Sunday, 26 June 2016

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

Kyle J. Norton(Scholar, Master of Nutrients), all right reserved.
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.,.
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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, 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 Treatment

 In conventional medicine perspective
FM usually involves females, particular to women entering stage of menopause. But it is often diagnosed both in young as well as elderly individuals. Diagnosis of pediatric FMS is a lengthy and frustrated condition affecting children and adolescents physical and emotional development, as the disease mimicked a spectrum of inflammatory joint disorders such as juvenile idiopathic arthritis (JIA), juvenile ankylosing spondylitis, etc, according to the study by Soroka Medical Center, Beer-Sheva(193)

A. Non medication
3. Exercise
Exercise is an effective treatment strategy for treatment of various chronic musculoskeletal pain disorders, including chronic neck pain, osteoarthritis, headache, fibromyalgia and chronic low back pain. But the therapy may be individually tailored with emphasis on prevention of symptom flares, (201).
The review of data base of literature from inception to October 2013 showed that aquatic training is beneficial for improving wellness, symptoms, and fitness in adults with fibromyalgia, except in muscle strength (very low quality evidence favoring land)(202).
On resistance exercise training, moderate- and moderate- exercise may improve multidimensional function, pain, tenderness, and muscle strength in women with fibromyalgia, the University of Saskatchewan study insisted(203).
Swimming, like walking, is an effective method for reducing pain and improving both functional capacity and quality of life in patients with FM(204).
Nordic walking twice a week for 15 weeks improved functional capacity and a decreased level of activity limitations except pain severity(205).
The result of moderated exercise in reduced symptoms of fibromyalgia probably is a result in decreasing their sensitivity to pain, via improving the functional capacity of the pain modulatory system in central nervous system(206).

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(201) Dysfunctional endogenous analgesia during exercise in patients with chronic pain: to exercise or not to exercise? by Nijs J1, Kosek E, Van Oosterwijck J, Meeus M.(PubMed)
(202) Aquatic exercise training for fibromyalgia by Bidonde J1, Busch AJ, Webber SC, Schachter CL, Danyliw A, Overend TJ, Richards RS, Rader T.(PubMed)
(203) Resistance exercise training for fibromyalgia by Busch AJ1, Webber SC, Richards RS, Bidonde J, Schachter CL, Schafer LA, Danyliw A, Sawant A, Dal Bello-Haas V, Rader T, Overend TJ.(PubMed)
(204) Swimming Improves Pain and Functional Capacity of Patients with Fibromyalgia: A Randomized Controlled Trial by Fernandes G1, Jennings F1, Nery Cabral MV1, Buosi AL1, Natour J2.(PubMed)
(205) Does moderate-to-high intensity Nordic walking improve functional capacity and pain in fibromyalgia? A prospective randomized controlled trial by Mannerkorpi K1, Nordeman L, Cider A, Jonsson G.(PubMed)
(206) Exercise Strengthens Central Nervous System Modulation of Pain in Fibromyalgia by Ellingson LD1, Stegner AJ2,3, Schwabacher IJ4,5, Koltyn KF6, Cook DB7,8.(PubMed)