Treatments And Symptoms Of Fibromyalgia Or Fibrositis

Treatments And Symptoms Of Fibromyalgia Or Fibrositis
Sometimes called fibrositis, a chronic disorder that causes
pain and stiffness throughout the tissues that support and move the
bones and joints. Pain and localized tender points occur in the
muscles, particularly those that support the neck, spine, shoulders,
and hips. The disorder includes widespread pain, fatigue, and sleep
disturbances.

According to the American College of Rheumatology, fibromyalgia
affects 3 to 6 million Americans. It primarily occurs in women of
childbearing age, but children, the elderly, and men can also be
affected.

Although the cause of fibromyalgia is unknown, researchers have
several theories about causes or triggers of the disorder. Some
scientists believe that the syndrome may be caused by an injury or
trauma. This injury may affect the central nervous system. Fibromyalgia
may be associated with changes in muscle metabolism, such as decreased
blood flow, causing fatigue and decreased strength. Others believe the
syndrome may be triggered by an infectious agent such as a virus in
susceptible people, but no such agent has been identified.

Fibromyalgia is difficult to diagnose because many of the symptoms
mimic those of other disorders. The physician reviews the patient's
medical history and makes a diagnosis of fibromyalgia based on a
history of chronic widespread pain that persists for more than 3
months. The American College of Rheumatology (ACR) has developed
criteria for fibromyalgia that physicians can use in diagnosing the
disorder. According to ACR criteria, a person is considered to have
fibromyalgia if he or she has widespread pain in combination with
tenderness in at least 11 of 18 specific tender point sites.

Treatment of fibromyalgia requires a comprehensive approach. The
physician, physical therapist, and patient may all play an active role
in the management of fibromyalgia. Studies have shown that aerobic
exercise, such as swimming and walking, improves muscle fitness and
reduces muscle pain and tenderness. Heat and massage may also give
short-term relief. Antidepressant medications may help elevate mood,
improve quality of sleep, and relax muscles. Patients with fibromyalgia
may benefit from a combination of exercise, medication, physical
therapy, and relaxation.

Psychological interventions in combination with physiotherapy can be
effective in treating fibromyalgia patients, especially if applied
early.