Fibromyalgia is a label that is ascribed to a large number of patients who describe chronic pain. Some of these patients have distinct tender points around their body, while others don’t have this at all but describe more of a diffuse pain that really isn’t specific to one particular anatomical region.
Fibromyalgia is not a distinct condition with a single pain generating mechanism. It is a common complicated condition that is characterized by a heightened pain perception with a number of precipitating factors. What is often seen is a wide variety of presenting complaints, such as headaches, shooting pains in the extremities, irritable bowel syndrome, generalized aching, and other endocrine problems.
No one knows the cause of fibromyalgia. University professors busy researchers, and experienced clinicians simply do not know the exact reason that people end up with the diagnosis of fibromyalgia. Often times patients have a disturbed sleep pattern, one may see restless leg syndrome, vitamin and mineral deficiencies, but there really is just not an established and definitive cause that can be pinpointed.
Some research studies have shown a relationship between pre-adolescent sexual abuse and fibromyalgia. A number of issues can come from pre-adolescent sexual abuse including fibromyalgia, migraines, hypertension, and autoimmune diseases. Whether or not this abuse has occurred should be explored in the patient history.
Since fibromyalgia’s cause is not known, we can’t say that depression causes it, but it is often seen along with fibromyalgia. Multiple antidepressants have been shown to work well for fibromyalgia so it is known that depression is a common comorbidity. These include tricyclic antidepressants along with some others.
Fibromyalgia is an extremely frustrating diagnosis. The presentation has broad symptoms without a specific cause. It is known that mental health comorbidities often coexist. Numerous medications have been shown to work very well for the symptoms of the disease. Some are FDA approved. The medications include tricyclic antidepressants, tramadol, milnacipran, duloxetine, and pregabalin. Narcotics are in the process of falling out of favor for fibromyalgia due to their predominant ineffectiveness.
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Tags: depression, disease, fibromyalgia, Headache And Vomiting, headaches, pain, pain management