Fibro The Basics

05/28/09

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FIBROMYALGIA

What it is believed to be:
A brief explanation of fibro
from "FIBROMYALGIA ADVOCATE", by Devin Starlanyl

"Fibromyalgia seems to be the result of many neurotransmitter cascades (Fibromyalgia Advocate, Chapter 2).  A neurotransmitter cascade is like a waterfall that starts at the top and bounces off rocks and ridges on the way down, wearing down rock, moving gravel, and changing the river as it goes.  The neurotransmitter cascade can cause changes throughout your body, and many of these changes start cascades of their own.  Once they get going, a combination of peripheral and central factors join in to make the changes chronic, and the result is what we call fibromyalgia.  Every patient may have different "informational substances" disrupted in different ways... that is why we all experience this slightly differently.  It is believed to be caused by a greater than normal amount of SUBSTANCE P which helps the brain receive pain signals.  People with fibro have MORE substance P than "normal".  This is the reason for the antidepressants.  It is not because we are depressed or that depression causes fibro.... (but of course you can have fibro and depression also).  Antidepressants raise Seratonin levels and Seratonin counteracts the Substance P, so in many people it helps the pain.  "

Many doctors would often just write a prescription for an antidepressant with no explanation to the patient and thus, misconception that Fibro patients are just depressed, was born.

FIBROMYALGIA SYMPTOMS

Soft Tissue Pain is the primary symptom of FMS, usually occurring at 11 of 18 specified Tender Point sites. ( Note: tender points are NOT the same thing as trigger points.)

Tender points will hurt when pressed, but the pressure will not cause pain in any other part of the body.

Trigger points cause Myofascial Pain Syndrome, and refer pain to other parts of the body.  This is a different condition than fibro but people with Fibro may, of course, have both.  For Fibro, tender points are used for diagnosis.
 

This Chart illustrates the 9 areas of TENDER POINT pairs. Generally, to be diagnosed with Fibromyalgia a patient would react to pressure as pain in a minimum of 11 of these 18 points

Pain detected by palpation at certain characteristic sites, were discovered by researchers about 20 years ago, which have become the hallmark for diagnosing Fibromyalgia. (note: poking at these yourself generally will not elicit the same response...)

Sleep Disturbance occurs in 90% of FMS patients in one or more of the following forms of insomnia: difficulty falling asleep, frequent awakenings, inability to fall back to sleep, tossing and turning all night and early morning awakenings.  Fatigue is a major symptom of Fibromyalgia.

Neurological Symptoms occur in about 25% of FMS patients and are reported as numbness and tingling in arms and legs, hands feel clumsy and swollen.

Headaches as a regular experience are reported by over 40% of FMS patients.
 

Irritable Bowel Syndrome is reported by 30% of FMS patients, whose experience includes intermittent bouts of diarrhea, constipation, crampy abdominal pain, bloating, gas and other digestive difficulties.

Interstitial cystitis (IC) - Health Encyclopedia - Online-Ambulance

Interstitial Cystitis (IC) which is an inflammatory (possibly autoimmune) disorder affecting the wall of the bladder.

Subjective Swelling
frequently reported as a swelling sensation of the hands, feet and ankles when there is no visible or palpable swelling present.  Joint pain in the hands, wrists, elbows, neck, chest wall, hip, knee, ankles and feet are frequently reported by FMS patients.

Chest Wall Pain is reported by about 33% of FMS patients and before diagnostic tests are performed is mistaken for heart abnormalities.

Cold Sensitivity is reported by many FMS patients, and almost 40% also have symptoms to those of Raynauds phenomenon, a condition in which small blood vessels in the hand over respond to cold and develop spasms.

Memory and Concentration Difficulties are reported by 25% of FMS patients.

* Source: The Fibromyalgia Help Book, Fransen and Russell, pp 7 - 14

These are some of the more common symptoms.. you need not have ALL of them to have Fibromyalgia and you may have others not listed here.  The only way to know for sure is to be diagnosed by a doctor who is KNOWLEDGEABLE about Fibromyalgia.

Seizures are not a symptom of Fibromyalgia as some people have been misled to believe.


~~ WHAT FIBROMYALGIA  IS NOT ~~


We have found NO research or evidence that indicates Fibromyalgia is: contagious, a virus or progressive (definition of a progressive disease," a disease that grows and spreads until it ultimately results in death") and color DOES NOT cause seizures in people with Fibromyalgia in spite of what you may have heard! Photosensitive epilepsy is a rare condition in a small minority of epileptics.. it is related to light speed, NOT color and has NOTHING to do with fibro.  A link to read more...

Epilepsy Action: Photosensitive Epilepsy



IS Fibromyalgia a diagnosis of exclusion??

You may also read, on some poorly researched websites or outdated books, that FIBROMYALGIA is a DIAGNOSIS of exclusion.  It is a diagnosis that can be made on its own and can coexist with other conditions.  This distinguishes Fibromyalgia from Chronic Fatigue Syndrome, which at present is still considered a diagnosis of exclusion. 

Fibromyalgia: Not a diagnosis of exclusion

Researchers are working on more and more ways to "see" clinical evidence of fibro.. this is just a beginning...

Fibromyalgia Pain Is Real  

                                           WHO GETS FIBRO?


Fibromyalgia effects both men and women, from all ethnic backgrounds.  It also can effect children.  What are often called "growing pains" and sleeplessness and the inability to sit still can often be undiagnosed fibromyalgia symptoms in children.  Children with fibro can be misdiagnosed as having ADD or hyperactivity disorders.  A good pediatrician or pediatric rheumatologist can differentiate between these conditions.

For further information about FIBROMYALGIA in Children: 

Fibromyalgia in children, pain, sleep, insomnia

Fibromyalgia in Children

eMedicine - Fibromyalgiain children: Article by Angelo P Giardino, MD, PhD


Fibro and Pregnancy

If you are contemplating having children or having more children and are wondering how pregnancy will effect your fibro, these links may help:

Q&A with Dr. Mark J. Pellegrino: Fibromyalgia and Pregnancy

Dealing with Fibromyalgia during Pregnancy

Pregnancy and Childbirth - Understanding the Link between Pregnancy and Fibro

InteliHealth: Fibromyalgia and pregnancy


                            ~~ FIBRO READING~~
                There are many excellent fibro books, magazine
                                 and articles available now. 
                             Here are some of our favorites:



Fibromyalgia for Dummies
by Roland Staud (Author), Christine A. Adamec (Author) (Paperback)
and some new research by DR STAUD

 

Health News Articles: Reuters.com 

Fibromyalgia and Chronic Myofascial Pain: A Survival Manual (2nd Edition) 

Edition by Devin J. Starlanyl, Mary Ellen Copeland (Paperback)


Parting the Fog: The Personal Side of Fibromyalgia/Chronic Fatigue Syndrome
by Sue Jones


The Arthritis Foundation's Guide to Good Living with Fibromyalgia, 2nd Edition
by The Arthritis Foundation (Editor) (Paperback)
 


The Fibromyalgia Help Book: Practical Guide to Living Better with Fibromyalgia
by Fransen and Russell

Many, many new books appear often.  Explore your bookstore and see what appeals to you...

For those that suffer with Interstitial Cystitis an excellent book to read is
You Don't Have to Live With Cystitis by Larrian Gillespie



~~ Weekly Charts ~~

It sometimes helps to control pain, if we have a record of how and when it occurs.  You may find this chart by Brenda Lee of help in tracking your pain.


Click Here for full-sized printable chart 
for your own personal use.

 
Copyright 2007 Fibro 
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Micki: Micki55555@aol.com

                                                         
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This site was last updated 05/28/09