Fibromyalgia. What is it, how to treat the symptoms as manifested causes. Folk remedies, techniques, medications, a doctor treats

According to research from 2 to 8% of the population is suffering from muscle pain of unknown origin. Fibromyalgia - it's such a difficult diagnosis, which can put the most experienced specialist and only by process of elimination.

What is fibromyalgia

The disease takes its name from the Latin word for a complex consisting of 3 parts, which means literally "pain in the muscle fibers." Characterized by diffuse unstable painful sensations having symmetry property in the muscular-skeletal apparatus. The disease is chronic, in which inflammation is observed.

Fibromyalgia does not have any damage, they can not be detected by modern diagnostic methods.

Pain syndrome is located symmetrically in the body. The key elements of the secondary symptoms of the disease are attached, as a consequence of the underlying disorder.

They are as follows:

• depression;
• restless sleep;
• problems with the gastrointestinal system;
• Hypersensitivity to irritating factors (cold, heat and high humidity).

To which the doctor ask

If there are complaints of unexplained pain in the muscles, joints, tendons, initially you need to see a doctor or therapist to the family doctor.

Specialist general medical practice, conducting primary data collection and inspection, will be able to refer the patient to one of the specialists:

• Rheumatologist deals with the study and treatment of problems with joints, musculoskeletal system.
• neuropathist treating the pain associated with the nervous system, spine. The sphere of its activity are problems with the head, back muscles.
• Orthopedist It specializes in problems of the musculoskeletal system.
• PsychologistThe therapist finds out the relationship between the physical and psychological condition of the patient.

The causes and mechanisms of disease development

Fibromyalgia - it is a disease that has no proven and established the reasons for today. Previously, experts attributed the illness to psychological disorders due to the presence of anxiety, sleep disorders and inflammatory reactions.

However, even the most cutting-edge methods of diagnosis are not inflammatory lesions. Mental factors scientists refer to the consequences of fibromyalgia, not its causes.

There are a number of disease development hypotheses:

• pathology in the vascular system;
• hereditary factor (usually not isolated cases of the disease are observed in families);
• The results of stress (proof of their role in triggering symptoms);
• accelerated metabolism of serotonin (some patients showed a positive trend to therapy normalization process data);
• lack of the hormone somatotropin (insufficient confirmed hypothesis);
• psychological aspects;
• on the physical level of injury (in some patients led to the development of fibromyalgia);
• Mercury poisoning (proven toxic effect on brain mercury vapor);
• immune response to enteric microorganisms (insufficient confirmed hypothesis);
• disorders of deep sleep stage (the pathological changes in brain waves in the composition with low concentration of somatotropin hormone).

Developing fibromyalgia predominantly in females (In 80-90% cases). The problem is complex, more complex than just a pain in the muscles. Movement symptoms without the presence of abnormalities in morphological, biochemical processes indicates on somatoform disorders (psychological problems), the occurrence of which the patient is not controls.

Pathology in the vessels leading to eating disorders and muscle fibers of the nervous system, thus explains the reasons of mental health problems.

symptoms of fibromyalgia

The patient has different symptoms of the disease. The main symptom is musculoskeletal pain symmetrical.

The most common other features include:

• restless sleep, waking up at the moment there is a feeling of fatigue;
• morning a feeling of stiffness in the joints and muscles;
• chronic fatigue;
• dependence on weather conditions;
• the appearance of lumps on the body;
• headache;
• temperature raising no reason;
• numb and tingling different parts of the body;
• there may be convulsions, spasms of varying lengths;
• momentary inability to concentrate, keep the attention;
• in severe cases, there are intermittent in the coordination of movements (in patients not get to sit, walk or stand);
• frequent dizziness;
• problems with urination;
• uncomfortable feeling in the mouth.

Depressive states are not always symptoms of fibromyalgia. Mental health (fickle mood) often are associated symptoms of the disease. In many patients, they do not exist.

Point triggers and pressure points

Pain points or triggers - it places on the body: the soft tissue, muscle fibers, tendons, clicking on which there is pain. For the diagnosis of the disease is carried muscle palpation seals in the musculoskeletal area of ​​the device.

This releases 9 pairs of flip-flops:

1. the neck - in the area of ​​neck.
2. In the lower part of the neck - in front at 5-7 vertebrae.
3. cucullaris - the average of the upper limit.
4. supraspinatus - above the axis of the part of the spine of the blade.
5. second rib in the second osteochondral joint.
6. The lateral epicondyle humerus - 2 cm from the epicondyle.
7. gluteal muscles - outside of the top of the breech of a square.
8. trochinter - the rear of the acetabular tubercle.
9. Knee - the inner side of the knee joint

Diagnostics

Diagnosis of the disease is carried out by exclusion of similar diseases that can be confirmed clinically. When the diagnosis of "fibromyalgia" experts initially exclude rheumatic disorders, migraines, arthritis.

Diagnosis may include the steps of:

• palpation trigger points;
• determining the level of glucose in the blood;
• Tests on the performance of the thyroid gland works;
• Study on anti-nuclear antibodies;
• tests for rheumatoid indicators;
• determining the concentration of the hormone prolactin, and calcium;
• test for the presence of inflammatory reactions (ESR).

When the diagnosis of fibromyalgia following rules apply:

• pain and stiffness for three months or more;
• the absence of other diseases with similar symptoms.
• muscle pain sensitivity in at least 12 out of 18 flip-flops on the body which is defined by palpation.
• trouble sleeping;
• psychological and functional disorder in history.

medication

Fibromyalgia - is a disease whose causes are unknown.

Modern medicine with the disease therapy in the first place decide on withdrawal symptoms and their consequences:

• pain;
• sleep problems;
• mental disorders;
• muscle dysfunction.

antidepressants

A number of drugs used antidepressants to relieve mental disorders and sleep problems.

Drugs and their method of application are summarized in the table below:

The name means	Mode of application	Dosage
Paraksetin	1 time per day	From ¼ Table. Up to 1 table. (5-20 mg)
sertraline	1 time per day	50-200 mg (from 1 Table., Gradually increase the dose to Table 2).
fluoxetine	1 time per day	20-40 mg (from 1 Table., Gradually increase the dose to Table 2).
venlafaxine	1 time per day	75-150 mg (Table 1-2).
amitriptyline	1 time per day	10-25 mg (starting at ½ Table).
imipramine	1 time per day	10-25 mg (starting at ½ Table).
duloxetine	1-2 times a day	Table 1. (60 mg), increasing the dose to 120 mg

anticonvulsants

Antiepileptic drugs have the same effectiveness in the treatment of fibromyalgia as antidepressants.

The number of such agents include substances listed in the table below:

The name means	Mode of application	Dosage
pregabalin	2-3 times a day	The initial dose of 75 mg gradually increased to 300-600 mg
gabapentin	The I Day - 1 times, the II day - 2 times, the Third Day - 3 times	300 mg 1 capsule
Neyralgin	The I Day - 1 times, the II day - 2 times, the Third Day - 3 times	300 mg 1 capsule
Grimodin	The I Day - 1 times, the II day - 2 times, the Third Day - 3 times	300 mg 1 capsule

narcotic analgesics

For analgesic painkillers used in the treatment of fibromyalgia include drugs paracetamol and tramadol, which can be combined.

Table preparations:

The name means	Mode of application	Dosage
tramadol	1 per day	20 drops (50 mg) was gradually doubled dose
Tralgit	1 time per day	200 mg per 1 tablet
Zaldiar	1 time per day	1-2 tablets
Paracetamol	1 time per day	500 mg per 1 tablet

benzodiazepines

Effectiveness of drugs of this series has not been proven in the treatment of fibromyalgia. The obtained test results are inconsistent.

Name of the drugs and their methods of application can be reduced in the following table:

The name means	Mode of application	Dosage
alprazolam	1 time per day	0.5-3 mg at bedtime
clonazepam	1 time per day	0.5-2 mg every 3 days the dose is increased by 2 times
diazepam	1 time per day	5-15 mg, with a gradual increase in dose

local anesthetics

As analgesics can be applied externally or by intramuscular injection Lidocaine 1 time per day at the rate of 5-7 mg per kg body weight. Studies have shown the positive effects of therapy.

The most commonly used local anesthetics are listed in the table below:

The name means	Mode of application	Dosage
lidocaine	1 time per day	50 ml
ultrakain	1 time per day	10 ml
Novocaine	2-3 times a day	1-15 ml
Anastezin	2-3 times a day	0.5 g

Physical therapy and exercise

Fibromyalgia - it is a disease in which the useful physical exercise, aerobic (load, increasing heart rate to predetermined limits in a given time) moderate type. Vigorous exercise is not suitable.

Among the types of exercises you can choose:

• race walking;
• swimming;
• riding a bicycle.

For patients in poor physical shape of the initial set of exercises should last for 35 min., Gradually increasing to 1 hour.

Recommended to start training with muscle warm-up, then you can pick up a set of exercises:

• movement of the shoulders in a circle;
• tilts forward, backward;
• to stand on one foot, pulling another folded in the knee to the buttocks;
• leaning to the side, to get the hand opposite shoulder;
• do one foot forward and bend at the knee, while the other must remain straight, lean forward.

The most effective exercises in the afternoon or in the evening, but not before bedtime.

physiotherapy

Complex physical therapy prescribed by the physician physiotherapist for each patient individually. The complex is selected in such a way that the patient has learned to cope with the painful sensations and other symptoms of the disease on their own.

In the event of physical therapy, prescribed for fibromyalgia include:

• deep-tissue massage;
• hydrotherapy (use of warm and cold water as baths, compresses);
• water aerobics;
• ultrasonic treatment;
• applying current to the muscles (electrophoresis).

To achieve the best therapeutic effect is recommended to perform some of the procedures at home.

For example, cold lotions removed swelling, narrowing blood vessels. Warm compresses increase blood flow, promote the removal of harmful substances from the body. Hydrotherapy is permitted to be used before or after exercise, it helps to reduce the pain.

Massage

Such a disease like fibromyalgia, requires an individual approach. Although patients showing massages, it is very important to pick up their form, as by touching the body the pain is felt.

There are a number of methods shown in this disease:

• massaging connective tissue (fascial);
• Lymphatic drainage equipment;
• of Shiatsu;
• myofascial release technique.

The most effective kind of combination is recognized as myofascial release with the massaging of the connective tissue. According to specialists within a short period of time, this technique removes the pain for a prolonged period (up to 6 months) in patients.

Technique performed using long of manual traction with a combination of light and the long stretches to remove connective tissue adhesion. Manipulations are carried out in a place of excess collagen (the touch such fabrics more solid).

Traditional methods of treatment of fibromyalgia: bracing means

In addition to the basic treatment can be used folk therapies available.

The following recipes are suitable for immunity:

• In the summer should eat one glass per day of fresh strawberries.
• Help the body adapt to any weather conditions can ginseng. In the treatment of fibromyalgia is a plant promotes raising immunity, normalizes metabolism processes in the body detoxifies. Ginseng tincture - simple and effective method of treatment: 10 drops of tincture is diluted in 0.5 v. water. Drink the medicine 1 time a day. Gradually increase the dosage to 30 drops per day.
• Decoction of rose hips is prepared as follows: 2 tbsp. l. fruits poured 0.5 liters of water. Cook the mixture at low heat for about 30 minutes. Consume broth 1 tbsp. twice a day.
• In the season of ripening apricots need to eat 2-3 fruit per day fresh. Next, the same number is used, but dried apricots (in dried form).
• To strengthen immunity, raising the energy balance in the body and reducing pain taken tincture Schizandra: 100g plants poured 0.5 liters of alcohol (70%); Allow the mass to stand for 14 days, then filtered. Take tincture in the morning to 5 drops. Over time, the dosage was increased to 10 drops.

cleansing the body

The comprehensive treatment of fibromyalgia should include means cleaning the body. Some scientists believe that the pain caused by intoxication muscle waste of life of living organisms.

To cleanse the body, you can use the following recipes:

• oatmeal broth 0.5 consumed art. for 3-4 hours a day. To prepare the broth is taken: 1 liter of water is poured 1 tbsp. oats. A mixture to heat for 40 minutes.

  

• Decoction of powder of burdock and dandelion roots: Take for 1 h. l. two plant powder and poured 0.5 liters of water. Boil the mixture for about 15 min. and defend. Take a decoction 2 times a day for 1 st.
• Preparation citrus cocktail: Squeeze the juice of any citrus in the amount of 300 g Dilute fresh water to a volume of 1 liter. Drink throughout the day.
• Bran It can be used in dry form for 2 tablespoons. l. before eating. purification course is 30 days.

Sedatives fees to improve sleep

Fibromyalgia - it is a disease, the nature of which it originates from nervous tension. To speed up the treatment process, the patient must remain in the psychological balance. Traditional medicine in this case includes diet teas power.

motherwort herb is used:

1. In the form of tea, brewing.
2. In the form of a tincture - 30 drops before bedtime.

Tea with lemon balm and valerian:

1. Take for 1 h. l. grass and lemon balm valerian poured 400 mg boiling water.
2. Cook composition for 15 minutes. and defend.
3. Use tea after dinner.

Honey may help sleep at 1 h. l., eaten at night.

Tincture of the pion:

1. Powder of peony plant in an amount of 20 g is poured 100 g of vodka.
2. Insist structure within 14 days.
3. Before the use of tincture diluted in water, 40-50 drops.

Decoction of hops:

1. 1 tbsp. raw pour 1 tbsp. water.
2. Cook weight for 15 min., Then insist 2 hours.
3. Means consumed before a meal, for 50 mg.

painkillers compositions

Traditional medicine offers recipes painkillers:

• Tincture smartweed: 1 tbsp. l. Plants poured 0.5 l of boiling water. Mass heated on a steam bath for 15 min. Cooled and decanted. Means use of 0.5 v. 3-4 times a day before meals.
  
• Tincture of black henbane: 1 tbsp. l. plant leaves pour 100 ml of vodka. Defending team during the week, stirring occasionally, filter. Use tincture 2 drops diluted in 1 tbsp. l. water.
• Tincture of anemone fork possesses analgesic effect: Grind 1 h. l. leaves of the plant. Raw poured 0.5 l of boiling water. Insist composition on a water bath for 15 min. Means cooled and filtered. Drink brandy 1/3 Art. 3-4 times a day before meals.
• Decoction of leaves of wild strawberry: 1 tbsp. l. raw pour 1 tbsp. boiling water. Warmed in a water bath for 15 minutes. Cooled and filtered. Apply a decoction of ½ st. 3-4 times a day for 15 minutes. before a meal.

Compresses and rubbing

Traditional medicine offers recipes for the suppression of pain used in the form of compresses and rubbing.

From the field is preparing horsetail ointment:

1. Article 0.5. l. dry raw leaves are mixed with 1 tbsp. l. butter.
2. Rubbing means on the sore spot 2-3 times a day.
3. Nestle film and warm.

Warming paraffin:

1. Paraffin drowned in a water bath.
2. The liquid substance is applied to the affected area.
3. Snatch film was warmed for 30 min.

A mixture of turpentine:

1. Mix 1 tbsp. l. turpentine with apple cider vinegar.
2. Poured into a mixture of egg.
3. Use the tools in the form of compresses to 2 times a day.

Compress of cabbage leaves:

1. Vegetable leaves knead until the juice.
2. Applied to the affected area.
3. Wrapped with foil and keep warm.

Rubbing essential oils:

1. Mix 2 drops of chamomile oil and 10 drops of rosemary.
2. The mixture is rubbed into the sore spots for 2 times a day.

First aid in exacerbation

Exacerbations fibromyalgia may appear because of the presence of viral or bacterial infections, strong stress experienced.

Algorithm of actions in this case acts:

1. Hike to the reception to the doctor.
2. Return to the complex drug therapy previously assigned.
3. Performance of medical gymnastics.
4. Hike to the reception to the psychologist, the psychotherapist to find appropriate ways to remove the psychological stress and anger management.
5. Conducting course of physiotherapy interventions.
6. Providing enough good and quality sleep.
7. After an early wake-up needed rest day.
8. Administration of the active, but at the same time a measured way of life.

power Features

To date not known diet or way of eating that would help sick people. Scientists were able to select a number of food products that have a negative impact on the sufferer.

Their content is desirable to reduce in their diets:

• Or aspartame sweetener (soft drinks and sweets).
• Nitrates from ham, sausages, bacon.
• sodium glutamine, contains many frozen foods.
• Sugar, fructose, simple carbohydrates.
• Caffeine, found in coffee, tea, chocolate, sweet drinks.
• Gluten.
• Yeast.
• Rhode Solanaceae: potatoes, tomatoes, peppers, eggplant.
• Milk products.

According to observations by some scientists for fibromyalgia patients is useful diet containing:

• a small amount of saturated fat;
• plenty of fresh fruits and vegetables;
• products enriched with beneficial fats omega-3 (fish oil, nuts, eggs, flax seeds);
• lean meat birds.

Consequences and outlook

Fibromyalgia refers to a disorder manifested in the chronic form of the variable current.

Symptomatology of the disease the patient is accompanied by his whole life, transformed under the influence:

• weather conditions;
• presence of stress;
• poor eating habits and way of life;
• the effects of the disease.

With age (old age) occur statodynamic persistent disorders that do not pass with time. The overall prognosis of the disease unfavorable, if there is no change in the way of life, the improvements are not observed. Some patients change their lifestyle to a healthier, there is a temporary positive dynamics.

Complex fibromyalgia symptoms - is a condition which should actively resist, learn develop positive thinking, eliminate stress, to introduce moderate exercise and the correct way life. Over the past 10-15 years, the submission of the disease have changed significantly, giving hope to people suffering from the disease.

Registration of the article: Lozinski Oleg

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