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Fibromyalgia: the Pathophysiology

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Fibromyalgia: The Pathophysiology

Abstract

The mystery surrounding fibromyalgia has been long and tedious. At first neurology did not want to claim it saying it was a psychiatric problem, then psychiatric said no the pain of the disease gives you depression and anxiety , and they pushed it off to musculoskeletal system. Where ever it starts, for the patient, the pain is real, it’s their perception. It’s not up to us to judge, but up to us to help ease the pain, and hopefully one day find a cure. But first we must understand how it manifests. With no concrete scientific evidence and only theories to date, we can at least see ways to help ease the pain; therapies to help make the patients more active and have a better quality of life.

Fibromyalgia: The Pathophysiology

Much debate of Fibromyalgia has existed since the first diagnosis. Some people are lead to believe that it replaced Chronic Pain Syndrome and/or Chronic Fatigue Syndrome. Did it, we will examine that here. Depending on who you talk to Fibromyalgia exists, Endocrinology says no and Neurology says yes. Who’s right, which is what we will find out?
What we do know; “Fibromyalgia is a chronic musculoskeletal syndrome characterized by widespread joint and muscle pain, fatigue, and tender points” (McCance RN & Huether RN, 2010, p. 1606). If that is Fibromyalgia does that not describe Chronic Pain Syndrome? Well yes and no, Chronic Pain Syndrome usually stays, is always with you all the time, whereas Fibromyalgia has exacerbations that come and go. Chronic pain Syndrome can also incorporate two different syndromes such as Fibromyalgia and Chronic Fatigue Syndrome together ("Pain," n.d.). While the exacerbations of Fibromyalgia seem to come and go, long term studies indicate that signs and symptoms stabilize within the first year and rarely change over time (Wierwille, 2010).
Fibromyalgia (FM)...

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