Fibromyalgia is a chronic and widespread musculoskeletal pain disorder characterized by pain and tenderness all over the body, sleep problems, fatigue and most of the times emotional and mental distress. People with Fibromyalgia, generally, are more sensitive to pain because of abnormal pain perception processing. Since, it is diagnosed clinically and there are no specific diagnostic tests available in medical field, it is very often missed by the doctors.
We have recently seen that, there is an increase in the number of patients who present to us with symptoms of fibromyalgia. This can be because of the sedentary lifestyle, poor nutrition and stressed working culture in the current society.
Signs and Symptoms
- Pain and stiffness all over the body
- Decreased sensitivity to pain
- Fatigue and tiredness
- Depression and anxiety
- Sleep problems
- Problems with thinking, memory, and concentration
- Headaches, including migraines
Other symptoms may include:
- Tingling or numbness in hands and feet
- Pain in the face or jaw, including disorders of the jaw known as temporomandibular joint syndrome (also known as TMJ)
- Digestive problems, such as abdominal pain, bloating, constipation, and even irritable bowel syndrome (also known as IBS)
- Lupus or Rheumatoid Arthritis. If you have lupus or rheumatoid arthritis (RA), you are more likely to develop fibromyalgia.
- Women are twice as likely to have fibromyalgia as men.
- Stressful or traumatic events, such as car accidents, post-traumatic stress disorder (PTSD)
- Repetitive injuries
- Illness (such as viral infections)
- Family history, thus, Genetics also have a role to play in this condition
JEEVISHA protocol for management of Fibromyalgia:
- Work ergonomics and Posture correction: Changing the Ergonomics at work place plays a very important role in management of these patients. Expert faculty at JEEVISHA analysis the problems and helps the patient bring changes in their daily life.
- Medications: In the initial course of the management of this condition, patients may be prescribed some muscle relaxants to reduce the spasms in the muscles. Some other medications may be prescribed depending on the condition of the patient, which is individualized from patient to patient basis.
- Physiotherapy: Physiotherapy plays a very important role in fighting these painful conditions. With a team of dedicated physiotherapist, patient is further evaluated and accordingly a plan is prepared for first reducing pain and then focusing on strengthening of the problematic muscles.
- Dry needling: It is a procedure that involves the insertion of fine, short stainless steel needles (25-gauge or thinner) into the skin and muscle at trigger points or painful areas in the muscles. Either done blindly or under Ultrasound guidance, it helps to release the taut bands in the muscles causing the pain.
- Trigger point injections: Some patients may require injection of medications in the trigger points because of associated inflammation in the area. Trigger point injections are done under Ultrasound guidance as a day care procedure.
- Botox injections: Botox along with its muscle relaxation and anti-inflammatory action also has a neuro-modulatory properties which helps the patients of Fibromyalgia.
- Stress management techniques and Cognitive behavioural therapy.