Fibromyalgia Syndrome (FMSFibromyalgia, also called as, is a chronic, long-term condition in which areas of general sensitivity are formed in the body, pain and general fatigue are felt in the muscles and bones, causing problems in sleep patterns and cognitive disorders.
Fibromyalgia is often difficult to diagnose. The symptoms of fibromyalgia are similar to those of other similar conditions, and there is no basic test to confirm the diagnosis. As a result, fibromyalgia is often misdiagnosed.
The treatment of fibromyalgia is difficult and complex. However, with appropriate medications, therapy and lifestyle changes, the symptoms of fibromyalgia can be managed and it may be possible to improve the quality of life.
WHY IS FIBROMIALGIA?
Although it is not known exactly yet, in the light of the latest researches, it is seen that fibromyalgia is caused by genetic tendencies related to hereditary traits that show its effect with some triggers such as infection, trauma and stress.
One theory is that the brain lowers the pain threshold for some reason, and previously painful sensations become very painful over time. Another theory is that nerves overreact to pain signals. Accordingly, in individuals affected by fibromyalgia, the brain and nerves may misinterpret or overreact normal pain signals.
This may be caused by chemical imbalances in the brain or abnormalities in the posterior root ganglia that affect central pain sensitivity in the brain. Fibromyalgia symptoms are very similar to those of autoimmune disorders.
These similarities have led to the theory that fibromyalgia may be an autoimmune condition. Fibromyalgia often occurs in the same family and can be inherited. As a result of the conducted research, several possible genes that affect the transmission of chemical pain signals between nerve cells have been identified. Fibromyalgia usually occurs from middle age, and its risk increases as you get older.
However, fibromyalgia has also been seen in children. Among these potential factors, infection, or a past illness, can trigger fibromyalgia or make its symptoms worse. It is known that with gastrointestinal infections caused by influenza, pneumonia, Salmonella and Shigella bacteria, Epstein-Barr virus can possibly trigger fibromyalgia.
People who have suffered severe physical or emotional trauma may develop fibromyalgia. This condition is linked to post-traumatic stress disorder (PTSD). Like trauma, stress can have long lasting effects on individuals. Stress is linked to hormonal changes that can contribute to triggering fibromyalgia.
WHAT ARE THE SYMPTOMS OF FIBROMIALGY?
Today, fibromyalgia is known to cause pain areas in the body, also called tender points.
Some of these areas overlap with areas of sensitivity that have been called “trigger points” in the past, but other pain points are seen in places separate from the sensitivity areas accepted in the past.
In the past, individuals were diagnosed with fibromyalgia if they had widespread pain and tenderness in at least eleven of the eighteen specific trigger points in their bodies. If the individual feels pain when pressed firmly on these points, the fibromyalgia pain point has been described as sensitive. These points include the back of the head and nape, tops of the shoulders, upper chest, hips, knees and outside of the elbows.
The diagnosis of fibromyalgia is evaluated in individuals with musculoskeletal pain in four of the five pain areas specified in the revisions and updates made in the fibromyalgia diagnostic criteria in 2016.
Pain points alone are no longer considered sufficient for the diagnosis of fibromyalgia. Fibromyalgia is diagnosed with widespread pain that lasts for more than three months, and if there is no identifiable medical condition that could explain this pain. No lab test or imaging scan can detect fibromyalgia.
Pain is the most prominent symptom of fibromyalgia. It is felt as a consistent, constant and dull pain in various muscles and other soft tissues in the body. It can range from a mild pain to an intense and almost unbearable discomfort and pain. The severity of the pain can vary from day to day. However, cases may experience remission-type periods in which their pain and fatigue are completely cured.
When fibromyalgia pain is in the chest area, it can be similar to the pain of a heart attack. This pain can feel piercing, sharp, or burning, and can cause a feeling of not being able to breathe, as in a heart attack.
It is very common for fibromyalgia pain to be felt on the back. It may not always be possible to distinguish between this pain and a herniated disc, a pulled muscle or rheumatism. There are also cases where rheumatism and fibromyalgia are seen at the same time.
It is possible to feel the pain of fibromyalgia in the muscles and soft tissues of the legs. This pain can be similar to cramp pain or rheumatic pain. It is usually a deep, throbbing or burning pain.
In some cases, fibromyalgia in the legs feels numbness, tingling or walking on the legs.
In some cases, fatigue can have its effect on the legs and it can be difficult to move the limbs, as if there was weight on them.
Symptoms of fibromyalgia other than pain include persistent fatigue, sleep problems, feeling rested despite sleeping for a long time (non-restful sleep), headache, depression, anxiety, focus or attention problems, abdominal pain or pain, dry eyes, and bladder problems such as interstitial cystitis. are available. Fibromyalgia can also affect individuals’ emotional state and daily energy levels.
Also known as fibromyalgia fog, fibro fog or brain fog. It is a term some individuals use to describe the feeling of turbidity they experience. Symptoms of brain fog include memory loss, difficulty concentrating, and difficulty paying attention. In some cases, individuals find the brain fog caused by fibromyalgia more disturbing than the physical pain felt.