Tuesday, 26 November 2013

Fibromyalgia – The Symptoms

Fibromyalgia, according to the American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia in the newly proposed criteria for the classification of fibromyalgia are 1) widespread pain in combination with 2) tenderness at 11 or more of the 18 specific tender point sites(a) as a result in responding to pressure.
I. Symptoms
Symptoms of Fibromyalgia may be depending to the patient gender
In a study in a community and a clinic sample, researchers at the  College of Medicine at Peoria, University of Illinois, showed that women experienced significantly more common fatigue, morning fatigue, hurt all over, total number of symptoms, and irritable bowel syndrome. Women had significantly more tender points. Pain severity, global severity and physical functioning were not significantly different between the sexes, nor were psychologic factors, eg, anxiety, stress, and depression. Gender differences have also been observed in other related syndromes, eg, chronic fatigue syndrome, irritable bowel syndrome, and headaches(1).
Other study suggested that gender differences have also been reported in other related syndromes such as tension headache, migraine, irritable bowel syndrome, chronic fatigue syndrome, and temporomandibular disorder(2).
Other symptoms may include widespread musculoskeletal pain, multiple “tender points”, fatigue, sleep disturbance, stiffness and other symptoms such as headache, dizziness, trouble with concentration, irritable bowel syndrome, urinary urgency, depression(3).
According to the American College of Rheumatolog Disordered sleep is such a prominent symptom in fibromyalgia, ithers include symptoms such as waking unrefreshed, fatigue, tiredness, and insomnia in the 2010 diagnostic criteria for fibromyalgia(4).
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(a) http://www.ncbi.nlm.nih.gov/pubmed/2306288
(1) http://www.ncbi.nlm.nih.gov/pubmed/11286669
(2) http://www.ncbi.nlm.nih.gov/pubmed/11974674
(3) http://www.ncbi.nlm.nih.gov/pubmed/15074033
(4) http://www.ncbi.nlm.nih.gov/pubmed/21594765

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