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  • 1. Fibromyalgia Layan Ali Hussein Mariam Yahia Daily
  • 2. Fibromyalgia : is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Pain could be - Physical -Emotional -Psychological
  • 3. Common Symptoms
  • 4. Symptoms tend to appear in a cyclical series
  • 5. RISK FACTORS  Gender  Family History/Hereditary  Rheumatic Disease  Hormonal disturbances/Chemical Imbalances  Sensitivity to pain  Stress  Sleep disorders  Depression
  • 6. Fibromyalgia is diagnosed based on the following criteria: 1)Pain in each of the four quadrants of the body for at least 3 months. 2)At least 11 of 18 tender points for at least 3 months. “Fibromyalgia diagnosis remains difficult because there are currently no diagnostic laboratory tests for fibromyalgia .
  • 7. What Causes Fibromyalgia? The cause of fibromyalgia is not known. Those affected experience pain in response to stimuli that are normally not perceived as painful. Researchers have found elevated levels of a nerve chemical signal, called substance P. Nerve cells communicate with one another through neurotransmitters. The onset of fibromyalgia has been associated with psychological distress, trauma, and infection Substance P is one such neurotransmitter. It is a protein found in the brain and spinal cord, and is associated with some inflammatory processes in the joints. Its function is to cause pain. Substance P has been implicated in pain syndromes such as: low back pain fibromyalgia Arthritis
  • 8. “The actual cause of Fibromyalgia is likely an interaction of many processes involving neurological conditions that affect blood flow, sleep, muscle use, and the transmission of pain
  • 9. ETHIOLOGY Genetic factors Close relationship Neuroendocrine factors Environmental factors
  • 10. Fibromyalgia Tender Points Fibromyalgia "tender points" are localized areas of the body that are tender to light touch, are commonly found around the elbows, shoulders, knees, hips, back of the head, and the sides of the breastbone. The pain of fibromyalgia is generally widespread, involving both sides of the body. Pain usually affects the neck, buttocks, shoulders, arms, the upper back, and the chest As mentioned earlier, the pain in fibromyalgia is not caused by tissue inflammation
  • 11. What Is the Treatment for Fibromyalgia? Although there is no cure for fibromyalgia, treatment can relieve some of the symptoms. Treatment programs are most effective when they combine patient education, stress reduction, regular exercise, and medications. 1-Patient Education 2-Stress Reduction 3-Exercise 4-Diet
  • 12. Alternative Treatments for Fibromyalgia Work well. That's because holistic therapies influence your total being. In that way, they may allow us to reduce our medications and increase our normal activities Check to see what limitations might apply Working with your doctor, you can find an acceptable way to blend conventional medicine with alternative treatments or natural remedies. Acupuncture Electro acupuncture Chiropractic Care Massage Therapy Biofeedback Meditation
  • 13. What Is the Outlook for Patients With Fibromyalgia? The outlook for patients with fibromyalgia is generally quite good. It is important to note that fibromyalgia is not an organ- threatening illness. Those patients with an approach to treatment that involves optimal understanding of the condition, as well as sleep improvement, stress reduction, and exercise, tend to do best.
  • 14. Life without pain could really hurt you. Pain is not something that most of us would count as a blessing. The Gift of Pain Pain is an indicator that lets us know that something is wrong Indeed, pain is a gift that none of us want and yet none of us can do without it. Fortunately at Seclairer we offer and practice most of these treatment modalities