Fibromyalgia history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
==History== | ==History== | ||
== | ==History and Symptoms== | ||
The defining symptoms of fibromyalgia are chronic, widespread pain and tenderness to light touch. | The defining symptoms of fibromyalgia are chronic, widespread pain and tenderness to light touch. Other symptoms include:<ref name="pmid17041327">{{cite journal |author=Leavitt F, Katz RS, Mills M, Heard AR |title=Cognitive and Dissociative Manifestations in Fibromyalgia |journal=J Clin Rheumatol. |volume=8 |issue=2 |pages=77-84 |year=2002 |pmid=17041327 |doi=}}</ref><ref>{{cite web |author=Frank Leavitt |title=Fibrofog, Fibromyalgia and Dissociation -- Understanding why some memory-impaired patients with fibromyalgia score normally on neuropsychological testing |url=http://www.webspawner.com/users/frankleavitt/}}</ref> <ref>[http://www.ncbi.nlm.nih.gov/pubmed/169541?ordinalpos=40&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Musculosketal symptoms and non-REM sleep disturban...[Psychosom Med. 1975 Jul-Aug] - PubMed Result<!-- Bot generated title -->]</ref><ref>[http://www.ncbi.nlm.nih.gov/pubmed/15361320?ordinalpos=4&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Fibromyalgia: the gastrointestinal link. [Curr Pain Headache Rep. 2004] - PubMed Result<!-- Bot generated title -->]</ref><ref>[http://www.ncbi.nlm.nih.gov/pubmed/17092441?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Cognitive dysfunction in fibromyalgia and chronic ...[Curr Rheumatol Rep. 2006] - PubMed Result<!-- Bot generated title -->]</ref><ref>[http://www.ncbi.nlm.nih.gov/pubmed/17894922?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum Comorbidity of fibromyalgia and psychiatric disord...[Curr Pain Headache Rep. 2007] - PubMed Result<!-- Bot generated title -->]</ref><ref name="pmid17689128">{{cite journal |vauthors=Tander B, Atmaca A, Aliyazicioglu Y, Canturk F |title=Serum ghrelin levels but not GH, IGF-1 and IGFBP-3 levels are altered in patients with fibromyalgia syndrome |journal=Joint Bone Spine |volume=74 |issue=5 |pages=477–81 |year=2007 |pmid=17689128 |doi=10.1016/j.jbspin.2007.01.024 |url=}}</ref> | ||
{| class="wikitable" | |||
!Organ system | |||
!Symptoms | |||
|- | |||
|Systemic | |||
Other symptoms often attributed to fibromyalgia that may possibly be due to a [[comorbidity|comorbid]] disorder include [[myofascial pain syndrome]], diffuse non-dermatomal [[paresthesia]]s, functional bowel disturbances and [[irritable bowel syndrome]] (possibly linked to lower levels of [[ghrelin] | | | ||
* Weight gain | |||
Symptoms can have a slow onset, and many patients have mild symptoms beginning in childhood, that are often misdiagnosed as [[growing pains]]. Symptoms are often aggravated by unrelated illness or changes in the weather. They can become more tolerable or less tolerable throughout daily or yearly cycles; however, many people with fibromyalgia find that | * Cold symptoms | ||
* Severe fatigue | |||
|- | |||
|CNS | |||
| | |||
* Headaches | |||
* Sleep disorders | |||
* Dizziness | |||
* Cognitive impairment | |||
* Memory impairment | |||
* Anxiety- Depression | |||
* Tingling of the skin | |||
|- | |||
|Musculoskeletal | |||
| | |||
* Myofascial pain | |||
* Twitches | |||
* Achiness in the muscle tissues | |||
* Prolonged muscle spasms | |||
* Muscle weakness | |||
* Allodynia | |||
|- | |||
|Abdominal | |||
| | |||
*Nausea | |||
*Pain | |||
|- | |||
|Eyes | |||
| | |||
*Blurred vision | |||
*Photosensitivity | |||
|} | |||
*Other symptoms often attributed to fibromyalgia that may possibly be due to a [[comorbidity|comorbid]] disorder include [[myofascial pain syndrome]], diffuse non-dermatomal [[paresthesia]]s, functional bowel disturbances and [[irritable bowel syndrome]] (possibly linked to lower levels of [[ghrelin]], [[Urinary system|genitourinary]] symptoms and [[interstitial cystitis]]), [[Dermatology|dermatological]] disorders, [[headache]]s, [[Myoclonus|myoclonic twitches]], and symptomatic [[hypoglycemia]]. | |||
*Although fibromyalgia is classified based on the presence of chronic widespread pain, pain may also be localized in areas such as the [[shoulder]]s, [[neck]], low [[back]], [[hip]]s, or other areas. | |||
*Many sufferers also experience varying degrees of facial pain and have high rates of comorbid [[temporomandibular joint disorder]]. Weather sensitive pain is common (see [[RSD]], [[CRPS]], [[Thermography]]). Not all patients have all symptoms. | |||
*Symptoms can have a slow onset, and many patients have mild symptoms beginning in childhood, that are often misdiagnosed as [[growing pains]]. | |||
*Symptoms are often aggravated by unrelated illness or changes in the weather. They can become more tolerable or less tolerable throughout daily or yearly cycles; however, many people with fibromyalgia find that at least some of the time, the condition prevents them from performing normal activities such as driving a car or walking up stairs. | |||
*The disorder does not cause [[inflammation]] as is characteristic of [[rheumatoid arthritis]], although some [[NSAID]]s may temporarily reduce pain symptoms in some patients. | |||
The following factors have been proposed to exacerbate symptoms of pain in patients: | The following factors have been proposed to exacerbate symptoms of pain in patients: | ||
* Increased [[psychosocial]] [[Stress (medicine)|stress]] | * Increased [[psychosocial]] [[Stress (medicine)|stress]] | ||
* Excessive physical exertion (exercise seems to decrease the pain threshold of people with fibromyalgia but increase it in healthy individuals)<ref>{{cite journal | author = Staud R, Robinson ME, Price DD | title = Isometric exercise has opposite effects on central pain mechanisms in fibromyalgia patients compared to normal controls. | journal = Pain | volume = 118 | issue = 1-2 | pages = 176-84 | year = 2005 | id = PMID 16154700}}</ref> | * Excessive physical exertion (exercise seems to decrease the pain threshold of people with fibromyalgia but increase it in healthy individuals)<ref>{{cite journal | author = Staud R, Robinson ME, Price DD | title = Isometric exercise has opposite effects on central pain mechanisms in fibromyalgia patients compared to normal controls. | journal = Pain | volume = 118 | issue = 1-2 | pages = 176-84 | year = 2005 | id = PMID 16154700}}</ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
History and Symptoms
The defining symptoms of fibromyalgia are chronic, widespread pain and tenderness to light touch. Other symptoms include:[1][2] [3][4][5][6][7]
| Organ system | Symptoms |
|---|---|
| Systemic |
|
| CNS |
|
| Musculoskeletal |
|
| Abdominal |
|
| Eyes |
|
- Other symptoms often attributed to fibromyalgia that may possibly be due to a comorbid disorder include myofascial pain syndrome, diffuse non-dermatomal paresthesias, functional bowel disturbances and irritable bowel syndrome (possibly linked to lower levels of ghrelin, genitourinary symptoms and interstitial cystitis), dermatological disorders, headaches, myoclonic twitches, and symptomatic hypoglycemia.
- Although fibromyalgia is classified based on the presence of chronic widespread pain, pain may also be localized in areas such as the shoulders, neck, low back, hips, or other areas.
- Many sufferers also experience varying degrees of facial pain and have high rates of comorbid temporomandibular joint disorder. Weather sensitive pain is common (see RSD, CRPS, Thermography). Not all patients have all symptoms.
- Symptoms can have a slow onset, and many patients have mild symptoms beginning in childhood, that are often misdiagnosed as growing pains.
- Symptoms are often aggravated by unrelated illness or changes in the weather. They can become more tolerable or less tolerable throughout daily or yearly cycles; however, many people with fibromyalgia find that at least some of the time, the condition prevents them from performing normal activities such as driving a car or walking up stairs.
- The disorder does not cause inflammation as is characteristic of rheumatoid arthritis, although some NSAIDs may temporarily reduce pain symptoms in some patients.
The following factors have been proposed to exacerbate symptoms of pain in patients:
- Increased psychosocial stress
- Excessive physical exertion (exercise seems to decrease the pain threshold of people with fibromyalgia but increase it in healthy individuals)[8]
- Lack of slow-wave sleep
- Changes in humidity and barometric pressure (see RSD, CRPS, Thermography)
Less Common Symptoms
References
- ↑ Leavitt F, Katz RS, Mills M, Heard AR (2002). "Cognitive and Dissociative Manifestations in Fibromyalgia". J Clin Rheumatol. 8 (2): 77–84. PMID 17041327.
- ↑ Frank Leavitt. "Fibrofog, Fibromyalgia and Dissociation -- Understanding why some memory-impaired patients with fibromyalgia score normally on neuropsychological testing".
- ↑ Musculosketal symptoms and non-REM sleep disturban...[Psychosom Med. 1975 Jul-Aug] - PubMed Result
- ↑ Fibromyalgia: the gastrointestinal link. [Curr Pain Headache Rep. 2004] - PubMed Result
- ↑ Cognitive dysfunction in fibromyalgia and chronic ...[Curr Rheumatol Rep. 2006] - PubMed Result
- ↑ Comorbidity of fibromyalgia and psychiatric disord...[Curr Pain Headache Rep. 2007] - PubMed Result
- ↑ Tander B, Atmaca A, Aliyazicioglu Y, Canturk F (2007). "Serum ghrelin levels but not GH, IGF-1 and IGFBP-3 levels are altered in patients with fibromyalgia syndrome". Joint Bone Spine. 74 (5): 477–81. doi:10.1016/j.jbspin.2007.01.024. PMID 17689128.
- ↑ Staud R, Robinson ME, Price DD (2005). "Isometric exercise has opposite effects on central pain mechanisms in fibromyalgia patients compared to normal controls". Pain. 118 (1–2): 176–84. PMID 16154700.