Fibromyalgia is a chronic condition of widespread pain and profound fatigue. The pain tends to be felt as diffuse aching or burning often described as head to toe. The fatigue ranges from feeling tired to the exhaustion of flu-like illness.Physio East Grinstead and Horsham.
1 The name fibromyalgia is a combination of three terms-fibro from latin which is fibrous tissue such as tendons and ligament, Greek prefix ‘myo’ indicating muscles and ‘algia’ from Greek indicating of pain.
2 It is known as a syndrome because it is a collection of symptoms rather than a specific disease process that is well understood.Physio East Grinstead & Horsham contact us on firstname.lastname@example.org
The definition of fibromyalgia syndrome (FMS) as stated by the American College of Rheumatology (ACR 1990)3 is as follows:
1. A history of widespread pain for at least 3 months.
Pain is considered widespread when all of the following are present: pain in the left side of the body, the right side of the body, below the waist and above the waist. In addition, there should be axial pain (cervical spine or anterior chest or thoracic spine or low back).
2. Pain (with the patient reporting ‘pain’ and not just ‘tenderness’) in 11 of 18 tender point sites.
The sites are all bilateral and are situated:
The etiology of fibromyalgia is multifactorial and includes both environmental and genetic factors.
Biologic variablesCertain biologic variables contribute to the development and persistence of fibromyalgia (eg, physical trauma, exposure to toxins).
FMS has a genetic predisposition. First degree relatives of individuals with FMS display an eightfold greater risk of developing fibromyalgia than those in the general population.
Sex-related effects are important in fibromyalgia and with pain in general. Aversive stimuli and stressful tasks are more likely to evoke SNS, HPA axis, and psychological responses in females than in males.
Almost all patients with fibromyalgia sleep poorly, and a night of poor sleep is followed by a more painful day. This contributes to negative mood and cognitive difficulties.
Age is a variable; most cases occur between the ages of 20 and 50 years. Physical de-conditioning is also a variable.
Physiotherapy management of Fibromyalgia please contact Physio East Grinstead