Fibromyalgia: Symptoms, Diagnosis & Treatments

Fibromyalgia is a disease that affects about 2-8% of the population. The name itself means muscle and connective tissue pain, which is a painful disease. Once the diagnosis criteria were first determined, they were set once in the 1990s, and in 2010 new diagnostic criteria were set.

Symptoms & Diagnosis
In 1990, pain was seen in four quadrants of the body, lasting more than three months, and specifying 18 tender points in the body to determine how painful it was. In addition, the concept of this tender point disappeared in 2010, and the widespread pain index (WPI-19 body parts, 2-week pain experience) and symptom severity scale (SS-severity of the person's fatigue, unrefreshed waking, cognitive symptoms, And general somatic symptoms: 12 points, total of 3 points). Based on this, WPI ≥ 7 and SS ≥ 5 OR WPI 3-6 and SS ≥ 9, symptoms persisted for more than 3 months, Which can not be explained by
First, it is said that the exact cause of the cause is unknown. Nowadays, the hypothesis of central sensitization is being studied. This suggests that fibromyalgia patients have a higher threshold for pain due to increased responsiveness to pain-sensitive nerve cells. Fibromyalgia is often associated with neuropathic pain and depression, which is thought to be due to any shared genetic abnormalities. These are activated by stress or illness, and symptoms appear.

Treatments
 Since the exact cause is unknown, no treatment has been established. Treatment is mainly focused on controlling symptoms. Antidepressants are used for depression, analgesics (such as opioids) are used for pain, psychological therapy is used for symptom relief, exercise fatigue is relieved.

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