| Treatment of fibromyalgia |
| Fibromyalgia can be difficult to treat and usually have better results if treatment is managed by physicians from various disciplines familiar with this condition and its treatment , a multidisciplinary treatment approach called. |
| Some specialists involved in treating fibromyalgia include physicians, general internists, rheumatologists, physiotherapists, among others. Some large cities have clinics for pain or rheumatology clinic where you can get specific treatment for fibromyalgia. |
| has to take into account that many people with fibromyalgia has been part of his life going from one doctor to another without knowing what was wrong. Health education, information and communication with other affected persons are an important form of therapy. The customized treatment plan is usually effective to suit the individual needs of each patient. Some patients have mild symptoms and need very little treatment once they understand the disorder sufferers and what worse. Others, however, need a program of comprehensive care, including medications, exercise and training on techniques for pain management. |
| Pharmacotherapy |
| anti-inflammatory drugs used to treat many rheumatic diseases are not useful for people with fibromyalgia, as a defining feature of it is not conditions exist in the muscles despite the patient's pain. However, it has been reported that moderate doses of NSAIDs (NSAIDs) or analgesics can relieve some pain but has not assessed the extent of placebo effect in these cases, probably important when dealing with patients with a long history of contacts with the health system. |
| A subset of NSAIDs, especially the selective inhibition of COX-2, can also provide pain relief, causing fewer side effects on the stomach and intestines than traditional NSAIDs. Most doctors refuse to prescribe narcotic painkillers or tranquilizers type, except in the most severe cases of fibromyalgia. |
| drugs that facilitate sleep and help relax the muscles to rest in many people with fibromyalgia. Doctors also prescribe drugs, commonly known as antidepressants, to treat fibromyalgia. These drugs work by raising the active level of serotonin, norepinephrine or both in the brain. Low serotonin levels are not linked only to clinical depression, but also with sleep disorders associated with fibromyalgia. At lower doses than prescribed to treat major depression, antidepressants appear to relieve pain in people with fibromyalgia and increasing, so the chances of achieving a restful night. |
| There are three main classes of antidepressants: tricyclic antidepressants, selective inhibitors of serotonin reuptake inhibitors (SSRIs) and dual (recapture several neurotransmitters). Sometimes also prescribed a drug called cyclobenzaprine (Flexeril, Yurelax), classified as a muscle relaxant but similar to tricyclic antidepressants. In recent months are being implemented programs to verify the usefulness of SNRI antidepressants, ie, selective inhibitors of serotonin reuptake norepinephrine. |
| Although many people sleep better and feel more comfortable when taking antidepressants, the observed improvement varies widely from one person to another (which again raises the possibility that the placebo effect is playing an important role .) These medications can have side effects such as daytime sleepiness, constipation, dry mouth and increased appetite which in turn can generate energy malnutrition. Some SSRIs or SNRIs may make sleeping difficult. These side effects are rarely serious, but can be annoying. Some studies have suggested that by combining antidepressants tricyclics with SSRIs, may increase the benefits of each drug, while the side effects of both drugs cancel each other. |
| have recently been conducted to the successful use of anticonvulsants or antiepileptic; pregabalin (Lyrica) ® and gabapentin (Neurontin) ® been used successfully in the treatment of acute pain in neurological diseases such as Guillain-Barre syndrome, peripheral polyneuropathy and multiple sclerosis, and fibromyalgia. These drugs cause adverse side effects on the digestive system (stomach, intestine and liver). Its main side effect is weight gain, which in turn promotes greater fatigue and pain at certain points such as knees, ankles, back, etc. |
| There recommendations of the herb St. John's Wort it can function as antidepressants, but with fewer side effects. The herb St. John, who comes from the flower of an herb of the same name, is frequently prescribed in Europe. Little is known about the long-term effects produced by different brands of St. John's wort. should not ever use the St. John's wort if you are taking other antidepressants and should always consult with a specialist, because it has many incompatibilities with drugs and foods.  |
| not be forgotten that the treatment of fibromyalgia is based on a three-legged stool (exercise, psychotherapy and medication) and, if broken or unbalanced some of these legs, the treatment is ineffective. |
| currently considered the treatment to be carried out is multidisciplinary, with the collaboration of various medical specialties. research groups exist on this disease in Spain (Barcelona and Granada in particular) and also in Mexico and other Latin American countries. |
| nonpharmacologic treatments |
| Some options are massage, aerobics and stretching exercises (yoga), acupuncture, massage clinic, occupational therapy, cognitive therapy, Reiki, etc. Also, food supplements that provide nutrients and cellular free radical release in the body can help greatly with the pain and fight disease. A widely used dietary supplement is magnesium. |
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