Well, maybe not in your head, but certainly in his brain. Our understanding of fibromyalgia has evolved considerably in recent years. From a psychosomatic condition, a disorder of muscle in a state of peripheral nerves and, more recently, the starting point for a disorder that affects the treatment of pain in the brain. So, ironically, it's all in your head.
With technology like Star Wars, researchers brain cause (and more effective treatment) for fibromyalgia. Let me explain. Centers pain called the insula are too excited and hyperactive in the brain of patients with fibromyalgia. has been demonstrated that patients with cystic isolation to react excessively to pain signals from the body. In addition, in patients with fibromyalgia, there is a defect in the ability to close these sensitive areas of the brain pain.
The connection between the isolation and the limbic system pain (associated with emotions) is abnormal which may explain the depression commonly seen in patients with fibro. Other researchers have demonstrated a particular chemical imbalance in the brain regions. More specifically, there seems to be excessive glutamate, an excitatory neurotransmitter in the brain and a deficit of GABA associated with suppression of pain.
This abnormal ratio of glutamate / GABA could explain the functional alterations in the treatment of pain described above. Other researchers seem to have discovered a genetic defect in the metabolism of these chemicals in the brain in patients with fibro. This new knowledge offers unique opportunities for treatment. Mild electrical stimulation to the scalp and ears may modulate insula, respectively, and the limbic system.
Protein extracted from a common root tea and herbal preparations have been shown to block the effects of excess glutamate function in the brain and enhance the function of GABA deficient in centers treating pain. For the patient with fibromyalgia, it means solving the problem at its source in the brain, because the cause of fibromyalgia is really in your head.
Introduction
Fibromyalgia is a condition characterized by widespread muscle pain, and variable associated with clinical symptoms such as depression, fatigue and gastrointestinal disorders. Characteristic of fibromyalgia is this consistent pattern of symptoms without laboratory, imaging or other objective data that could explain them. In other words Fibromyalgia is a disease of exclusion. A disease of exclusion means that all the blood work, images or other diagnostic tests for other conditions (such as arthritis) is negative.
It is tempting for doctors who can not find an objective explanation of the signs and symptoms of a patient to know the psychosomatic condition. In other words, this suggests that the patient's symptoms are of a psychological nature and are not real. In short, everything in the patient's head.
This has certainly been the case of fibromyalgia. This is a common scenario in which patients present to their doctors with waves of generalized muscle pain complaints, fatigue and depression, and doctors can not find a reason for these symptoms in the blood and other standard diagnostic procedures.
Since generalized aches are the backbone of fibromyalgia, early research focused on the disease in the muscles and connective tissues. At first it seemed that the fibromyalgia patients showed abnormalities in muscle structure or metabolism of both. These early studies were unfortunately unsophisticated and subsequent studies revealed no structural functional abnormality in patients who meet the diagnostic criteria for the specific day today for fibromyalgia.
This creates two problems related to research fibromyalgia. 1. Researchers have spent years studying the body system evil the musculoskeletal system where there is no anomaly and 2. Reason muscles and muscle metabolism, where normal in fibromyalgia and many Doctors have assumed that fibromyalgia This is not a real disease.
They returned to assign patients' symptoms as psychosomatic. However, there were groups of motivated doctors that the symptoms of fibromyalgia are more closely related to problems in the nervous rather than the muscles and connective tissue system. (Simms, 1988).
Although this line of reasoning and research has been very slow to develop, it has become an important tool for the diagnosis and treatment of fibromyalgia accent. The shift from a thigh problem of a nerve problem has led to breakthroughs in the diagnosis and treatment of fibromyalgia.
These doctors who diagnose and treat fibromyalgia as a disease of the nervous system are well ahead of the curve in terms of treatment and relief of symptoms compared to physicians who believe that fibromyalgia is a psychosomatic or muscle disease.
The impact of fibromyalgia on quality of life has been a series of recent studies. This is a survey of research known as the SF-36 was used to determine the impact of fibromyalgia in the general health and well-being. The SF-36 is well studied and contains 36 questions on health and overall function. Using the health survey researchers are able to determine the impact of health problems on the quality of life of patients.
A numerical score is calculated and compared to the general population or to assess the rate or quality of life of patients. This number is very consistent meaning that even if the patient is taking the survey several times and his condition is stable (better or worse) scores of the SF-36 survey taken at different times will be at some points.
This score provides a quality of life of patients and reference can be used to indicate whether a particular treatment changes the partition ('s disease changes) and improves the quality of life of patients. Schaeffer uses the SF-36 survey and reported that fibromyalgia imposes a considerable burden on patients humanist in the United States and led to a significant loss of productivity, despite treatment.
Cardoso also also use the SF-36 showed that women with FM have reduced functional capacity, increased physical pain and impaired general health. These results indicated, in women with fibromyalgia, a reduction in muscle strength in the arms and legs, decreased tolerance to foot and reduced quality of life.
A report on fibromyalgia at the Mayo Clinic revealed some interesting facts about the disease. Researchers estimate that up to May 75% of fibromyalgia patients remained undiagnosed. Needless to say, failure to diagnose a condition that has such an obvious negative impact on the quality of life of the patents in question, leads to poor treatment outcomes.
This article discusses the impact of fibromyalgia on patients and pitfalls in diagnosis. Other articles discuss new research is unraveling the "where" and "why" of fibromyalgia as a disorder of the nervous system. Time conversations on brain-based treatments designed using new knowledge about the neurological basis of the disease and work to restore normal function in the centers of pain that seem to be the real cause of fibromyalgia.
Dr. Kukurin is a chiropractic neurologist board certified, certified in acupuncture. He has over 25 years experience in the treatment of neurological disorders with alternative medicine techniques. He presented the results of his methods produced lectures at Johns Hopkins.
The results of his patients have obtained have been published in journals indexed in the National Library of Medicine magazines. Dr. Kukurin a continuing medical education graduate by the Harvard Medical School, Johns Hopkins, the Mayo Clinic Medical School Friendship Village of Russia.
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