By: Dr Alex Robber
Fibromyalgia is the second most frequent rheumatic disorder behind osteoarthritis and is now regarded as a vital central nervous system disease that causes the increased pain in body.
Therefore in a plenary session today at the American Pain Society Annual Scientific Meeting Daniel Clauw, MD, professor of anesthesiology at the University of Michigan, discussed the neurological foundation of fibromyalgia.
However “Fibromyalgia be a separate illness and as an ultimate prevalent pathway to centralization and pain chronicity. Because “Most individuals living with this disorder have a history of lifetime chronic pain,” Clauw said. “If you are not familiar with classic symptoms, the condition can be difficult to diagnose because no single cause and no external signs are present.”
Clauw clarified that fibromyalgia is more caused by brain and spinal cord than by regions of the body where somebody may be affected. The conditions in the way the brain processes pain, and other sensory data are believed to be linked to diseases.
“Because fibromyalgia amplifies the path of pain all over the body, pain can happen anywhere, so it is prevalent in individuals with this painful disease to have severe headaches, visceral pain and sensory hypersensitivity,” Clauw added.
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However “This does not imply that peripheral nocice entry doesn’t add to the pain experienced by patients who experience fibromyalgia. But that the level of peripheral entry makes them feel more painful than they usually would.
Clauw stated that treatments with opioids and other narcotics analgesics are not usually efficient due to the causes of fibromyalgia in the central nervous system, as they do not decrease the activity of neurotransmitters in the brain. “The efficacy of these medicines was never shown in fibromyalgia patients and there is proof of opium’s even making fibromyalgia and other centralized pain conditions worse,” he said.
Therefore Clauw provides physicians with advice to incorporate non-pharmacological methods like cognitive behavioral treatment, exercise and stress reduction, including the integration of gabapentin, tricyclic or serotonin reuptake inhibitors.
“Sometimes it is greater than that of pharmaceuticals to respond to therapies for easy and affordable non-drug therapies,” Clauw said. The major advantage of chronic pain disease is an enhanced feature that should be the primary purpose of the therapy. Most patients with fibromyalgia are symptomatic and can live a normal life by taking the correct medicine and taking comprehensive non-medicine treatments.
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