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Tuesday, 24 May 2016

Most Common Disease of 50plus: The Clinical trials and Studies of Musculo-Skeletal disorders(MSDs) - Fibromyalgia - The Symptoms

Kyle J. Norton (Scholar)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) are  medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed(1).

      Types of Musculo-Skeletal disorders in elder

1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia

                                                      Fibromyalgia

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.

                                       The Symptoms


Symptoms of Fibromyalgia may be depending to the patient gender, according to the joint study led by the Klinikum Saarbrücken, if you are female, you are at 90% increased risk of fibromyalgia development(4) and you may experience more serve symptoms of fibromyalgia in a longer duration of chronic widespread pain and time if comparison to your male counter parts(1), but no differences in somatic and psychological symptoms(1)(2).
The College of Medicine at Peoria, University of Illinois study insisted, "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" and " Gender differences have also been observed in other related syndromes, eg, chronic fatigue syndrome, irritable bowel syndrome, and headaches(3).
In further evaluation, Dr. Yunus MB said, "the mechanisms of gender differences in these illnesses are not fully understood, they are likely to involve an interaction between biology, psychology, and sociocultural factors"(4).

In a total of Five hundred twenty-two patients hospitalized on internal medicine wards enrolled.percent of the patients reported pain; 36% reported chronic regional pain, 21% reported chronic widespread pain, and 5% reported transient pain. Fifteen percent of all patients had fibromyalgia, most of whom (91%) were women, according to the Klinikum Saarbrücken gGmbH(5).

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(6).
According to the American College of Rheumatolog Disordered sleep is such a prominent symptom in fibromyalgia, others include symptoms such as waking unrefreshed, fatigue, tiredness, and insomnia in the 2010 diagnostic criteria for fibromyalgia(7).

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References
(1) Demographic and clinical features of patients with fibromyalgia syndrome of different settings: a gendercomparison by Häuser W1, Kühn-Becker H, von Wilmoswky H, Settan M, Brähler E, Petzke F.(PubMed)
(2) A comparison of the clinical features of fibromyalgia syndrome in different settings by Häuser W1, Biewer W, Gesmann M, Kühn-Becker H, Petzke F, Wilmoswky Hv, Langhorst J, Glaesmer H.(PubMed)
(3) The role of gender in fibromyalgia syndrome by Yunus MB1.(PubMed)
(4) Gender differences in fibromyalgia and other related syndromes by Yunus MB1.(PubMed)
(5) The prevalence of musculoskeletal pain and fibromyalgia in patients hospitalized on internal medicine wards by Buskila D1, Neumann L, Odes LR, Schleifer E, Depsames R, Abu-Shakra M.(PubMed)
(6) [Fibromyalgia syndrome--pathogenesis, diagnosis, and treatment problems].[Article in Polish] by Polańska B1.(PubMed)
(7) Sleep disorders and fibromyalgia by Roizenblatt S1, Neto NS, Tufik S.(PubMed)