What are the symptoms of fibromyalgia?
Fibromyalgia possible, but needs work up
Thank you for asking
Fibromyalgia is a disorder of chronic, widespread pain and tenderness. It typically presents in young or middle-aged women but can affect patients of either sex and at any age. And considering your history and associated psychological issues it is highly likely that it can be fibromyalgia but before confirming that a little lab work would be needed as fibromyalgia is a diagnosis of exclusion.
I want you to know that Fibromyalgia is a syndrome that consists of the following signs and symptoms
Persistent (≥ 3 mo) widespread pain (pain/tenderness on both sides of the body, above and below the waist, and includes the axial spine [usually the paraspinus, scapular, and trapezius muscles])
Fatigue; disrupted and unrefreshing sleep
Multiple other unexplained symptoms, anxiety and/or depression, and functional impairment of activities of daily living (ADLs)
As i mentioned earlier Fibromyalgia is a diagnosis of exclusion and patients must be thoroughly evaluated for the presence of other disorders that could be the cause of symptoms before a diagnosis of fibromyalgia is made. The clinical assessment may reveal objective evidence for a discrete or comorbid illness, such as the following:
Systemic lupus erythematosus
Other inflammatory or autoimmune disorders
Serious cardiac conditions in those with chest pain, dyspnea, and palpitations.
try the following questionniers regarding fibromyalgia and get self educated further.
Modified Health Assessment Questionnaire
Fibromyalgia Impact Questionnaire
Checklist of current symptoms
Scales for helplessness and cognitive performance
The Physician Health Questionnaire - 9 for depression
The Generalized Anxiety Disorder - 7 questionnaire for anxiety
The Mood Disorder Questionnaire to screen for bipolar disease
As i said There is no cure for fibromyalgia, but education, lifestyle changes, and proper medications can help the individual to regain control and achieve significant improvement.
Models of pain behavior that interrelate biologic, cognitive, emotional, and behavioral variables form the basis for cognitive-behavioral and operant-behavioral approaches to adult pain management. Fibromyalgia in children responds to a combination of psychotherapy, exercise, relaxation techniques, and education. Pharmacotherapy is generally not indicated in children.
Nonpharmacotherapy options which help in Fibromyalffia are mentioned below.
Diet (eg, promote good nutrition, vitamin supplementation, bone health, weight loss)
Aerobic exercise (eg, low-impact aerobics, walking, water aerobics, stationary bicycle)
Sleep therapy (eg, education/instruction on sleep hygiene)
Psychologic/behavioral therapy (eg, cognitive-behavioral, operant-behavioral)
Always combine pharmacologic and nonpharmacologic therapy in the treatment of fibromyalgia. Aggressively treat comorbid depression.
Medications used in the management of fibromyalgia include the following:
Analgesics (eg, tramadol)
Antianxiety agents (eg, alprazolam, clonazepam, zolpidem, zaleplon, Trazodone, buspirone, temazepam, sodium oxybate)
Skeletal muscle relaxants (eg, cyclobenzaprine)
Antidepressants (eg, amitriptyline, duloxetine, milnacipran, venlafaxine, desvenlafaxine)
Anticonvulsants (eg, pregabalin, gabapentin, tiagabine)
Alpha 2 agonists (eg, clonidine)
Other agents used in fibromyalgia may include the following:
Vitamins and minerals
Malic acid and magnesium combination
Herbs and supplements
If nonpharmacotherapy fails to improve sleep problems, the following medications may help:
Antidepressants (eg, trazodone, SSRIs, SNRIs, tricyclic antidepressants)
Anticonvulsants (eg, clonazepam, gabapentin, tiagabine)
Nonbenzodiazepine hypnotics (eg, zolpidem, zaleplon, eszopiclone)
Muscle relaxants (eg, cyclobenzaprine, tizanidine)
Dopamine agonists (eg, pramipexole)
Nut shell, get to a rheumatologist and let them take care of your troubles. Try to combat your anxiety and depression and get a psychiatric rehabilitation and try to be in touch. Hope for the best.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
May the odds be ever in your favour.
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