Fibromyalgia, a poorly understood disease that hurts – A la une

The 29th World Fibromyalgia Day is celebrated on May 12, 2022.

Firomyagia is a very complex and difficult to understand disease. This is due to its very different symptoms and its effects on different organs. In fact, it is defined as “a syndrome consisting of chronic symptoms of moderate to severe intensity, including diffuse pain without apparent cause and tenderness, associated with fatigue, cognitive and sleep disturbances, and numerous somatic complaints.” It was recognized by the World Health Organization (WHO) in 1992. recognized as a medical facility.

According to the report by the Ministry of Solidarity and Health, published on October 8, 2020, the prevalence of fibromyalgia has been estimated at 1.6% of the adult population, or about 1.2 million people, mostly female, in France. In Canada, the incidence rate of fibromyalgia ranges from 3.3% to 5%, or 260,000 to 400,000 people in Quebec only, according to the Laval Fibromyalgia Association.

Fibromyalgia is characterized by predominantly diffuse pain for at least 03 months, mostly in the muscles, with a burning, stabbing sensation for no apparent reason. These are accompanied by other signs and symptoms that differ depending on the different systems and organs affected. Thus, according to the literature, we can observe:

The level of musculoskeletal system it is manifested by: general stiffness, muscle spasms and chest pain.

The level of the nervous system persistent fatigue, lack of endurance, migraines and headaches. The sensory system is characterized by hypersensitivity to pain, hyperactivity to noxious stimuli, perceptual and dimensional distortion, burning and swelling sensations, and the phenomenon of sensory overload. On the cognitive side, there are difficulties in coping with information, cognitive deficit, difficulty concentrating, confusion, misuse of words, problems with short-term memory. Motor skills and balance are also affected by muscle weakness, poor balance, clumsiness and a tendency to drop objects, difficulty walking tightrope, numbness or tingling.

Besides the sleep disorders are characterized by hypersomnia or insomnia, non-restorative sleep, sleep apnea.

that neuroendocrine system is characterized by sudden weight change, intolerance to heat and/or cold, mood swings, anxiety and reactive depression.

Out of visual and hearing impairments are also identified by changes or pain in the eyes, double, blurred or twisted vision, dry or itchy eyes, photophobia, tinnitus, noise disturbance.

The level of cycleorthostatic hypotension, fainting or dizziness, palpitations and tachycardia, fluid retention and bruising.

that digestive tract, is characterized by lump in the throat, nausea, heartburn, abdominal pain and irritable bowel syndrome. In terms of urinary system There is a bladder disorder and an overactive bladder.

The level of reproductive systemit can cause endometriosis, an irregular menstrual cycle, loss of libido or impotence and anorgasmia.

No laboratory analysis and medical imaging can currently diagnose fibromyalgia. However, it is important to do a simple blood test to rule out conditions that may have symptoms similar to fibromyalgia. The diagnosis of fibromyalgia is therefore based on the patient’s symptoms.. This is based on the questions and physical exam designed to highlight both the symptoms of fibromyalgia and the medical conditions associated with it.

Support includes several parameters such as:

physical activity adapted and regular in order to reintegrate exercise into everyday life. The most recommended physical activity is walking, which stimulates the bone, muscle and ligament systems. This helps maintain joint flexibility and muscle mass while exercising the respiratory and cardiovascular systems; stretching exercises, which help increase flexibility and reduce injuries; Aqua fitness in hot water 1 to 3 times a week. This relaxes the muscles and trains the cardiovascular system.

message therapy which improves blood circulation, relieves muscle pain, releases tension and restores freedom of movement.

psychotherapy which aims to improve mental, physical and functional well-being and quality of life; to promote self-esteem and self-efficacy; promote the mobilization of various adaptive coping strategies and reduce stress.

Therapeutic patient education which aims to make the patient the actor in his health. The aim is to help patients and their families to understand the chronic disease and its treatments in order to improve their quality of life.

Targeted pharmacological treatment. Antiepileptics, antidepressants, nonsteroidal anti-inflammatory drugs, psychotropic drugs are used.

The recommendations to improve the health trajectory and quality of life of those affected, by the Ministry of Solidarity and Health in a press kit distributed in October 2020, through the collective expertise of INSERM. These revolve around four axes:

– Better educate health workers about fibromyalgia and new recommendations for reduction; the general public to understand pain and its management, empower patients and reduce the stigma associated with persistent pain;

– diagnose earlier by strengthening the capacity of health professionals by developing the intervention from experienced patients with fibromyalgia;

– better structure chronic pain and fibromyalgia;

– Strengthening research on chronic pain and fibromyalgia.

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