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Fibromyalgia: symptoms to diagnosis

Joint pain, fatigue, sleep disorders … In the United States, fibromyalgia represents almost one in ten cases of disability. Symptoms to diagnosis, discover the essence on this controversial disease.

This is a Canadian psychiatrist, Pr. Moldofsky who did emerge  this disease in 1975 , identifying equivalent by sleep deprivation in voluntary patient complaints. Recognized Overseas, it remains highly controversial in other countries.

Quality of life actually altered

Fibromyalgia concern between 2 and 5% of the population, mainly women (70-90%). According to an Israeli study, this disorder does not represent less than 10-20% of the reasons for consultation in rheumatology or internal medicine . In the United States, it motivates 8% of disability pensions.

This disorder is characterized by pain in the muscles and tendons along the spine, fatigue and sleep disturbances. “We found sleep disorders in most cases, unable to clearly determine whether they are a cause or consequence of the disease. Often unexpressed because Veterans, sleep disorders are probably a central point in fibromyalgia, “said Dr. Arthur Wulvik rheumatologist.

These symptoms may be accompanied by various events: restless legs, headaches, irritable bowel, dysmenorrhea, tinnitus …

It is considered that the alteration of scales of quality of life and the level of pain perception are at least equivalent to that observed in rheumatoid arthritis and seronegative spondyloarthropathies.
Essentially a clinical diagnosis

This is the doctor who will ask the diagnosis of fibromyalgia after performing clinical and biological examinations and after eliminating secondary forms and possible pathologies  identical to  fibromyalgia symptoms. In 1990, the American College of Rheumatology classification criteria adopted fibromyalgia :

Diffuse pain in the axial region, that is to say, along the spine, and on the right and left sides of the body for at least three months;
Pain on palpation of at least 11 points on 18 painful.

Fibromyalgia Charles Joel Menkes and Pierre Godeau
National Academy of Medicine

“Given the fact that this classification is based primarily on the presence of subjective symptoms, it is understood that the diagnostic approach based on clinical skill of the physician” recognizes the College of Physicians of Quebec .

There are also two forms of fibromyalgia, forms associated with organic diseases (rheumatoid arthritis, Sjögren, chronic infection …) and isolated forms.

It is only after the diagnosis the doctor may decide to support the specific disease to relieve the patient.

source:  translated by admin


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