Nip That Pain in Your ...

According to the National Fibromyalgia Association, “Fibromyalgia (FM) is a common and complex chronic pain disorder that affects people physically, mentally and socially.” FM is a syndrome and not a disease. It is characterized by chronic widespread muscular pain, multiple tender points, stiffness, sleep disturbances, fatigue, memory problems, chemical sensitivities, anxiety and depression.

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Causes of FM:

The underlying cause{s} of FM are still a bit of a mystery. Many researchers agree that individuals with FM have imbalances in the brain that affect pain perception. Studies suggest there may be a genetic component for some individuals, but genes alone are not the cause FM. For a large percentage of people, the onset of FM is triggered by an illness, or injury or emotional stressor, which causes trauma to the body, and activates the underlying genetic predisposition.

Diagnosing FM:

At this time, there are no lab tests available for diagnosing FM. Doctors rely on patient histories, self-reported symptoms, and a physical examination. The problem is that fibromyalgia is confusing and many doctors still feel they are in the dark about it. Because there are no clear lab tests available, and many FM symptoms overlap with that of other conditions {lupus}, and doctors are still learning process, it is estimated that it takes about five years for a fibromyalgia patient to get accurately diagnosed.

The American College of Rheumatology has standardized diagnostic criteria, for which a patient must meet to receive a diagnosis of fibromyalgia:

• Widespread pain must have been present for at least 3 months
• Pain in at least 11 of the 18 specified tender points, when pressure is applied

Can FM Be Treated?

FM is a chronic condition, and since currently there is no known cure, treatment is focused on relieving and improving symptoms. Fairly recently, the U.S. Food and Drug Administration has approved several drugs {Lyrica, Cymbalta & Savella} which can help reduce the pain of FM in some patients. Others see positive results from medications that increase two neurotransmitters, serotonin & norepinephrine, in the brain. As with all medications and treatments, it is critical to talk to your doctor before starting any program.

Massage, acupuncture, chiropractic and herbal supplements, yoga and tai chi also have shown positive results in pain management.

Life with FM:

As with anything in life, there are lifestyle accommodations which can help in dealing with FM.

• Education: Research, learn...become an expert of what helps you deal the best with FM
  
• Exercise: If you are low on time, even a few minutes is helpful
  
• Nutrition: A healthy diet is key for patients with FM:

1. Eat organic, when possible
2. Choose foods high in fiber and antioxidants, to fight inflammation
   
3. Limit intake of sugar, caffeine and alcohol
   
4. Drinks lot of purified water
   
5. Consume omega-3 essential fatty acid
   

• Sleep: Rest well. Your body heals during sleep and rest
  
• Social Support: Stay connected with other FM patients, and lean on family and friends
  
• Stress: Manage stress, both physical and emotional