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Fibromyalgia

Definition:

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory also mood issues. [2]

Overview

Generally; This is a common cause of generalized regional pain and disability, and is frequently associated with medically unexplained symptoms in other systems.

Although fibromyalgia can occur at any age, including adolescence, additionally it increases in prevalence with age, to reach a peak of 7% in women aged over 70.

There is a strong female predominance of around 10 : 1.

Risk factors include life events that cause psycho social distress, such as marital disharmony, alcoholism in the family, injury or assault, low income and self reported childhood abuse.

It occurs in a wide variety of races also cultures. [1]

Symptoms resemble those of arthritis, but fibromyalgia affects the soft tissue, not the joints. [3]

Sign & Symptoms

Usual symptoms:

  • Multiple regional pain
  • Marked fatigability
  • Marked disability
  • Broken, non-restorative sleep
  • Low affect, irritability, also weepiness
  • Poor concentration, forgetfulness
  • Depression, Anxiety

Variable locomotor symptoms:

  • Early morning stiffness
  • Swelling of hands, also fingers
  • Numbness, tingling of all fingers

Additional, variable, non-locomotor symptoms:

  • Non-throbbing bifrontal headache (in other words; tension headache)
  • Colicky abdominal pain, bloating, variable bowel habit (irritable bowel syndrome)
  • Bladder fullness, nocturnal frequency (i.e. irritable bladder)
  • Hyperacusis, dyspareunia, discomfort when touched (i.e. allodynia)
  • Frequent side-effects with drugs (i.e. chemical sensitivity) [1]

Causes

Medical researchers and doctors don’t know what causes fibromyalgia.

These factors include:

Infections:
  • In general, Prior illnesses may trigger fibromyalgia or make symptoms of the condition worse.
Genetics:
  • Fibromyalgia often runs in families.
  • Furthermore; If you have a family member with this condition, your risk for developing it is higher.
  • In detail, Researchers think certain genetic mutations may play a role in this condition.
  • Lastly, Those genes haven’t yet been identified.
Trauma:
  • People who experience either physical or emotional trauma may develop fibromyalgia.
  • All in all, The condition has been linked with post-traumatic stress disorder.
Stress:
  • Like trauma, stress can create long-reaching effects your body deals with for months and years.
  • In detail, Stress has been linked to hormonal disturbances that could contribute to fibromyalgia.

Basically, Some theories suggest it may be that the brain lowers the pain threshold.

Another theory suggests that the nerves and receptors in the body become more sensitive to stimulation.

That means they may overreact to pain signals also cause unnecessary or exaggerated pain. [4]

Diagnosis

There are no abnormalities on routine blood tests or imaging, but it is important to screen for other conditions that could contribute to some of the patient’s symptoms.

Minimum investigation screen in fibromyalgia:

Test
Condition screened
Full blood count Anaemia, Lymphopenia of SLE
Erythrocyte sedimentation rate,

C-reactive protein

Inflammatory disease
Thyroid function Hypothyroidism
Calcium,

Alkaline phosphate

Hyperparathyroidism also  osteomalacia
Antinuclear antibodies SLE

[1]

Treatment

In general, treatments for fibromyalgia include both medication and self-care.

The emphasis is on minimizing symptoms also improving general health.

No one treatment works for all symptoms.

Medications:

Medications can help reduce the pain of fibromyalgia also improve sleep.

Common choices include:

Pain relievers:
  • Over-the-counter pain relievers such as acetaminophen (e.g. Tylenol, others), ibuprofen (e.g. Advil, Motrin IB, others) or naproxen sodium (e.g. Aleve, others) may be helpful.
  • Your doctor might suggest a prescription pain reliever such as tramadol (i.e. Ultram).
  • Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time.
Antidepressants:
  • Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia.
  • Your doctor may prescribe either amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep.
Anti-seizure drugs:
  • Medications designed to treat epilepsy are often useful in reducing certain types of pain.
  • Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia.

Therapy:

Basically, A variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life.

Examples include:

Physical therapy:
  • A physical therapist can teach you exercises that will improve your strength, flexibility also stamina.
  • Water-based exercises might be particularly helpful.
Occupational therapy:
  • In general, An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body.
Counseling:
  • Talking with a counselor can help strengthen your belief in your abilities also teach you strategies for dealing with stressful situations. [2]
Exercise:
  • A combination of aerobic exercise and resistance training, or strength training, has been linked to a reduction in pain, tenderness, stiffness, also sleep disturbance, in some patients.
  • If exercise is helping with symptoms, it is important to maintain consistency in order to see progress.
  • Working out with a either partner or personal trainer may help to keep the exercise program active.
Acupuncture:
  • Generally, Some patients have experienced improvements in their quality of life after starting acupuncture therapy for fibromyalgia.
  • The number of sessions required will depend on the symptoms also their severity.
  • Besides this, One study found that 1 in 5 people with fibromyalgia use acupuncture within 2 years of diagnosis.
  • All in all, The researchers concluded that it may improve pain also stiffness.
Behavior modification therapy:
  • Behavior modification therapy is a form of cognitive behavioral therapy (in other words; CBT) that aims to reduce negative, either stress or pain increasing behaviors and improve positive, mindful behaviors.
  • It includes learning new coping skills also relaxation exercises. [3]

Homeopathic Treatment

Homeopathic treatment for fibromyalgia is  natural, safe and without any side-effects, and one can enjoy immense relief from these frustrating symptoms.

It is a patient-oriented science and medicines are prescribed on the characteristics of the individual rather than just the symptoms of the disease.

Rhus toxicodendron:

  • This is the rheumatism remedy.
  • It is effective for pain and stiffness which is worse when having been still and gets better for getting moving, particularly bad after over do­ing things or in cold damp weather, eased by warmth and moderate exercise.

Ruta Graveolens:

  • The remedy picture is sim­ilar to Rhus tox except that the stiffness is, if anything, more marked also less susceptible to improvement with gentle movement.
  • In detail, There is often involvement of the tendons or the places where ten­dons meet bone (e.g. heels, elbows etc).
  • Besides this, There is often a bruised feeling.
  • Pains are worse for cold damp weather but without the definite benefit from warmth which is seen in Rhus tox.

Rhododendron:

  • In brief, The picture is very similar to Rhus tox except that the pains are very much worse for changes in the weather, especially if there is an impend­ing storm or thunderstorm.

Arnica:

  • This medicine is best known for its action on injuries to reduce bruis­ing also swelling.
  • However, it is useful whenever the body feels bruised and sore, especially if markedly worse after exertion.
  • A characteristic feeling des­cribed is of “the bed feeling too hard”, in other words, soreness and bruised feeling is worse if the part is lain upon.
  • Arnica can be a good medicine to start treatment of fibromyalgia with, if there is not a clear picture suggesting another medicine at the onset.

Causticum:

  • Again, soreness, weak­ness and stiffness, worse with exertion and cold, better for warm applications and being warm in bed.
  • The unusual thing that might suggest Causticum is that the symptoms are worse especially in dry weather whereas better when it rains !

Bryonia Alba:

  • For Bryonia to work, the pain must be very much worse especially for the slightest movement (the opposite of Rhus tox).
  • Heat will aggravate the pain and pressure on the relevant part alleviates, possibly by preventing move­ment.

Kalmia Latifolia:

  • This medicine is especially helpful for severe shooting pains in muscles, also there is often an accompanying numbness or cold sensation.
  • Always make sure that there is no suggestion of either nerve pressure or damage, if these symptoms are present.

Cimicifuga:

  • This medicine is used where the pains, soreness and stiffness are mostly in the neck and upper back muscles.
  • These may have been preceded by an injury and are generally worse for cold or drafts.
  • Symptoms are often accompanied by headaches, especially on the top of the head or radiating up from the neck. [4]

FAQs

Frequently Asked Questions

What is Fibromyalgia?

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory also mood issues.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Fibromyalgia?

  • Rhus Toxicodendron
  • Ruta Graveolens
  • Rhododendron
  • Arnica
  • Causticum
  • Bryonia Alba
  • Kalmia Latifolia
  • Cimicifuga

What causes Fibromyalgia?

  • Prior illnesses
  • Genetics
  • physical or emotional trauma
  • Stress

What are the symptoms of Fibromyalgia?

  • Multiple regional pain
  • Marked fatigability
  • Marked disability
  • Broken, also non-restorative sleep
  • Low affect, irritability, weepiness
  • Poor concentration, also forgetfulness
  • Depression, Anxiety

References:

  1. Davidson’s Principles and Practice of Medicine (22nd edition) Ch. 25
  2. https://www.mayoclinic.org/diseases-conditions/fibromyalgia/diagnosis-treatment/drc-20354785
  3. https://www.medicalnewstoday.com/articles/147083.php
  4. https://www.britishhomeopathic.org/charity/how-we-can-help/articles/conditions/f/fibromyalgia/