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Fibromyalgia - es
Do you seem to be tired all the time, even after
position for extended periods of time, for example
you’ve had a full night’s sleep? Do you feel stiff
sitting for a long car ride, can increase the
every morning? Do you ache all over? Do you get
stiffness. For this reason, it seems to be worse first
These symptoms could be the result of stress.
Fatigue is another almost universal symptom.
However, if you experience these feelings over a
About 90% of sufferers report moderate to severe
long period of time, it could indicate that you have
fatigue. They feel a lack of energy, less endurance
with exercise, or the kind of exhaustion associated
Because the symptoms are so common, many
with the flu or lack of sleep. This can interfere with
people go undiagnosed for years with this
concentration. Even simple mental tasks can seem
increasingly prevalent chronic pain disorder. Next
to osteoarthritis, fibromyalgia is the most common
Other common symptoms include swelling, tender
rheumatic disease. It affects approximately 2% of
the population and it is estimated that up to 20% of
rheumatologist (a doctor specialising in
the ages of 20 and 50. It’s a syndrome that causes chronic, sometimes debilitating muscle
pain. The pain usually occurs where muscles attach to bone and is similar to the pain of arthritis. The
points, headaches, insomnia, depression and
good news is that the joints themselves are not
neurological problems like numbness and tingling
affected. The joints do not deteriorate or become
deformed as they do in some types of arthritis.
Fibromyalgia is very difficult to diagnose because
Pain is the most prominent symptom. It usually
the symptoms mimic those of stress and other
occurs in the neck, shoulders and back. People
diseases. To add to the problem, there is no
with fibromyalgia describe the pain in many ways.
definitive laboratory test that can be done to
Some people report a stiff, aching feeling. Others
describe a burning, stabbing, gnawing or radiating
Because the diagnosis is made primarily on the
basis of the reported symptoms, people with
Pain isn’t the only symptom. Many people also
fibromyalgia are often led to believe that it’s all in
experience generalised stiffness. Remaining in one
it’s a mystery
Because of the widespread tenderness, your manual therapist will likely need to adjust the
Nobody seems to know what causes fibromyalgia.
pressure to make treatment more comfortable. A
Originally it was thought to be some type of
typical one-hour session may sometimes seem too
arthritis, but no signs of arthritis or inflammation
intense therefore sessions times may need to be
have been found. A number of theories have been
shortened. Although the techniques used may vary,
developed to explain these mysterious symptoms.
the massage treatment will largely focus on
Some researchers hypothesise that muscles
relaxing the tissues and reducing stress levels
undergo microtrauma during everyday activities
The relief provided by manual therapy may last
but are repaired during restorative sleep. People
anywhere from a few hours to many weeks. You’ll
with fibromyalgia seem to have a particular sleep
need to determine with your therapist how
disturbance so that the restorative sleep stage does
frequently you’ll need to come in to maintain a
significant level of relief. A weekly or fortnightly
Others believe that the nervous system causes
treatment that is typically used for remedial
the University of
problems with normal circulation and as a result
massage may be helpful. However, it may be more
there is a deficiency of oxygen reaching the body
beneficial to have a treatments several times a
Miami found that
tissues. This lack of oxygen, hypoxia as it is often
week, gradually reducing the number of sessions,
called, has been linked to tenderness, fatigue and
making sure that you return before the effect of the
post-exercise soreness. There is also some
evidence that the symptoms may be the result of a
You may also find some relief with the application
times per week
of heat. Hot baths or showers, a hot water bottle or
Although experts still don’t agree on the cause, the
a heating pad may all be helpful in managing the
had a long-term
one thing they do agree on is that it is a real
symptoms. During a treatment, the therapist may
put some type of heat pack on the areas that are most tender.
Research has also shown that moderate aerobic
exercises like walking and swimming can help
comprehensive approach. Physicians typically
alleviate painful symptoms. Start off slowly.
prescribe low doses of antidepressant medications
Monitor your response to exercise before
to improve sleep, elevate mood and relax muscles.
increasing the duration and intensity. Ask your
medications like aspirin, Advil, Voltaren, and Naprosyn don’t seem to work very
well. About 75% of all fibromyalgia sufferers seek some form of alternative healthcare and massage is a popular choice.
Manual therapies, such as massage can be an extremely useful tool for helping you get relief from symptoms. One study conducted by the Touch Research Institute at the University of Miami found that 30-minute massages two times per week had a long-term effect on symptoms. In addition to being more relaxed, the subjects of the study had less pain and stiffness, reduced depression and fatigue and more comfortable sleep.
If you have specific health concerns consult your medical doctor. The information in this newsletter
is educational only and is not intended to replace the advice of your personal health care providers.
Early pregnancy do’s & don’ts Congratulations on becoming pregnant! Now you are pregnant there are certain things you should consider to keep you and your baby healthy. Do Take folic acid: It is important for you to take folic acid (400mcg a day) before becoming pregnant and for the first 12 weeks of your pregnancy. This reduces the risk of your baby developing neural tube defects
doi: 10.1146/annurev.med.54.101601.152421Copyright c 2003 by Annual Reviews. All rights reserved FUNCTIONAL GENOMICS OF THE PARAOXONASE (PON1) POLYMORPHISMS: Effects on Pesticide Sensitivity, Cardiovascular Disease, and Drug Metabolism Lucio G. Costa,1 Toby B. Cole,1,2 Gail P. Jarvik,2 andClement E. Furlong2 Departments of 1Environmental Health and 2Genome Sciences and Medicine, Divisionof Med