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FIBROMYALGIA

Fibromyalgia is a disorder of chronic, widespread pain and tenderness. It typically presents in young or middle-aged women but can affect patients of either sex and at any age. Its exact cause is unknown but is believed to involve psychological, genetic, neurobiological and environmental factors.

Symptoms

Persistent (3 months) widespread pain.
Stiffness
Fatigue; disrupted and unrefreshing sleep
Cognitive difficulties
Multiple other unexplained symptoms, anxiety and/or depression, and functional impairment of activities of daily living

Diagnosis

It is a diagnosis of exclusion and alternative diagnosis must be ruled out before diagnosis is made. Following co -morbid conditions should be ruled out

Hypothyroidism

Rheumatoid arthritis

SLE

Polymyalgia rheumatic

Other inflammatory or autoimmune disorders

Serious cardiac conditions in those with chest pain, dyspnea, and palpitations

Treatment

Medications used in the management of fibromyalgia include the following:

   Analgesics

   Antianxiety agents

   Skeletal muscle relaxants

   Antidepressants

   Anticonvulsants

   Alpha 2 agonists