Fibromyalgia is characterized by chronic widespread pain, and a heightened and painful response to pressure. It is described as “Central sensitization syndrome” caused by neurobiological abnormalities which produces a physiological pain and cognitive impairments as well as neuro-psychiatric symptomatology.
SIGNS AND SYMPTOMS
Chronic widespread pain, fatigue, heightened response to tactile pressure.
Tingling of skin, prolonged spasm, weakness in limbs, palpitation, functional bowel disturbance and chronic sleep disturbance.Some may also experience cognitive dysfunction
Other symptom often attribute to fibromyalgia that may possibly include myofacial pain syndrome.
There is no single diagnostic test.
Most widely accepted set of classification criteria for research purposes was given in 1990 by multicentre criteria committee of American College of Rheumatology: a history of widespread pain lasting for >3 months, affecting 4 or more quadrants of body i.e both sides and above and below waist.
18 designated points.the patient must feel pain at 11 or more points to consider him for fibromyalgia.
Particularly in neck,shoulder,arm, buttocks,hip,thigh
It hurts when pressed but pain doesn’t radiate.
Exercise improves fitness and sleep and may reduce pain and fatigue. Strong evidence suggest that cardiovascular exercise is effective for some patients. Long term aquatic exercises has been proved beneficial as it combines aerobic and resistance training.
Modes of exercise such as walking and biking can yield long term benefits for fibromyalgia . Startoff with low intensity below your actual capacity and gradually progress.Water aerobics ideal for people with increased pain in patients with chances of worsening of symptoms with exercise
To minimize fibromyalgia relates pain.With strength training you focus on one muscle group per session alternate upper and lower extremity training. Isometrics can also be performed.
Avoid eccentric exercises including those with heavy weights which may cause injury.using light weights start with low number of repetitions also rest is very important. Perform exercise 2-3days per week with duration of 25-30 minutes of workout everyday.
Flexibility Stretches should be performed for all major muscle groups.
Medicine +diet+exercise+cognitive behavioral therapy.
SIGNIFICANCE OF EXERCISE
- It controls pain and fatigue and prevents decline of muscle strength and endurance, improve flexibility, sleep and energy.
- Muscles that are not conditioned use excess energy which can contribute to fatigue and aggravate pain,hence exercise helps to improve oxygen delivery and increase muscle temperature leading to pain relief and relaxation.
- Strengthen ligaments tendons.
- Increase endorphin pain relief.
- Decrease anxiety and depression.
Yoga:Which incorporates exercises, stretching, and meditation, is a great way to increase fitness.The physical postures(Asanas)can alleviate aches and pains, concentration exercises help to overcome fibrofog (loss of mental clarity), and meditation helps you to focus on present instead of ruminating about your pain/
Tai-chi has also been found beneficial. It emphasizes on relaxation. Its like”meditation with movement”with dramatic flowing movements instead of forceful movement The goal of Tai-chi is to bring principles of Ying and yang into harmony.
Daily activities and hobbies: Experts say that daily activities a household chores as playing with kids, washing windows, mowing yard, gardening an all be beneficial when it comes to increasing fitness and reducing symptoms.
Qigong and meditation: Its called the mother of Chinese healing. It combines meditation dance movements and breathing exercises.It helps to improve energy, decrease fatigue and alleviate pain.
Heat therapy: dry and moist :helps you to relax and alleviate pain.
EAT : fruits and veg raw, natural protein.
DON’T EAT: fried food, veg meat, food with white flour, increase sugar caffeinated drinks.