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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.
Types of Musculo-Skeletal disorders in elder
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
7. Low back pain
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.
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)
4. Other oral administration medicines
Cyclobenzaprine is muscle relaxant used to relieve chronic fibromyalgia pain, by blocking nerve impulses sending pain sesation to your brain. According to the Laval University, the medication is highly effective in reduced chronic pain a short term in patients with fibromyalgia(222), probably through induced sleep physiology and symptoms of fibromyalgia(223).
According to drug.com the side effects are mot limit to, headache, dizziness; drowsiness, tired feeling; trouble concentrating; blurred vision, dry mouth or throat, altered sense of taste; or. nausea, upset stomach, constipation(224).
4.2. Pregabalin(see above)
4.3. Duloxetine See above
Milnacipran is a serotonin–norepinephrine reuptake inhibitor used in the clinical treatment of fibromyalgia, ysed for treatment of Fibromyalgia depending to expression of key sumptoms Accoridng to the Klinikum Saarbrücken(225).
5. Topical analgesics(capsaicin, lidocaine, salicylates) if localized neuropathic or arthritic pain
Topical analgesics, such as formulated creams, gels, and patches are applied locally to the skin and influence for treatment of Fibromyalgia's pain(228)
Opioids is an opiumlike compound binded to one or more of the three opioid receptors of the body for pain relief, including hydrocodone (e.g., Vicodin), oxycodone (e.g., OxyContin, Percocet). According to Dr. Ngian GS and research team at the Monash Medical Centre, suggested the medicine have a significant adverse effect profile, their inefficacy may be due to their inability to target the pathophysiologic processes involved in this central sensitization syndrome in patients with FM(229).
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