Fibromyalgia

What is Fibromyalgia?

Fibromyalgia (FM) is a medical condition characterised by chronic widespread pain and a heightened and painful response to pressure. Symptoms other than pain may occur, leading to the use of the term fibromyalgia syndrome (FMS). Other symptoms include feeling tired to a degree that normal activities are affected, sleep disturbance, and joint stiffness. Some people also report difficulty with swallowing, Not all people with fibromyalgia experience all associated symptoms.

Its exact cause is unknown but is believed to involve psychological, genetic, neurobiological and environmental factors. There is evidence that environmental factors and certain genes increase the risk of developing fibromyalgia – these same genes are also associated with other functional somatic syndromes and major depressive disorder. The central symptom of fibromyalgia, namely widespread pain, appears to result from neuro-chemical imbalances including activation of inflammatory pathways in the brain which results in abnormalities in pain processing. The brains of people with fibromyalgia show functional and structural differences from those of people without fibromyalgia, but it is unclear whether the brain anomalies cause fibromyalgia symptoms or are the product of an unknown underlying common cause. Some research suggests that these brain anomalies may be the result of childhood stress, or prolonged or severe stress.

Fibromyalgia is recognized as a disorder by the US National Institutes of Health and the American College of Rheumatology. Despite this, there is controversy as to the cause and nature of fibromyalgia, as well as how people affected are described by those in the medical community. Dr. Frederick Wolfe, lead author of the 1990 paper that first defined the diagnostic guidelines for fibromyalgia, has stated he believes the causes of fibromyalgia "are controversial in a sense" and "there are many factors that produce these symptoms – some are psychological and some are physical and it does exist on a continuum."

Fibromyalgia is estimated to affect 2–8% of the population, The term "fibromyalgia" derives from New Latin, fibro-, meaning "fibrous tissues", Greek myo-, "muscle", and Greek algos, "pain"; thus the term literally means "muscle and connective tissue pain".

Questions and answers on "Fibromyalgia"

Hi, my name is Charlene, I have had Fibromyalgia for 2 years as a result from having two fusions done to my neck...and 27 years of certified nursing assistance work. I have been on exalgo for these last two yrs as well. It's expensive and I can't afford it. Is there anything I can start taking instead of this expensive med? That works about the same for me?

doctor1 MD

Hi ..
Thanks for using Health Care Magic forum ,

I read your query and I recommend Tablet Dilaudid which is available at lower price than Tablet Exalgo in treatment of fibromyalgia .
I suggest you to talk to your doctor about Tablet Exalgo which is much costlier to buy for prolonged period of...

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I have been diagnosed with fibermialga, chronic migraines, and seizures. I cant seem to get any help with pain they always want me to do therapy it just seems to aggravate my body im not able as it is to keep up with house work and my daughter what can i do

doctor1 MD

HI
Well come to HCM
The Fibromyalgia, Migraine, Seizures, these are more or less functional conditions unless proved some pathological changes and in my opinion you need to keep your self away from the anxiety and depression that is the best option you have because taking some psychiatric drug...

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Over the past 2 years I have been tested for about everything. Docs recently diagnosed Fibromyalgia...but some symptoms don't fit. Eyelid inflammation, butterfly red rash (came and went) costchondritis, low grade fever, chills, extreme fatigue and more. Blood work indicates slight inflammation. Something else is wrong. What can it be?


It's not the cost...just don't have the confidence that after seeing six doctors who can't give me an answe, that a doctor can diagnose me over the internet

doctor1 MD

Hi there ~

I understand your concerns, and your problem description fit more into an autoimmune disease pattern rather than fibromyalgia. I hope you have been adequately treated after testing for autoimmune diseases. Prednisolone is helpful with your condition and if you improve you most likely...

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My health issue is fibromyalgia,Ive had it over 14 years..Right now I am going through a period of severe pain throughout my whole body..Nothing seems to help eleviate any part of this horrible faze..Ive had it before but it would leave within 4-5 weeks..This time it is almost 5 months with no let up..Do you have any idea of how to stop this awful pain to get some relief???

doctor1 MD

Hello,
Thanks for the query to H.C.M. Forum.
Since , what type of the treatment, you are having , please mention in detail, as you are taking it from last 14 years.
If any tests reports are there ,please upload .
Fibromyalgia is not crippling,deforming or degenerative , and the treatment is...

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Hi, im 41 yrs old,height 5ft 2in, weight 10st 4lb with 5 children from 23-7yrs. After the birth of my last child i was in constant pain, aching, stabbing etc in all my muscles & feeling generaly unwell. I was diagnosed with fibromyalgia a few yrs later after having other test to rule out other things. The aches & pain is widespread but i have this constant aching, stabbing, burning, sore , throbbing in my rhomboids, it knocks me sick & makes me so miserable. My knees throb if ive walked for along time & my elbows throb. I am taking tramadol 50mgs 2 every 4 hours no more than 8 & paracetamol & codeine eff 8/500mg & escitalopram . I suffer from depression & anxiety. The widespread pains are the same as the rhombiods as described. When my husband rubs my rhomboids & puts pressure on them it sort of soothes them but doesnt get rid of it nothing does & i could have him doing it all the time. Is this fibromyalgia or is there something else wrong? Ive also recently found out that i have Partial Right Bundle Block & its well documented i my notes but ive never bee told is this something to worry about & what causes it?

doctor1 MD

welcum to healthcaremagic
ur problem seems to be osteoporotic, better u go n consult n orthopedician and after proper diagnosis u start exercises under guidance of physiotherapist.
so many pain relieving modalities r thr in elecrotherapy(part of physiotherapy),
definitely ur pain will cum down....

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feeling stress and anxiety back of my head since 4 months hi i am feeling stress on back of my head like anxiety, could u pls help me to find suitable doctor to consult.thanks

doctor1 MD

Thanks for using Healthcaremagic. The symptoms described by you looks like symptoms of fibromyalgia related to your stress and anxiety. These can be treated with medications from a Physician or a Neurologist. One can only come to conclusion after hearing in detail about your symptoms from you and...

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I was diagnosed several years ago by an orthapeadic surgeon in australia with multilevel spinal disc degeneration, and in nz 8 yrs ago with fibromyalgia ...recently i have been suffering severe dizzy/light headed spells, trouble concentrating/ brain fog and tingling and numbness in the three smallest fingers in both hands, pain in my hip joints...I dont believe this is just from fibro...in fact i sometimes wonder if there has been a misdiagnosis of the fibro as apart from a few aches i lead a normal life and every now and then take codiene for the pain...Any ideas??? The pain in my feels like its inflamed and i sometimes get severe pain running up my spine ....

doctor1 MD

Get An MRI of head and spine for re-evaluation,multiple sclerosis should also be ruled out.consult a neurologist.Hip pain might be due to arthritis,so get it scanned also

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Hello, I've been having so many issues and over time trying to narrow where all my problems are coming from (CFS/Fibromyalgia) and I am almost certain it is Gut / intestine related. I go through phases of having no appetite for weeks, my stool is very inconsistent with the last few being dark green and muddy ( I had a green smoothie maybe why?) with no consistency. My stomach can go from being flat to being blown up like a balloon making me look 6months pregnant. It is not accompanied by gas or pain. It can happen even if i drink some water. other symptoms that may be related: skin redness (pictures) that changes but never fully goes away. Bloodshot eyes, high blood pressure (the last 2 times my doctor tried it was 160 then 140, I don't drink or smoke), urine is very foamy recently and can be dark even if I am drinking enough water. Sleep problems, joint weakness, fatigue and im incredibly sensitive to chemicals e.g. cleaning products that can cause me to become dizzy. Lower back ache when tilting. Oh and I developed a intolerance to banana recently, I was thinking maybe I have gut damage? Sorry please ignore the top posts, I re did it more constructively: Hi again Dr XXXXXXX I've been having so many issues and over time trying to narrow where all my problems are coming from (CFS/Fibromyalgia) and I am almost certain it is Gut / intestine related. After I had my TSH level checked they said it was normal, I will try and retrieve the actual results soon. I also has a celiac blood test which came back negative, but i still think gluten could be causing me problems. I am currently trying to go gluten free for a month, but it is so difficult to stick to. I went for a second round of bloodtests and here are the results: Blood Haematinic levels: Ferritin 120.000 ug/L Liver function test: Serum total protein 74.000g g/L Serum albumin 44.000 g/L Serum globulin 30.000 g/L Serum bilirubin level 14.000 umol/L Serum alkaline phosphatase 66.000 iu/L Serum ALT level 35.000 iu/L Serum Calcium 2.400 mmol/L Corrected serum calcium level 2.320 ol/L Serum C reactive protein level 1.000mg/L I go through phases of having no appetite for weeks, my stool is very inconsistent sometimes very muddy texture. My stomach can go from being flat to being blown up like a balloon making me look 6months pregnant. It is not accompanied by gas or pain. It can happen even if i drink some water. other symptoms that may be related: skin redness (pictures) that changes but never fully goes away. Bloodshot eyes, high blood pressure (the last 2 times my doctor tried it was 160 then 140, I don't drink or smoke) urine is very foamy recently and can be dark even if I am drinking enough water. Sleep problems, fall asleep fine but find it difficult to stay asleep for more than 3-4hours. joint weakness fatigue sensitive to chemicals e.g. cleaning products that can cause me to become dizzy. Lower back ache when tilting. Can't have bananas anymore, they give me stomach cramps that are incredibly painful. I used to eat a banana everyday. Increased irritability Brain fog / can't concentrate properly. Usually have cold hands and feet, and I noticed that sometimes the first half of my finger nails go a slight purple/blue color. Sometimes my heart will begin beat hard at rest and a 1-2 times per month i get chest pains (stabbing pain) I will answer any questions I also always have dry lips thank you

doctor1 MD

Brief Answer:
Please follow the suggestions below...

Detailed Answer:
Hi,

I have seen your reports and understood your concerns.

If you are worried about skin redness, please don't. The changes in redness could be related to your skin blood vessels. Different persons have to deal with different...

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I suffer from Fibromyalgia and in a lot of pain. My job is very heavy lifting and shift work. I keep active, walking, hiking, swimming etc... but 9% of the time I am in pain. With this pain I suffer depression at times. As I am getting older the pain is getting worse. I am concerned about starting Cymbalta due to all the side effects mentioned. I did take one pill, one day and I felt sick to my stomach. With my job I can't feel like that. Is this the medication for me? Thank you. Dale Carr.

doctor1 MD

Hi, Welcome to Health care magic forum.
You have fibromyalgia,and has to to do heavy work,in spite of the pain.
You started taking cymbalta,but it is sick to your stomach. If you are particular of taking cymbalta,there is a way.
I usually prescribe to my patient with such symptoms with cymbalta...

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Recent questions on  Fibromyalgia

doctor1 MD

I am 28yr old female. About 6 1/2 weeks pregnant. No significant health history, but I do have Fibromyalgia. Over the past 4 days I have excruciating pain on my right side just below the level of my belly button. My stool have a dark yellow jelly like substance in them. The attacks occur suddenly only seem to last about 15minutes or less and then I feel completely fine. The pain is so severe i am doubled over in tears literally rocking on the toilet. thanks for your time.

doctor1 MD

HI

Friday night I was freezing with extreme shivers,I did not have a fever but I could not get warm. I drank some hot tea and took a hot shower until the shivers subsided then went to bed.

Saturday I had a fever of 101. Got slight chills when I moved around. (goosebumps no shivers) and today I am fine.

I have been diagnosed with fibromyalgia (10+ yrs.)

I have multiple nodules on my thyroid which I am taking synthroid for (generic form) I take atenolol for blood pressure which is under control and an antidepressent for the fibro.

I had been experiencing heavy prespiration on excertion which I've had for about 3-6 months.

I December of last year I had a "silent" bladder infection which was solved.

Other than that I am a healthy 63 year old. I weight 174 lbs. I am 5'4" tall.

doctor1 MD

Hi again Dr XXXXXXX I've been having so many issues and over time trying to narrow where all my problems are coming from (CFS/Fibromyalgia) and I am almost certain it is Gut / intestine related. After I had my TSH level checked they said it was...

doctor1 MD

Hello, I've been having so many issues and over time trying to narrow where all my problems are coming from (CFS/Fibromyalgia) and I am almost certain it is Gut / intestine related. I go through phases of having no appetite for weeks, my stool is...

doctor1 MD

Yes. I live in Kentucky. I have numerous spine problems, arthritis , fibromyalgia , overall malaise . A neurosurgeon in Nashville, TN has recommended 3 back surgeries, but I have to take care of bleeding ulcers first. I was going to a pain...

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