Fibromyalgia: a disorder of the nervous system with treatment but no cure

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Fibromyalgia is the second most common rheumatic disorder after osteoarthritis and, although there is still much debate about the disease, US experts agree is “a disorder of life of the central nervous system which is responsible for the amplified pain it generates in those suffering from the disease. “

Daniel Clauw of the University of Michigan, said at the Annual Scientific Meeting of the American Pain Society: “Fibromyalgia can be thought of as the final way of centralization and the development of chronic pain. Most people with this condition have histories of chronic pain in their bodies long years. The condition can be hard to diagnose because there is no single cause and symptoms are similar to those of other ills ”

Clauw explained that in fibromyalgia, the pain is more the brain and spinal cord areas of the body where someone can experience peripheral pain. “The condition is associated with dispersions relations with how the brain handles pain, coupled with sensory information.” He noted that physicians should suspect fibromyalgia in patients with multifocal pain (especially musculoskeletal), which is not explained completely by injury or inflammation.

“The pain pathways in the body are amplified in fibromyalgia patients. Pain can occur in different area, may have chronic headaches, visceral pain and also what we call sensory hipercorrespondencia. These signs are common in people with this painful condition, “said Clauw.

“This does not imply that the entry of peripheral nociceptive information does not contribute to pain experienced by fibromyalgia patients, but he sawed the thread more pain than is normally preveído the degree of input peripheral information.People with fibromyalgia and other pain states characterized by awareness experience pain than those without the condition describe as touch, “Clauw added.

Clauw noted that its origin in the central nervous system, treatment with opiates or other narcotic analgesics are generally not effective because they reduce the activity of neurotransmitters in the brain. “These drugs have never been shown to be effective in patients with fibromyalgia, and there is evidence that opioids may even worsen the picture and other centralized states of pain.”

Clauw advises integrate clinical drug treatments, such as gabapentinoids, trycyclics and inhibitors of serotonin reuptake, in addition to therapy, exercise and stress reduction treatments with cognitive approaches.

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