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How is fibromyalgia and back pain treated ?

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Posted on Fri, 27 Apr 2012
Question: i have random throbbing/pulsating in ramdon places in my arms, legs and occasionaly my neck, its either in the vein or a muscle and normally they normally last a few seconds, I also occasionally get this in my eyelid, is this normal? i am 32, overweight by 2 stone and in general good health. I have been having quite a lot of lower back pain and a sharper pain in the middle of my back recently which hurts more when I tighten my back muscles.
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Answered by Dr. Jasvinder Singh (28 minutes later)
Hello,

Thanks for posting your query.

Considering your signs and symptoms, the first possibility is Fibromyalgia in which there’s a persistent widespread pain, stiffness, fatigue & usually disrupted unrefreshing sleep.

This possibility is entertained if the widespread muscle aches and pains are present for more than 3 months. Analgesics (painkillers) and antidepressants are used for the treatment of the same.

Another possibility is hypothyroidism. TSH levels will help us in ruling out hypothyroidism.

An ESR and complete blood counts should also be done to look for the possibility of any other inflammatory disease like rheumatoid arthritis which usually presents with joint pains and early morning stiffness of the hand joints.

If the pain in the back is really troublesome, then an MRI of the spine should be done to rule out the possibility of disc prolapse.

The treatment will depend upon the underlying diagnosis. Please do consult a rheumatologist for the same as it is not possible to make an online diagnosis.

Hope this answers your query. If you have additional questions then please do post us.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Follow up: Dr. Jasvinder Singh (19 minutes later)
I was concerned that this might be something related to an aneurism, should that be a concern. I have had these throbbing/pulsating twinges on and off now for several years.

I do suffer from Anxiety, could this be related?
doctor
Answered by Dr. Jasvinder Singh (3 hours later)
Hello,

Thanks for writing back. Aneurysms of the vessels are known to occur but they are usually seen to be localised at one or two places. So many multiple aneurysms are not known to occur in the body. Hence in my opinion aneurysms are not the known cause in your case.

However anxiety can be the cause of such throbbing sensations. For ruling it out you need to consult a psychiatrist. Panic attack is a response of the sympathetic nervous system and is characterized by trembling, dyspnea (shortness of breath), heart palpitations, chest pain (or chest tightness), hot flashes, feeling of warmth and sweating. Symptoms of anxiety neurosis include sweating, headaches, nausea, muscle tension, muscle aches, trembling and hot flashes. Both of them require psychological counseling and anti anxiety medicines.

Hope this answers your query. If you have additional questions then please do post us.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Jasvinder Singh

Internal Medicine Specialist

Practicing since :1998

Answered : 1578 Questions

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How is fibromyalgia and back pain treated ?

Hello,

Thanks for posting your query.

Considering your signs and symptoms, the first possibility is Fibromyalgia in which there’s a persistent widespread pain, stiffness, fatigue & usually disrupted unrefreshing sleep.

This possibility is entertained if the widespread muscle aches and pains are present for more than 3 months. Analgesics (painkillers) and antidepressants are used for the treatment of the same.

Another possibility is hypothyroidism. TSH levels will help us in ruling out hypothyroidism.

An ESR and complete blood counts should also be done to look for the possibility of any other inflammatory disease like rheumatoid arthritis which usually presents with joint pains and early morning stiffness of the hand joints.

If the pain in the back is really troublesome, then an MRI of the spine should be done to rule out the possibility of disc prolapse.

The treatment will depend upon the underlying diagnosis. Please do consult a rheumatologist for the same as it is not possible to make an online diagnosis.

Hope this answers your query. If you have additional questions then please do post us.

Wishing you good health.