Category: Fibromyalgia

Fibromyalgia and its comorbidities

Fibromyalgia (FM) is a relatively well-known musculoskeletal disorder with widespread pain, tiredness, and problems with sleep. But few know its comorbidities. In combination with ankylosing, spondylitis and axial spondylarthritis (axSpA), psoriatic (PSAs), and rheumatoid arthritis, frequent pain and other symptoms normally associated with FM may also be exacerbated.

An analysis of data obtained from several publications and research papers has been published by Rheumatology in order to assess both the prevalence of FM among RA patients, AS, AxSpA or PSA and to what extent co-orbid FM (FM that exists simultaneously with another medical condition) affects their disease activity.

Ankylosing Spondylitis

“Ankylosing spondylitis is one type of spondylarthritis, a condition that inflames bones in the body. Theodore Fields, MD, Professor of Clinical Arts at the Weill Cornell Medical College and director of the rheumatology faculty practical plan at the Special Surgery Hospital in New York City, says spondylarthritis all tend to have a single genetic marker.

Psoriasis can also develop psoriatic arthritis, another type of AS-like spondylarthritis. Therefore, Dr. Fields recommends that you ask the doctor to look for psoriasis, which is characterized by red, itchy, scaly skin patches if you have ankylosing spondylitis.

You should also check for psoriatic arthritis if you are also diagnosed with psoriasis and develop back neck, or joint pain. Topical medication, phototherapy, systemic or biotherapy, or the combination approach may be used to treat psoriasis.

Ankylosing Spondylitis and Fibromyalgia

While symptoms may be similar, spondylitis and fibromyalgia ankylosing are different. Fibromyalgia involves muscle pain and soft tissues, including ligaments and tendons, and has no inflammatory signs.

As it involves a major inflammation on the other hand. The spine and other joints may also be affected. Further research is required to identify whether there is a linkage between fibromyalgia and ankylosing spondylitis. No genetic marker for fibromyalgia has yet been identified. This means that the conditions cannot currently be genetically connected.

But sleep is a possible connection between AS and fibromyalgia. “Sleep deficiency appears to contribute significantly to the development and aggravation of fibromyalgia,” says Fields. Fibromyalgia may be treated with pain management medications or antidepressant drugs, which may cause pain, such as spondylitis, that can interfere with sleeper and predispose you to fibromyalgia.

Ankylosing Spondylitis and Inflammatory Bowel Disease

Ankylosing Spondylitis can also be associated with inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis. Individuals with inflammatory bowel disease that develop neck and back pain typically have the same genetic indicator as individuals with psoriatic arthritis.

Ambo-salicylates, corticosteroids, immunomodulators, antibiotics, or biological therapies are commonly treated with inflammatory bowel disease. Tell your doctor if signs or signs of inflammatory bowel disease such as chronic diarrhea or blood in your stool are present.

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Conclusion

Finally, FM is far more common in RA, AS, axSpA, or PsA patients than in patients without. FM also leads to the higher activity of the disease and in most cases the symptoms worsen substantially. This study also showed the potential failure of using DAS28 as a guideline for treatment and management of illnesses due to the lack of statistically significant changes in the objective clinical and laboratory measures (ESR, swollen joints and CRP) as a major feature of the subjective data provided by the patient which can vary per patient. This should therefore be considered when a treatment routine is established.

Diagnosis

Fibromyalgia can be diagnosed in many ways. The most important thing is to talk to the patient. When the patient is listened to at the clinical meeting, you get a sense that fibromyalgia is a problem, how the patient describes pain, and the symptoms.

Following are the most important things you think somebody has fibromyalgia. First of all, the pain lasts a long time. The pain is also generally common. The back, upper limbs, lower limbs, and sometimes the chest and abdomen are affected. And there are pain characteristics that make fibromyalgia very suggestive.

The pain is relaxed. After exercising it is worse but the activity is somewhat improved. The patients describe the pain they use a lot of colors is also strongly associated. They often describe it dramatically–stabbing, burning, unendurable–and they frequently use what we call pain neuropathy. Patients will say that it is burning, tingling, something slightly different from other conditions such as rheumatoid arthritis that lack such aspects as neuropathy.

Treatment

A range of drugs and any other conditions arising from are available for treating AS. Your doctor’s communication is crucial. Petros Efthimiou, MD, an assistant medical professor at Weill Cornell Medical College, and associate chief of the Rheumatology department, New York Methodist Hospital in Brooklyn, says, “Tell your Doctor of all medications you take for ankylosing spondylitis and other medical conditions to prevent overtreatments and alert you for potential drug interaction.”

Fields also propose that you keep a list of medicines you tried in the past as future treatment options will be influenced by what you used to take. You can help to ensure that your treatment with ankylosing spondylitis is safe and effective by considering other related conditions.

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Fibromyalgia Contact Us Directly

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Official Fibromyalgia Blogs

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Fibromyalgia Stores

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Living Better With Fibromyalgia and Chronic Fatigue Syndrome

We are often told what we ought and ought not to do when living with fibromyalgia. You are always fatigued to take advice, especially when the advice is often incomprehensible. You get enough work against yourself when you have a chronic disease such as fibromyalgia or chronic fatigue syndrome.

For yourself, you don’t have to make things worse! It’s not difficult. Not difficult. According to society, something (except illness) is “false” with anyone who is not going, going, going, speeds ahead, always going. We are supposed to work for long hours in stressful jobs, be wonderful parents, stay with the Joneses and have a clean home.

You must be awfully flawed if you can’t. It’s difficult to get out of this mindset, but this really can be helpful and helpful to us. However, it requires work.

Stop the back burner with your own needs.

You must first place your own needs if you have a chronic weakening condition. You should not allow your needs to go to the back of the line, even if you are the healthiest person on the planet. Because fibro is the most common among women, it’s particularly true because women appear to be trained to last after their husband, children, churches, jobs, voluntary work, and anything else which can come before them. We always have no wonder; sadly, too many of us don’t. It is just about surprising.

Stop holding grudges.

To have resentment is unnecessary stress. This leads to negative thinking about a person and only focuses on the negative thoughts if we try to find ways of focusing on more positive things. Let the rebellion go. Sometimes you still think of the person, but when you do, just shrug it off and replace it with somebody who makes you smile.

Believing the negative views of others

It will always hurt if someone says that they are “lazy,” or “crazy,” or “worthless,” but they can’t be believed. Someone who continues is stronger and more able than most through adversity. You need to remember that.

Stop wasting time explaining to other people

Most people don’t care enough for you or why you cannot do what you can’t do about your disease or disturbance. Just say no and move ahead, keep it simple. Don’t try to explain why you can’t do it, probably because they won’t listen anyway.

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Stop trying to keep up with the past

You will probably never again be one hundred percent, even if you can find ways to improve your symptoms. It’s always going to be limited. Stop trying to reach your previous disease levels of life and realize that it was and now. Concentrate on what you can do, rather than what you can do.

Stop looking over the beauty of little times

How often have we heard “stop and smell the roses.” Until you can’t do them anymore, you don’t appreciate these small things. So, take a few moments every day and think about the little things you could enjoy. Write them up so that after you’re contemplating this pity party, you can look back on them.

Don’t be jealous of others

What others have or what other people can do is so easy to jealousies. We don’t know that they also have restrictions? No one sees another’s true life, his ability or incapacity, and limits. Don’t really or imaginarily judge your life by the “jones.” Concentrate on what you have, it’s great.

Asking why

Why we’re sick, we all want to know. Is genetics? Is genetics? Your diet, vaccines, plagues, infection, some kind of punishment, why it hit you and not millions of others, can lead to a descending spiral of self-denial, guilt, and stress? Rather than asking “Why,” “What’s in my body? “That is the problem that can detect and lead to treatments the causes of the symptom clusters.

Stop trying to perfect things

You are already. All right, they might not be perfect; perhaps they might even be better than they are now. But you have to concentrate on reality rather than perfection. Take small steps to improve things and get closer to what you want to be and not worry about how far you are from perfect.

Stop concentrating on what you don’t want to do

Tomorrow you do not wake up with a flare, so all you think about is sleeping, and this causes you to wake up in a flare. Well-known sound? Now, stop it. Stop it. You think, “I want to, focus on good evening rest, you will know and how great you know tomorrow is going to feel because you’ve made the right choices for the things you are controlled by. Instead, think,” I do not want to…

Stop being ungrateful

Every minute of each day is thankful. Something marvelous to be thankful for. Say “Thank You” and mean the little things. You did something because it caused you to feel “useless” or because you didn’t think you did your part, but you were thankful that they just freed you to do something else you wanted to do.

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References:

Fibromyalgia Contact Us Directly

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Official Fibromyalgia Blogs

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Fibromyalgia Stores

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Dental phobia

Few people get exciting speed to see the words on the calendar as “dentist appointment.” But if you have fibromyalgia, these visits can be far more than simply disturbances that can make you shy away from this important medical examination. Timothy Kosinski, DDS, a deputy assistant professional assistant at the University of Detroit Mercy School of Dentistry and a dentist at Bingham Farms in Mich, says:’ As a dentist, I am often failed to deal with fibromyalgia due to other concerns in the body.

The face, head, and neck are often affected by fibromyalgia, which can intimidate dental visits. Dental problems in people with fibromyalgia, however, mean that regular dental visits are required.

Pain & Anxiety Relief

Dental treatment is rare, especially when you are hypersensitive to pain. It does not involve a dental appointment. At least for a long time, you’re going to have your mouth open. You could also be facing a sharp object that pokes, scrapes, pierces, pulls, and many vibrations. If the sound of this bothers you, you may want to consider what medicines you can take to help you get through the experience before your appointment.

Not only consider the pain, but also the fear caused by the appointment as well as the vibrating and grinding feelings in your mouth. Talk to your doctor and/or dentist about the best drugs to take because pain killers (for example, aspirin) can increase your risk of excessive hemorrhage.

Be aware of everything you’ve done before your dentist and support personnel start work. The dentist will tell you not to eat or drink anything for a while after some procedures, so you may be really grateful that the medicines are already in your system.

 Find a dentist that is familiar with fibromyalgia

The first step is to look for a fibromyalgia-family dentist. For and after the procedure, this is important. An experienced dentist will most probably be prepared to work with you by offering mouth inserts that enable you to rest your jaw. He or she provides nitrous oxide (usually an additional $50 or more) at first to alleviate your anxiety. If your dentist is not prepared to work with you in this way, frankly, fire and continue.

Of course, full sedation dentistry, or “sleep dentistry” can always be an option. The following is just as important because a dentist could prescribe insufficient pain relievers after a procedure if he or she has a poor understanding of fibromyalgia or is entirely unaware of it.

Arrange for a Ride

It can be hard and fast for our symptoms. It’s a good idea to have someone drive you back and forth or to decide for someone to come to you if needed if you have a dentist appointment or any medical appointment that could lead to symptoms. If you leave the job, consider taking the rest of the day off if possible. Late-day events may be the best way for you to work.

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Sensitivity to touch

The fear of fibromyalgia to the dentist is mostly based on the sense to be affected. Simple touch may cause pain in nerves that are too sensitive to fibromyalgia. This symptom can cause a lack, as a result of pain that causes, routine dental hygiene, such as flipping and brushing.

This would increase the need for regular dental visits for those with FMS rather than most. Prepare for this in advance with anti-inflammatory measures to ease the pain before going to the dentist, just check with a dentist which ones to use. Some medicines, such as aspirin, can make you bleed–you definitely don’t want something you do when you’re working.

Don’t give up the Dentist

It is important that you do not give up on regular visits to the dentist if you have fibromyalgia. Ask the dentists of your friends. Find a dentist who is not only familiar with and has an impact on fibromyalgia. You would also like to make sure it is sensitive to your needs, whether it is serious anxiety, TMJ, or more than average numbness.

Use relaxation techniques

Dentists sensitive to a worse visit to fibromyalgia may use techniques such as more comfortable chairs and soothing music in their offices. Dentists are also sensitive. Maybe you want to also consider complete sedation or at least a medicine that will change consciousness so that when you are there you do not feel much. Even if you have fibromyalgia, it is possible to go to the dentist easier.

Make your dentist aware of your medical issues and any problems you’ve previously had 

Before an appointment, when you talk to dental assistants or hygienists, make them aware of your medical problems and of any problems you have or are worried about. You can offer suggestions to make things easier for you.

Bite block

It takes a long time to keep your mouth open. It can lead to jaw pain particularly with TMJ problems that are common in fibromyalgia. It can also lead to jaw pain. It can drain your energy away as well. Most offices hold “bite blocks” in stock, but they’re not used to, so you’ll probably have to ask for it.

You slip between the teeth in your back and open your mouth to make your jaw’s muscles relax and strain easier. You may also want to ask each time for a break to breathe deeply and calm your nerves.

Try to keep your breath deep and regular and relax physically and intellectually during the procedures. If you meditate or practice general relaxation skills, when you are in the dentist’s chair, you can be very thankful for them!

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Fibromyalgia is a chronic, widespread musculoskeletal syndrome that affects approximately 2% of the population worldwide, experts say. The ACR reports that fibromyalgia is more prevalent among women in 5 million people in the U.S.

In previous trials, patients with fibromyalgia reported decreased tolerance for normal sense stimulation (auditory, visual, olfactory, and tactile), as well as increased pain sensitivity. I print this study because the understanding of fibromyalgia is pretty fundamental. When there’s not supposed to be a pain, we feel pain. It is especially interesting to look at the areas of the brain, however, which are activated.

Functional magnetic resonance imaging (fMRI) imaging of the brain

 Fibromyalgia pain dysfunction involves an increased sensitivity to pain known as hyperalgesia. A recent study published in Arthritis & Rheumatology, a journal of the American College of Rheumatology (ACR) shows that people with fibromyalgia have hypersensitivity even if events are non-painful based on Functional magnetic resonance imaging (fMRI) imaging of the brain.

The brain imaging reveals reduced activation in primary sensory regions and increased activation in sensory integration regions. These responses to non-painful stimulus may be the cause of problems with tactile, visual and auditory stimulation. Patients often do report reduced tolerance to environmental and sensory stimulus in addition to the pain.

Decrease activation of the visual and auditive areas, both primary and secondary.

In this study, 35 females with fibromyalgia and 25 healthy, aging-matched controls were tested by researchers using functional-magnetic resonance imaging (fMRI). The average duration of illness was 7 years and average age was 47 years.

According to the study, in response to multisensory stimulation during daily activities, patients reported increased unpleasantness. In addition, fMRI was shown in areas of primary, secondary and auditory visual activation and sensory integration activation, both of which had a reduced activation. These brain abnormalities mediated increased discomfort in visual, auditory and tactile stimulation reported in daily life by patients.

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Conclusion

The study found that brain reactions to non-painful events in early sensory cortices were highly attenuated, and an amplified reaction at later stages of sensory inclusion in the insula was presented, and these abnormalities were linked to the major FM symptoms, which might indicate that this is linked to syndrome pathology.

“Our study provides new evidence that fibromyalgia patients ‘ visualization has altered central processing to multisensory stimulation, which is linked to key symptoms of fibromyalgia and can be part of the disease pathology.” Dr Marina López-Solà, University Colorado Boulder said. The finding of reduced cortical activation in patients ‘ visual and auditory brain fields may offer new targets for neurostimulation therapy in patients living with fibromyalgia.

Methods

In 35 women with FM and 25 matched controls, brain reaction to auditory, visual and tactile stimulation has been evaluated by functioning magnetic resonance imaging (fMRI). Correlations between brain responses and three types of outcomes were investigated to determine the relationship: subjective hyper-sensitivity to daily sensory stimulation, spontaneous pain, and functional disability.

Hypersensitive responses to external stimuli

In various physical and biological systems, hypersensitive responses to external stimuli have been widely observed as shown in FM patients, such as power-grid failures, abrupt electronic circuit and chemical / mechanical state transitions, epileptic breakdowns in the brain, and sensitive cochlea detection in frequency.

Explosive synchronization

The underlying mechanism for abrupt transition of the state within such systems has been a network property called “explosive synchronization” (EN) that is described as a discontinuous transition from an incoherent state into a synchronized state. A disruption spreads rapidly across the entire network through synchronization in a network which shows ES condition(s).

Our past work suggests that ES conditions in normal human brains do not exist. We assumed that ES could be a mechanism for FM hypersensitivity, with the expected outcome of increasing network sensitivity and chronic pain in patients with enhanced ES.

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EEG network configurations

To test this hypothesis, the EEG resting state network configuration of 10 FM patients were first analyzed and the correlation between ES intensity and chronic pain intensity was determined whether the FM brain network displayed ES characteristics (not found in normal humans).

We looked into positive correlations in the degree of frequency, wide frequency differences, and high-frequency dis-assortment among the network connected nodes (a tendency for higher frequency nodes to connect to lower frequency nodes, or vice versa).

These are typical conditions of the network that show that progressive syncing is deleted and suddenly global synchronization around a key point is triggered. Secondly, in response to stimulation, we tested if those ES conditions generate hypersensitive network features.

The sensitivity of this network was quantitatively compared with the frequency disruption in human brain nets with ES and non-ES conditions. The model and empirical data analysis shows that ES can be a network hypersensitivity mechanism.

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LOVE is your husband, who works in the master bedroom rather than at a much bigger desk, at your maker table because he wants you to have as much access as possible to natural daylight. If you feel the dull effects of Seasonal Affective Disorder and Bipolar Depression, you can get any insight into the rays of sun.

LOVE is your husband, because he’s considerate, not even moving your jewelry boxes and any other scattered paraphernalia on this small desk around you. Rather, he works around it and plies his body gamily into a chair with a feminine appearance. Just like he works on your fibromyalgia, anxiety attacks, PMDD, moods up and down and you’re keen to hear that all’s finally all right.

LOVE always loads and unloads your husband, prepares most of your meals, takes the majority when you have pain or feeling extra low due to your bipolar 2 disorder. LOVE is your husband Chronic disease is not the same as easy times or interludes with every marriage, but you are always making up and just getting on despite your bone-deep frustration with the sometimes-sucky situation.

LOVE is about 30 laundry loads, a unmade bed and heads lost. It frequently involves voices raised, tears defeated and doors slammed. But it cuddles as your child finally goes to bed, just sit on the shoulder of your husband, feel his heart beat a steady rhythm and let your concerns float away.

LOVE is your life partner that listens to your catastrophe thinking and takes you back to the earth, makes reasonable plans, and doesn’t matter if you feel like you’re sleeping for some extra comfort with the stuffed animal you had since you were two.

LOVE is mysterious pelvic pain after surgery and driving to endless physician appointments. It is about the competitor health afflictions of your wife every day. It often feels more unilateral. It can sometimes be heavy and unbalanced and one partner can be so caring and responsible. There is a lot of chronic illnesses –physical or mental-to be carried around by your wife and no one is a saint with endless patience and good intentions. Your husband’s approaching, however.

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The first step is to talk about uncomfortable, awkward things, which you prefer to bury under the dirty carpet, and to talk about them. LOVE is couple therapy. It is your own vibes and words, and with your appearance, your sighs and silence, it has everything that you say.

LOVE is your marriage’s bigger person; it is your first person to reach you, to take the stairs late in the evening and have you hurt, so both of you will not go to bed mad, full of rancor and hurt in your heart.

LOVE is appreciated by the best goddamn husband in the world who wants to be a better woman just to achieve his goodness, though he’s not close to a perfect man, just like you, with defects, weaknesses and foolish habits like the whole counter.
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LOVE looks past the rubble on the counter. In the sink, the hair. After two days the compost and recycling boxes will still be at the end of the road. It pushes all this pointless crap to one side and says Thank God for the Mediterranean platter which entered your life back in 2008, has followed you stubbornly with a treasure to date, and has spent STAYED with you and supported you in that strange and unwanted world of chronic illness.

Whenever you see a newly-created hot water bottle or a lifting post-note on your computer, you realize that you were infinitely hurt.

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I haven’t written anything for quite a while, as many of you may have noticed.  On some of the articles I have written in the past I have received very nice comments and I appreciate them, but I haven’t been able to keep them going. I’m going to be totally honest with you, recently I didn’t want to write anything.

I therefore had to stop thinking about why. Frankly, my health wasn’t great since the time was past. The last few months my symptoms got worse, my pain went up and thus I wasn’t mentally good, so I didn’t really know much about writing.

I know most of you, if not all of you! That’s not the only reason, however. I tried to think about new things, new ideas, new thoughts I had to give, and you know what I cannot really come up with. I’ve been trying to think about something new. I know there are tons of things that are comprehensive and otherwise written about this topic, but I don’t know anything right now!

Some of my earlier articles concerned specific topics or issues of interest. Symptoms, treatments, useful suggestions and so on. Others were letters to my rocks and support in my life. Others were letters I could give to physicians or others, even hypothetical letters, that could benefit from my understanding. There were some dark undertones that are not unusual when talking about fibromyalgia or chronic pain for some of my articles.

But positivity was one thing I tried to keep in all my articles. Set in the grey clouds that shield our new existence for that silver lining. We can get through this thing and survive the positive, proverbial backwards. Well, I didn’t even think about writing, let alone trying to find something positive to talk about, to be brutally honest. I don’t need sympathy now, I’m not honest at the least. It was only time to break away from many things in my life.

One thing we all know is that chronic pain or fibromyalgia really doesn’t really have much positive effect. And in some days, it is very difficult in everyday life to find the luminous spot which is not full of guilt, sorrow, anger, pain, self-compassion, etc. It may be difficult to wake up and hit the morning with bright eyes and bushy tails. Every day, we get up and try to deal with the day as best our mind and body can. We know what we want to do for the day and what our bodies can do in our minds.

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Some days we are doing a lot more and paying for it the next day, but because most of us have a stubborn gene perhaps? That’s my problem, at least! But we’re continuing our day and doing what we can and need to do. And yeah, those days there are going to be the best we can look forward to coming out of bed to the bathroom, but you know??? That is all right! This is all right! Sometimes we just have to pause, stop and hear what your mind and your body need!

There is no correct or incorrect way of handling a chronic pain, no instructions manual. No list of different ways to respond to any particular situation, such as telemarketers that are prompted to reply to the answer you give for anything they attempt to sell. It’s not possible to judge how every day is going or how every hour is going for us on a given day. We might find a long “streak” of good days, or at least handy days, where we could feel like something was accomplished at the end of the day. I try as much as I can to enjoy them. A easy walk or time away can go a long way physically and mentally, enjoying nature. We then have the inevitable flare on our hands and knees that wants to see that animal with which we are dealing was not present. However, we are still moving on and on.

Most of us now look in the mirror and see someone who’s not the person before fibrous or chronic pain. We must learn to live a new life, learn new expectations, learn new limits, learn a new existence, essentially. “You’ve got to learn the concept of radical acceptance,” said my former therapist. I’m the first one to recognize, that’s a concept I fight with almost every day, and certainly some days longer than others. I have touched upon this in other articles, but in essence it means you have to accept what is going to be your life.

You don’t have to like the conditions, but you have to learn how to accept it and that your limits and skills will change. Learn from now on to live as your life is going to be. We will be able to adjust days and tolerate what they are like and we’ll be ready to throw in the towel other days. These are the days we really need to dig deep and find any ounce of hidden strength and don’t win our circumstances. Some days, as I said, we have to really look hard in order to find something positive, happy or thankful in every day. But don’t stop looking for it. Do not stop looking for it.

When everyone has to take a break, they come to a time of their lives. Reassess where or where things are going. It is time for reflection, to take a break, to recharge or to make a plan. a break is a good thing. Some might think it’s bad to take a break or we can’t deal with things. But having a physical and /or mental break is something that everybody needs every now and then, and that nobody tells you anything else. Since it’s a lot easier to say than done with most of the words of advice, I urge you to do this and don’t get guilty of it. Let the guilt go if you feel it creeps in. Ask for help if you need more than usual. If you can stay in bed and look after yourself most of the time, DO IT! When we need a break our minds and bodies can tell us, what we must do is learn to listen.

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References:

Fibromyalgia Contact Us Directly

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Official Fibromyalgia Blogs

Click here to Get the latest Chronic illness Updates

Fibromyalgia Stores

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