What is Fibromyalgia?

Fibromyalgia is a common condition. So what is it?

Todays post is about Fibromyalgia.

A topic that has been discussed a bit in my family of late.

This is a fairly common condition that affects many people, from all walks of life. Statistically it affects women more than men.

So, what is Fibromyalgia?

As described in Davidson’s Principles & Practice of Medicine; fibromyalgia is a condition that presents as widespread body pain, which is often worse in the neck and back.

People who suffer from the condition have a reduced pain threshold and tenderness at certain sites throughout the body. Many sufferers find that physiotherapy often makes it worse. These symptoms are often accompanied by fatigue; memory problems and disturbed sleep patterns. A high proportion of fibromyalgia patients also suffer from tinnitus.
Fibromyalgia commonly begins between the ages of 35 and 50 years of age.

What causes it?

The cause is poorly understood, however there are 2 factors that are thought to be major contributors.
Poor sleep, or more exactly, reduced non-rapid eye movement (non-REM) sleep.
Delta waves are characteristic of deep stages of non REM sleep. This usually occurs in the first few hours of sleep. This type of sleep is recognised as having an important restorative function.
The other factor is thought to be psychological distress, such as anxiety or distressing life events.
Unfortunately, the condition can also create a perpetual cycle.
– The pain causes anxiety and poor sleep – the anxiety and poor sleep contribute to the condition causing pain – and so the cycle repeats.

How is it diagnosed?

Fibromyalgia is a complex condition that has many varied symptoms that could also be linked to other health problems. There are no blood tests or imaging test that show this condition, so it is difficult to diagnose.
Therefore most health professionals will have to conduct various tests to rule out conditions with similar symptoms.

How is it treated?

There are no guaranteed cures or medications for fibromyalgia. The most recent research I could find recommends a combination of treatments. This is to help patients manage the individual factors contributing to the condition.
The most common of these are pain, sleep, physical activity and psychological wellbeing.
Most treatment programs seem to include simple measures such as hot baths, aerobic and strength exercises along with relaxation and meditation.

The studies surrounding this condition, the causes and the treatments are ongoing.
I hope that this information is helpful to you or anyone you may know with this condition.

Till the next post,

Live clean n prosper.

Sources – Davidson’s Principles & Practice of Medicine, hindawi, science direct, Pub Med

Alternative Treatments for Pain

Todays post is about alternative treatments for pain.

Last post I wrote about pain and the most popular medications used to treat pain. This time I thought I would look at some of the other treatments that are available to manage pain.

Traditionally, the first step in treating chronic pain has been medication, including strong painkillers such as opioids. But these drugs can be problematic. They can have serious side effects and there is always a risk for addiction when used long term.

Alternatives to medication for chronic pain exist. Pain treatments that doctors once scoffed at are now considered viable alternatives. Research shows that, when they’re included in a comprehensive treatment plan, they can be quite effective in lowering pain.

Together, these approaches to pain management often are referred to as integrative medicine. 

However, not all alternative treatments work for everyone all of the time. Some alternative treatments may help with bad backs, osteoarthritis, and headaches, but have no effect on chronic pain from fibromyalgia or diabetic nerve damage.

Some of the most commonly used alternative treatments for chronic pain are; acupuncture, chiropractic, massage and relaxation therapy, yoga, herbal remedies and supplements.

Acupuncture

The use of acupuncture is thought to decrease pain by increasing the release of chemicals that block pain, called endorphins. Endorphins, along with other neurotransmitters, block the message of pain from being delivered up to the brain. Studies have found that it works for many conditions, including fibromyalgia, osteoarthritis, back injuries, and sports injuries.

Chiropractic manipulation

Chiropractic treatment is the most common non-surgical treatment for back pain. Research also suggests that chiropractic treatments may be helpful for headaches, neck pain, certain arm and leg conditions, and whiplash.

Massage

Massage can reduce stress and relieve tension by enhancing blood flow. It can also reduce the presence of substances that may generate and sustain pain. Several studies suggest massage can be effective as part of an overall strategy for managing chronic neck and back pain.

Relaxation therapy

This is actually a category of techniques that help people calm the body and release tension. Some approaches teach people how to focus on their breathing. Research shows that relaxation therapy can help with fibromyalgia, headache, osteoarthritis, and other conditions.

Herbal Remedies and Supplements

There are many conditions associated with chronic pain, so it’s hard to list all the possible herbal remedies that can help decrease pain.

Certain herbal remedies work well with certain conditions. Devil’s claw and White willow bark, for example, can decrease the joint pain and inflammation associated with rheumatoid arthritis. Primrose and Californian poppy may help ease chronic muscle pain associated with fibromyalgia.

Topical capsaicin, derived from chilli peppers, may help with arthritis, diabetic nerve pain, and other conditions. There’s evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee

You still need to be careful taking herbal remedies and supplements,  Some herbs can react badly with some medications. Always check with a health professional before taking any herbal remedies, especially if you have any medical conditions or take other medication.

Yoga

There is clinical evidence that yoga can help with chronic pain, specifically fibromyalgia, neck pain, back pain, and arthritis. The purpose of yoga is to help with relaxation. Yoga also improves the mind/body communication. The connection between body health and state of mind are well documented.

 

All of these treatments help control pain symptoms. To be most effective, they should be integrated into an overall treatment plan that includes conventional approaches to pain management, such as physical therapy, exercise and balanced nutrition.

As usual, different treatments work differently for each individual.

If you suffer from any type of pain, I hope that this information has been helpful.

(Sources – www.abc.net.au/health/. www.webmd.com.)

Till the next post, 

Live clean n Prosper

Some information about Pain

Today I’m writing about ‘pain’.

We all deal with some type of pain in our daily lives. Some of us have more to deal with than others. I have had conversations with several people about pain and pain management over the past week, which got me thinking about it.

Pain is complicated for lots of reasons. For one thing, there are many different types — a muscle ache is very different from a pinch or a burn. Plus, some people are more sensitive to pain than others.

 Pain is a survival mechanism that protects us.

When you touch a hot stove, you recoil in pain. That sensation helps you avoid getting a burn that could be dangerous. The throbbing of a broken foot tells you to stay off it until it heals, so you don’t do more damage. Without those signals, we’d all be in trouble.

Some pain is straightforward. When you burn your skin, pull a muscle or break a bone, you feel immediate discomfort. This short-term effect is called acute pain. Other pain can last months or years and is called chronic pain.

 How does our body deal with pain?

Pain is a kind of perception, similar to smelling, tasting and hearing. In simple terms when you suffer an injury, your nervous system is in charge of delivering the news. If you twist your ankle, nerve cells in your ankle pick up the signal that something’s wrong. A network of nerve cells relays this message to the spinal cord. From there, it shoots up to the brain. The brain then translates the message and registers the feeling.

At the place where pain starts, the body creates and releases several chemicals. These chemicals tell the body to send more blood flowing to the painful area. The extra blood flowing to the area includes white blood cells. These white blood cells bring prostaglandin, which creates inflammation and increases the painful feeling.

Inflammation is one way that the body responds to cellular injury. Beyond pain, it often triggers swelling, redness and heat. The nerves themselves represent a second source of pain.

 Treatment

Unfortunately, treatment is complex and uniquely personal. Diagnosis, biology and personal history all play a role, and finding pain therapies that bring adequate relief can be an effort.

Obviously the best way to treat pain is to eliminate the cause and this is not always possible. Many people have to rely on medications to help them manage their pain.

Different types of medication work in different ways. However, in short, pain medicine is used to block the processes that cause the feeling of pain. They don’t fix the problem; they just short-circuit the communication to the brain.

The most commonly prescribed medications for pain management include two categories of drugs: nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen and opioids, such as codeine or morphine.

*NSAIDs stop your body from making prostaglandins and inhibit certain enzymes in your body that are released during tissue damage. This reduces the inflammation as well as the communication to the brain.

*Opioid medications, just like real opium, mimic the natural pain-relieving chemicals — endorphins — produced by your brain. These drugs “turn down the volume” on the pain signals your nervous system sends through your body. They also muffle other nerve cell functions, such as your breathing, heart rate and level of alertness.

 The other side of treatment

After a medicine has been distributed throughout the body and has done its job, the drug is then metabolised.

Many types of medication can cause serious side effects. Opioids can cause addiction, especially if used over a longer period of time. NSAIDs can lead to stomach ulcers and damage to the kidneys.

Everything that enters the bloodstream — whether swallowed, injected, inhaled or absorbed through the skin — is carried to the body’s chemical processing plant, the liver.

The liver’s job is to then detoxify these medications and remove the byproducts resulting from the process of metabolism. In many cases, the liver is able to metabolise these (and other toxins) without significant damage to the organ itself.

However, when medications are taken in excess, the frequency of use is hourly or daily, or when multiple substances (including alcohol) are consumed simultaneously – there can be significant, cumulative damage to the liver.

For these reasons, people often turn to complementary or alternative medicine to ease their pain.

This is of course a whole other article, maybe the next post.

Till then,

 Live clean n Prosper.

(Sources – www.medicalnewstoday.com, www.livescience.com, www.mayoclinic.org, www.sciencenewsforstudents.org )