Topics: Rheumatology, Fibromyalgia, Rheumatoid arthritis Pages: 7 (2004 words) Published: May 6, 2013

Fibromyalgia is a syndrome characterized by fatigue, diffuse musculoskeletal pain and stiffness, sleep disturbance, and the presence of tender points on physical examination. There is no known etiology, but theories have suggested a variety of possible pathophysiologic mechanisms, such as neural-hormonal disturbance, antecedent physical trauma, viral infection, immune dysregulation, psychiatric disturbances and heightened sensitivity to pain. Complications include disability and inability to maintain functional roles.

Symptoms of fibromyalgia include:

* Chronic muscle pain, muscle spasms or tightness
* Moderate or severe fatigue and decreased energy
* Insomnia or waking up feeling just as tired as when you went to sleep * Stiffness upon waking or after staying in one position for too long * Difficulty remembering, concentrating, and performing simple mental tasks ("fibro fog") * Abdominal pain, bloating, nausea, and constipation alternating with diarrhea (irritable bowel syndrome) * Tension or migraine headaches

* Jaw and facial tenderness
* Sensitivity to one or more of the following: odors, noise, bright lights, medications, certain foods, and cold * Feeling anxious or depressed
* Numbness or tingling in the face, arms, hands, legs, or feet * Increase in urinary urgency or frequency (irritable bladder) * Reduced tolerance for exercise and muscle pain after exercise * A feeling of swelling (without actual swelling) in the hands and feet

Fibromyalgia has multiple symptoms that commonly occur together, including widespread pain, decreased pain threshold or tender points, incapacitating fatigue, and anxiety or depression. Pain and tenderness are located at specific sites in the back of the neck, upper chest, trunk, low back, and extremities. These tender points are also known as trigger points and can typically be palpated to elicit pain in a predictable, reproducible pattern.

The most common causes of fibromyalgia are overuse, injury or stress. However, it can also be caused by diseases, disorders, and medications as a response to vaccination Several common causes of fibromyalgia include injury or trauma including sprains and strain, overuse of muscle too much, too soon, or too often, and tension or stress. Muscle pain may also be due to certain drugs including ACE inhibitors for lowering blood pressure, cocaine and statins for lowering cholesterol. Fibromyalgia is also due to Dermatomyositis, electrolyte imbalances like too little potassium (hypokalemia) or calcium (hypocalcemia), fibromyalgia, infections including influenza, Lyme disease, Malaria, Dengue Fever, Hemorrhagic fever, Muscle abscess, Polio, Rocky Mountain spotted fever, Trichinosis (roundworm), Lupus, Polymyalgia rheumatic, Polymyositis, and Rhabdomyolysis.

Fibromyalgia can be described in two different ways: a deep, dull, and steady ache, and a quick, random, and sharp ache. The pain may be focused in a specific area or it may be all over your body. The pain may range from mild and manageable to severe and debilitating. Muscle pain is often accompanied by joint pain. Muscle pain can cause fatigue and can sometimes lead to depression if the pain is constant. Muscle weakness in fibromyalgia normally occurs when the nerves in the patient’s muscles are unable to perform their duty. That means that the nerves fail to stimulate the muscles as the brain tells them to. As a result, the muscles don’t move, and do not contract or relax as they are supposed to.

The most prominent among the myalgia symptoms is pain in the affected muscle. Some other symptoms of cervical myalgia are heaviness of the head with intermittent headaches. If heart muscles are under effect of myalgia, one may suffer from irregular heartbeats. He is also at a risk of cardiac arrest. The bones become more prone to fractures. Impaired vision, swallowing and hearing can also be observed. If respiratory muscles are...
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