your doctor may prescribe medications that are not explicitly authorized for fibromyalgia. These types of drugs are commonly referred to as "off-label" medications.

Each fibromyalgia medication has its unique side effects, ranging from minor to severe. To alleviate your symptoms, you and your doctor will work together to find the right medication.

Antidepressants

Even if you aren't depressed, these medications can help with pain and other fibromyalgia symptoms. Antidepressants increase the amounts of molecules that assist reduce pain, such as serotonin and norepinephrine.

Your physician may recommend the following:

• Citalopram
• Escitalopram (Lexapro)
• Fluoxetine Fluvoxamine (Luvox) (Prozac)
• Paroxetine (Paxil, Pexeva)
• Sertraline (Zoloft)
• Tricyclics (Elavil).

Antidepressants can potentially cause a variety of adverse effects, including:

• Nausea
• Fatigue
• Mouth dryness
• Vision impairment
• Constipation
• Dizziness
• Appetite Modification
• Weight gain

Anti-Seizure Drugs

Epilepsy medications may also help relieve your fibromyalgia discomfort. These drugs keep sensitive nerves from delivering too many pain signals to the brain.

• Pregabalin (Lyrica).  It relieves pain and can help with exhaustion and sleep issues.
• Gabapentin (Neurontin). According to studies, this medication reduces pain and exhaustion while improving sleep. It is similar to and functions in the same way as pregabalin.

If you take one of these medications, you may experience the following side effects:

• Hazy vision
• Dizziness
• Drowsiness
• gaining weight
• Hands or feet swelling

Pain Relievers

These drugs can help with the aches and pains of fibromyalgia:

Medications are available over the counter. For example, Acetaminophen and Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and naproxen.

Before taking NSAIDs regularly, you must consult your doctor. Common side effects include:

• Risk of having a heart attack or stroke
• Stomach ulcers and intestinal bleeding.

NOTE: Although acetaminophen has fewer adverse effects, it is critical to adhere to the dose prescribed by your doctor. Too much of the medication can cause liver damage.

Prescription medications Opioid pain relievers are generally not indicated for fibromyalgia. They are ineffective and may potentially aggravate the pain. However, your doctor may give tramadol (Ultram) in severe circumstances. Because tramadol can be addictive, it is typically only used for a brief time. It may also cause stomach pain, constipation, nausea, and difficulty concentrating.

Muscle relaxants

Although no one knows why muscle relaxants can help with various fibromyalgia symptoms.

• Cyclobenzaprine (Flexeril).
• Tizanidine (Zanaflex).

Low doses of these drugs may help you sleep better. It can also help with weariness and soreness.

Side effects can include: Dry mouth, dizziness, and hazy vision are all possible adverse effects.

Acupuncture

Acupuncture involves inserting tiny needles into strategic spots on your body at various depths. They are usually left in place for 20 to 30 minutes and are sometimes encouraged further with heat or electricity. Acupuncture has low hazards when performed by a qualified practitioner.

Fibromyalgia can be difficult to cure, and you may require various treatments to control your symptoms. If you're having problems finding relief for your fibromyalgia discomfort, acupuncture may be worthwhile. However, acupuncture may not be the best treatment for you if your symptoms do not improve within 6 to 8 weeks.

Yoga

Yoga Studies have indicated that persons with FM who participate in yoga courses have a better mood and less pain and exhaustion. The following classes were offered:

• Gentle Asanas
• Meditation
• Exercising your lungs

Consider taking a yoga class. The practice strengthens muscles, integrates meditation, and offers various relaxation techniques. You need to inform the instructor of your condition so the poses can be adjusted.

Physiotherapy

Physical therapy treatments attempt to increase your range of motion and muscle strength. This can also aid with FM pain relief. The therapist will create a plan to assist you in managing specific symptoms. They can also teach you self-care skills, such as FM education, to help you manage your fatigue and discomfort. According to research, pain management education can lead to improved exercise performance.

D vitamin

People with FM frequently have low vitamin D levels. In a 2013 study, researchers discovered that taking vitamin D supplements made people with FM feel physically better and less tired. Before taking vitamin D supplements, consult your doctor because too much of it can also be toxic.

Exercise

Exercise is also an effective strategy to battle fatigue and boost energy levels. Exercise boosts endorphin production in the brain, enhances sleep, and lowers depression. Walking, biking and swimming are all recommended, along with at-home exercises for people with FM. With widespread pain, some people find it difficult to begin; it starts slowly and gradually increases. 

Medical Marijuana

Fibromyalgia symptoms can be alleviated with medical marijuana. According to one study, persons with FM who used medicinal cannabis experienced:

• Decreased pain and stiffness
• Improved relaxation
• Feeling of well-being
• Enhanced mental health.

However, more research into the benefits of medical marijuana for FM is required. Unfocused judgment and concentration are possible side effects, and long-term impacts require more research.

Biofeedback

Biofeedback helps you control your body's functioning. This can aid in the reduction of muscle tension and FM pain. This technique has no adverse effects, but some people may feel overwhelmed or weary after a session. If you're interested in biofeedback but not sure if you qualify, talk to your doctor.

Tai chi

This mind-body method includes deep breathing, meditation, and regulated movements. Tai chi can help you gain muscle strength, balance, and endurance. It is not tough, but you may acquire sore muscles or sprains if you overdo it.

Massage therapy can help you relax your muscles, increase your range of motion, and reduce stress and anxiety. If your therapist applies too much pressure, you may endure temporary bruising, swelling, and pain.

Cognitive behavioral therapy (CBT)

CBT is based on assisting people in setting realistic goals. Patients concentrate on identifying dysfunctional thought patterns and establishing negative thought management methods. The CBT techniques you learn can help you reduce or minimize your FM pain.

Conclusion

Fibromyalgia is a disease characterized by chronic pain, fatigue, and tenderness that can last a lifetime. While there is no single cause, numerous therapy methods are available to alleviate FM pain. Discuss these alternatives with your doctor.

If you have tried one treatment and it hasn't helped, there are many more to consider, ranging from medication to physical therapy. With FM, you can still live a healthy, active life. Browse our website Cured.com for more health-related topics to keep your health and happiness up to date.