Fibromyalgia- Causes And Treatment

Diffuse pain throughout the body, including the joints, muscles, and spine, without any obvious signs of inflammation at these locations is the clinical syndrome.

Clinical Features

Most typical attribute: Sharp pain that radiates down the spine and affects the muscles, joints, soft tissues, and many painful areas. The symptoms that are linked to it include fatigue, irritable bowel syndrome, non-restorative sleep, neuropsychiatric signs, and predominant diarrhea.

Chronic Fatigue Syndrome Vs Fibromyalgia

Etiology of Fibromyalgia

The precise cause of the condition is unknown. Abnormalities in the descending nociceptive pathway include: Increased glutamate and substance P; Decreased serotonin and norepinephrine; Reduced pain threshold. Reduced HPA axis reactivity to stress o Low cortisol levels.  In cases of chronic fatigue syndrome, substance P is normal. 

Also Read: Reactive Arthritis- Etiology, Diagnosis And Treatment

Diagnosis of Fibromyalgia

There are 18 sensitivity sites on the body; if 11 of the 18 points are positive, fibromyalgia is assumed; pressure applied Tenderness: 4 kg; pressing on the designated locations with the thumb.  The nail bud is branching; this suggests that 4 kg of pressure is being applied. 

Also Read: Antiphospholipid Syndrome (APS)

ACR 2016 Criteria

All the 4 criteria should be met. 75% members with chronic fatigue Syndrome will also have fibromyalgia.

Widespread pain index image	Maximum possible score: 19 Minimum possible score: 1 Patients is filling based on the pain during the past 7 days  WPI score ≥7, SSC ≥5 WPI score 4 to 6, SSC ≥9
Symptom severity score image	Range 0 to 12  It include: Fatigue Weakening unrefreshed (Non restorative sleep) Cognitive symptoms: Fibro Fog Description of blurriness  Other symptoms: Headache Abdominal pain Depression

Management of Fibromyalgia

Also Read: Aortic Aneurysm- Thoracic And Abdominal Aortic Aneurysm

Hope you found this blog helpful for your NEET SS Medicine Rheumatology Preparation. For more informative and interesting posts like these, keep reading PrepLadder’s blogs.