Tag: fibromyalgia symptoms

A detailed guide to understanding Fibromyalgia symptoms, early warning signs, and how they are diagnosed.

  • How Amitriptyline May Help People With Fibromyalgia

    Over the years, various medications have undergone evaluation for use in the treatment of fibromyalgia. Those medications include muscle relaxants, corticosteroids, non-steroidal anti-inflammatory medications (NSAIDs), sedatives, and tricylic antidepressants.

    Tricylic antidepressants actually have some history in the treatment of fibromyalgia. In fact, several of these antidepressants are used in the treatment of the condition. Nortriptyline, doxepin, and amitriptyline are all used in the treatment of fibromyalgia. When used for fibromyalgia, in particular, it has been demonstrated in studies to be the most efficient antidepressant for treating the condition.

    About amitriptyline for fibromyalgia

    Amitriptyline is, as mentioned, a type of tricyclic antidepressant (TCA) used for treating clinical depression. As a result, it’s considered the most common TCA used around the world.

    The antidepressant was originally developed by Merck and was first synthesized in 1960. It was later approved by the Food and Drug Administration in April 1961.

    This medication works as an inhibitor of the brain chemicals serotonin and norepinephrine. The medication’s mechanism of action acts strongly on the serotonin transporter, while it causes a moderate effect on the norepinephrine transporter. It doesn’t do anything to affect the dopamine transporter, however.

    Amitriptyline is used for several medical conditions, including its FDA-approved use for major depressive disorder. That doesn’t stop other medical resources from claiming it plays a role in assisting recovery from other similar conditions.

    Amitriptyline is even said to act more efficiently than other antidepressants when treating disorders. Interestingly enough, it is actually passed over for other newer antidepressants, since it is known to cause side effects and can get very toxic if consumed to overdose.

    Antidepressants and fibromyalgia

    Various medications are used to treat symptoms of fibromyalgia. The most common medications include painkillers, sleeping pills, and various antidepressants. Antidepressants are said to help treat fibromyalgia symptoms originating from the dysfunction of the brain’s regular functions.

    Antidepressants, especially tricylic antidepressants, have been used in the treatment of fibromyalgia for years. Tricylic antidepressants are actually some of the oldest antidepressants on the market and have been utilized in fibromyalgia treatments for years.

    Tricylic antidepressants like amitriptyline work by boosting the levels of the brain’s chemicals or neurotransmitters. When the levels of neurotransmitters are boosted, it prevents the brain from succumbing to impairment in its natural function. These antidepressants mainly boost the neurochemicals serotonin and norepinephrine. After taking these antidepressants, people with chronic pain typically feel much better, since they are known to have lower levels of those aforementioned neurotransmitters present in their brain.

    Tricylic antidepressants also play a role in helping relax pain-ridden muscles. It also boosts the body’s natural painkiller, also known as endorphins. Even though these medications have positive results for conditions like fibromyalgia, they have various side effects that might make them hard to take on a regular basis.

    Interestingly enough, the tricylic antidepressants that are prescribed for fibromyalgia include duloxetine, milnacipran and venlafaxine. Both duloxetine and milnacipran are already approved by the Food and Drug Administration for fibromyalgia treatment.

    Venlafaxine has less research and, therefore, evidence supporting it as an effective treatment. Other antidepressants that have been studied and proposed as potential fibromyalgia treatments include citalopram, paroxetine, and fluoxetine.

    Amitriptyline falls in the category of relative untested tricylic antidepressants without further support as a fibromyalgia treatment. Though, it hasn’t stopped researchers from studying it and its potential as an effective treatment for fibromyalgia.

    Studies on Amitriptyline

    Antidepressants have been used to treat chronic pain disorders for years. Even though that’s true, only a limited amount of studies exist covering how tricylic antidepressants help people treat their fibromyalgia symptoms.

    According to information collected about fibromyalgia and antidepressants, antidepressants like tricyclic antidepressants ‘produced mild to moderate improvements in [fibromyalgia] symptoms.’ In controlled studies, it was found that as much as ‘one-third to half of the monitored patients responded to medication-based treatment.

    There was one study that had tested the effects of amitriptyline and fluoxetine on patients with fibromyalgia. Patients in that study were given 25 mg of amitriptyline, while others were given 20 mg of fluoxetine.

    As a result, the patients found that either medication helped reduce their fibromyalgia symptoms. Patients who took both medications found that the combination was actually ‘twice as effective than just taking one medication alone.

    The dosages used for amitriptyline for fibromyalgia are much lower than the usual doses for treating depression. In most cases, the dosage can be started at as low as 10 mg each day, taken 2 to 3 hours before going to sleep. This allows the patient to take advantage of the medication’s sedative effects without experiencing those same effects when awake.

    Another study of amitriptyline followed 70 different patients with the condition with fibromyalgia. The study’s main purpose evaluated the effectiveness of a regular 50 mg dose for fibromyalgia.

    The results of the study revealed some interesting data. The patients who had received the regular 50 mg dose for fibromyalgia saw a ‘significant improvement in their sleep quality, morning stiffness, and pain thresholds.’ The ‘tender point score’ taken at the time didn’t improve.

    Newer studies concerning the drug for fibromyalgia patients follow the newest iteration of fibromyalgia criteria. A complication of data from other studies about the medication found that ‘amitriptyline for fibromyalgia can continue to be used for [neuropathic pain] treatment, but most patients won’t achieve enough pain relief.’

    Various studies collected in the complication lasted as long as 6 weeks (on average). They also tested anywhere from 15 to as many as 100 participants, with four of the studies hosting over 100 participants. Each study administered doses between 15 mg to 125 mg.

    Some studies gradually increased the dose during selected intervals of the study trial. Overall, no concrete evidence was found to support amitriptyline as an effective treatment for fibromyalgia. Some studies did find that it may play a role in reducing some neuropathic pain, such as the pain associated with fibromyalgia.

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    Official Fibromyalgia Blogs

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  • How does Medical Cannabis Help Fibromyalgia?

    Cannabis, also known by many other names, is a derivative of the Cannabis plant that is popularly used as a psychoactive drug and medication. This controversial drug, which many would know it as weed or marijuana, has taken a bad rap due to it being exploited for recreational purposes. However, apart from being the star of a party, Cannabis has many medical purposes including treating fibromyalgia.

    What is Medical Cannabis

    This refers to cannabis in the form of medication, rather than for recreational purposes. It is said to be useful in treating several diseases and medical problems, ranging from nausea resulting from chemotherapy to glaucoma’s high ocular pressure. Cannabis contains a wide variety of chemicals that has many applications. Fibromyalgia is one medical condition that it has proved to be highly effective in.

    How does Medical Cannabis Work?

    The Cannabis plant contains a wide variety of compounds that can affect both the brain and the rest of the body. The body is affected by a category of compounds termed cannabinoids that bind and interact with the brain’s cannabinoid receptors. Of them, the most well-known cannabinoid is THC, which is responsible for cannabis’ classic effects, among the 85 other cannabinoids in this plant.

    Where fibromyalgia is concerned, however, THC is the most important cannabinoid as it binds with the brain’s cannabinoid receptors that help to relieve the pain associated with fibromyalgia. THC also helps the patient relax and get over their feeling of exhaustion.

    How is Medical Cannabis Administered?

    Patients use a vaporizer in order to heat cannabis to the point of vaporization of the active ingredients of the plant. This provides the same effect and relief as smoking cannabis but eliminates the risks of smoking. Hence, medical cannabis is a more controlled and low-risk treatment as compared to its recreational form.

    How does Medical Cannabis Help Fibromyalgia?

    Cannabis helps fibromyalgia patients by helping ease muscle stiffness and pain. For this, a strong variant of cannabis is recommended. However, it should be used with care and in controlled dosage as prescribed by a doctor as it could cause side effects like heavy drowsiness. Researchers on patients with fibromyalgia found that those who took cannabis were significantly better in mind and body than those who did not take it. They also found that it relieved fibromyalgia patients of pain to the extent of 50%.

    Nabilone an Alternative to Medical Cannabis for Fibromyalgia

    Looking at the map above, it is obvious that not all of us are fortunate to live in a medical marijuana legalized state. However, the good news for those who reside in places that do not legalize the use of medical marijuana is, a synthetic medical marijuana pill, Nabilone, was found to work successfully in reducing the pain and anxiety of fibromyalgia comparably. Well, the bad news is, in areas where medical marijuana is legal, many find that it is more economical and effective than Nabilone.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

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  • What We Need to Remember as Lady Gaga Starts Touring After Her Fibro Flare

    In the past few months, we have seen Lady Gaga open up more than ever about her journey with chronic pain, with her Netflix documentary “Gaga: Five Foot Two” offering us a look behind the curtain at how difficult it can be to find treatments that work and face the uncertainty and unpredictability of life with chronic illness.

    But after confirming her fibromyalgia diagnosis in September and canceling several performances and tour dates due to chronic pain, Lady Gaga is back in action.

    As a long-time fan of Gaga, it has been so exciting to see her almost-daily updates on Instagram and Twitter. Not only is she back on the road for her Joanne World Tour, but in the past few weeks, she has also managed to join all five former living presidents for a hurricane relief concert, partner with former Vice President Joe Biden to advocate for sexual assault survivors, become a brand ambassador for Tudor, oh – and get engaged to CAA talent agent Christian Carino. All of which she does wearing high fashion and a smile on her face.

    There’s no doubt Lady Gaga is a captivating performer. Even just looking at photos of her, I am in such awe of her style, beauty, and poise.

    And yet, simply watching her jet around the country to attend various events with important people and put on high-energy, kickass performances makes me tired.

    As someone with an autoimmune disease, my energy tanks are constantly low, even after a restful weekend or long vacation. I don’t think I could make it through a single day in Gaga’s shoes. Her schedule seems like it would be hectic, exhausting, and stressful for someone in peak health, let alone someone with a chronic illness.

    While I love following Gaga on social media to see what she’ll pull out of her sleeve next, it can also be difficult to watch someone with a similarly taxing health condition accomplish so much more than I believe I ever could.

    Lady Gaga puts on incredible performances every other night, and I barely have enough energy after work to heat up leftovers for dinner.

    Lady Gaga travels all over the country to meet and work with some of the most important people alive right now, and I’m in too much pain to walk my dog around the block.

    So the thoughts go. It’s all too easy to look at snapshots of a celebrity’s life and think, wow, I must be really lazy or unmotivated because I could never achieve that.

    This comparison game is dangerous, but it becomes especially tricky with celebrities like Lady Gaga or Selena Gomez who have been open about their chronic illness battles. I generally don’t lose sleep comparing myself to celebrities; I know they lead very different lives with access to far more money and resources than I have. But then, when they are open and vulnerable about health difficulties, it creates common ground between us. Watching Gaga’s documentary, I felt like I was connecting with another human being over similar struggles.

    It’s those moments of relatability and understanding that make it hard to see Gaga go back to being a performer and superstar. In my experience, a bad flare-up usually isn’t followed by such a demanding and intensive schedule.

    But, while those of us with chronic illness know the end of a flare-up doesn’t equate to being “healthy” or “back to normal,” for those who aren’t familiar with fibromyalgia or chronic pain, Gaga’s dynamic return may give the impression that her health issues have been totally resolved and that it’s possible for anyone to simply “bounce back” after devoting some time to their health.

    Whether you’re a chronic warrior struggling with Lady Gaga’s return or a fan being introduced to the “chronic life” for the first time through Gaga, here are a few things to keep in mind:

    1. Gaga is likely not “cured.” If Lady Gaga is feeling better and has found treatments that work for her, that is fantastic and I am thrilled for her. I sincerely wish she wouldn’t have to ever deal with chronic pain again, but unfortunately, that is just not a common reality of fibromyalgia. As those with chronic illness know, these conditions are lifelong and unpredictable.

    2. Celebrities tend to have far more access to money and resources than most chronic warriors do. It is likely that Gaga has been able to find enough relief to continue performing in part because of her fame and access to the best doctors. She is probably able to afford treatment options or medical equipment that many of us cannot, and she may also have access to luxuries such as a private chef, personal trainers, massage therapists, etc. that help keep up with her health as well as her busy schedule.

    3. Even within the chronic illness community, we are all different and have varying abilities. Just because one person with fibromyalgia is able to do X, Y, Z doesn’t mean another person with fibromyalgia can also do X, Y, Z. (Maybe they can do A, B, C instead!) Just because Lady Gaga performed at the Super Bowl doesn’t mean everyone with fibro can leap off the roof of a football stadium (or have a job, go to school, or any other activity society thinks they “should” be able to do) if they just “put their mind to it.” People are unique, and so are their conditions and abilities.

    4. Your accomplishments are just as amazing as Lady Gaga’s. Maybe you were able to take a shower today, or talk on the phone with a loved one, or keep yourself hydrated. Comparing yourself with someone else – healthy or sick – is silly, because they are a totally different person with totally different life experiences. There’s no good that can come from thinking about what you can’t do. Focus on what you can do, no matter how small it may seem, and celebrate that. If you’re doing the best you can, I’m proud of you – and I think Gaga would be too.

    Although Lady Gaga seems to have recovered from her recent flare-up, I hope she continues to be honest about her chronic pain journey and serves as a voice and an advocate for the community. And I hope people recognize that Gaga is just one person with fibromyalgia, and what’s possible for her may not be possible for someone else. For now, I will try to resist the comparison trap and continue to cheer her on, one chronic warrior to another.

    https://fibromyalgia-6.creator-spring.com/
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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Fibromyalgia and Chronic Pain Harms The Brain: Northwestern University Research

    Summary: People with unrelenting pain are often depressed, anxious and have difficulty making simple decisions. Researchers have identified a clue that may explain how suffering long-term pain could trigger these other pain-related symptoms. Researchers found that in people with chronic pain, a front region of the cortex associated with emotion fails to deactivate when it should. It’s stuck on full throttle, wearing out neurons and altering their connections.

    People with unrelenting pain don’t only suffer from the non-stop sensation of throbbing pain. They also have trouble sleeping, are often depressed, anxious and even have difficulty making simple decisions.

    In a new study, investigators at Northwestern University’s Feinberg School of Medicine have identified a clue that may explain how suffering long-term pain could trigger these other pain-related symptoms.

    Researchers found that in a healthy brain all the regions exist in a state of equilibrium. When one region is active, the others quiet down. But in people with chronic pain, a front region of the cortex mostly associated with emotion “never shuts up,” said Dante Chialvo, lead author and associate research professor of physiology at the Feinberg School. “The areas that are affected fail to deactivate when they should.”

    They are stuck on full throttle, wearing out neurons and altering their connections to each other.

    This is the first demonstration of brain disturbances in chronic pain patients not directly related to the sensation of pain.

    Chialvo and colleagues used functional magnetic resonance imaging (fMRI) to scan the brains of people with chronic low back pain and a group of pain-free volunteers while both groups were tracking a moving bar on a computer screen. The study showed the pain sufferers performed the task well but “at the expense of using their brain differently than the pain-free group,” Chialvo said.

    When certain parts of the cortex were activated in the pain-free group, some others were deactivated, maintaining a cooperative equilibrium between the regions. This equilibrium also is known as the resting state network of the brain. In the chronic pain group, however, one of the nodes of this network did not quiet down as it did in the pain-free subjects.

    This constant firing of neurons in these regions of the brain could cause permanent damage, Chialvo said. “We know when neurons fire too much they may change their connections with other neurons and or even die because they can’t sustain high activity for so long,” he explained.

    ‘If you are a chronic pain patient, you have pain 24 hours a day, seven days a week, every minute of your life,” Chialvo said. “That permanent perception of pain in your brain makes these areas in your brain continuously active. This continuous dysfunction in the equilibrium of the brain can change the wiring forever and could hurt the brain.”

    Chialvo hypothesized the subsequent changes in wiring “may make it harder for you to make a decision or be in a good mood to get up in the morning. It could be that pain produces depression and the other reported abnormalities because it disturbs the balance of the brain as a whole.”

    He said his findings show it is essential to study new approaches to treat patients not just to control their pain but also to evaluate and prevent the dysfunction that may be generated in the brain by chronic pain.

    The study will be published on Feb. 6 in The Journal of Neuroscience. Chialvo’s collaborators in this project are Marwan Baliki, a graduate student; Paul Geha, a post-doctoral fellow, and Vania Apkarian, professor of physiology and of anesthesiology, all at the Feinberg School.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Fibromyalgia and Hip Flexor Pain: Dr Sher Bailey

    It is not uncommon to have hip flexor issues or pain in this area when living with fibromyalgia. The hips, hip flexors, and lower back correlate with fibromyalgia pain areas due to tender areas around the lower back, many more trigger point areas and other conditions that affect the surrounding areas.
    The hip flexor muscles allow your hips to move with flexibility. You are engaging these muscles whenever you move your legs, and that means your hips are involved in most of the movements that you make throughout the average day.

    A healthy person may not realize how often they use their hip flexors, but anyone living with fibromyalgia who experiences hip flexor pain will be well aware of this on a more regular basis.

    I have personally dealt with hip flexor pain and then later re-strengthening of these areas while developing more fibrosafe exercises after my full hysterectomy three years ago. Yes, I do get it. I will address more of this later in the lower part of this article.

    While there are some known injuries and medical conditions that can cause pain in the hip flexors, it can be difficult to identify a direct cause of this pain in someone with fibromyalgia, except for the many daily activities that I often refer to.

    We might treat the pain as another symptom of the diagnosed condition or take more time to determine an exact cause for the pain. Either way, fibromyalgia, and hip flexor pain are often debilitating if not treated efficiently and promptly.

    Understanding Fibromyalgia and Hip Flexor Pain 

    The psoas is responsible for a lot of general back and leg pain because the sitting positions that most people hold throughout the day cause the muscle to shorten for a long period of time. When you stand up and start moving around again, that muscle doesn’t want to lengthen and function properly.

    Hip flexor pain is often referred to as flexor tendinosis. The pain from this condition typically comes from one or both of the following muscles: Illicacus and Psoas. These muscles are often lumped together as one unit, referred to as the iliopsoas.

    For those suffering from fibromyalgia, the pain may come from other muscles that help the hips move. This includes the quadriceps, even though those muscles are lower than most hip flexor muscles.

    While flexor tendinosis caused by an injury or issue not related to fibromyalgia may focus on one particular muscle or area of the hip, fibromyalgia patients may experience pain that spreads out throughout this region of the body. The cause of the pain is often unexplainable, as is typically the case with fibromyalgia pain.

    Treating Fibromyalgia and Hip Flexor Pain 

    One simple way to prevent some fibromyalgia and hip flexor pain is to avoid sitting in one position for a long period of time. Get up and move around periodically so that your muscles don’t have time to set in one position.

    Hip Flexor Stretch

    You often hear me recommending safe and effective exercise and the importance of participating in some level of exercise in order to keep your body strong and more flexible, and this is another recommendation for hip flexor pain as well.

    The more you learn how to move and how angles and over compensation do matter, the easier it is to prevent some causes of muscle pain.  You can follow me on the Fibro Fit People page to learn more ways to safely and gently work these more vulnerable areas. In the video section there you will see exercises like my “side to side” exercises that help to gently work the hips and lower back, piriformis and more.

    I also work with women after hysterectomy and other abdominal surgery to gently strengthen these vulnerable areas. I have been there, and yes, it is possible to feel strong after a hysterectomy and while living with the complexity of fibromyalgia and co-conditions.

    The stretch I am performing here is great to do anytime, especially after sitting. We draw one leg up to the knee (no shoes) placing the foot gently on the inside of knee or lower if needed (this loosens the hips) then draw the arm up on the same side and feel the light stretch from your hips through your obliques.

    If you spend much of your day sitting at a desk, invest in an office chair that is highly adjustable. Set the chair higher, allowing your hips to rest above your knees. This position is healthier for your hip flexors and may eliminate pain caused by the shortening of those muscles in the typical office chair position. You may also want to consider a standing desk that allows you to easily lift your work space.

    I started using a standing desk last year and find it very helpful, in fact, I do more standing at my desk now than I do sitting. (note: some standing desks can be difficult on the shoulders to put up and down so it might be necessary to get a standing desk that uses an electric control for moving positions)

    Regular strength training and very gentle stretching (done safely) may help keep those muscles strong and flexible. Again, be sure to avoid excessive sitting or this can sabotage efforts to incorporate effective exercise.

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Fibromyalgia Caused By Malfunctions In Two Key Body Systems – Autonomic Nervous System and Hypothalamus-Pituitary-Adrenal Axis

    A recent study threw up an interesting notion on the root of fibromyalgia. The study suggests that fibromyalgia could be caused by malfunctions in two chief body systems – the Autonomic Nervous System (ANS) and the Hypothalamus-Pituitary-Adrenal Axis (HPA). These two body systems are key in regulating the production of important hormones and managing stress responses by the body. Imbalance in the two-body systems can lead to sleeplessness, lack of energy, higher pain sensitivity, mood changes, digestive problems, etc…

    Autonomic Nervous System (ANS)

    The Autonomic Nervous System is a large network of multifaceted neurons that maintain homeostasis in the body. This network includes cardiovascular, ophthalmologic, thermoregulatory, genitourinary, and gastrointestinal systems in the body.

    The ANS contains both the Sympathetic and Parasympathetic nervous systems. The former controls the response called “fight or flight” when one gets into seemingly dangerous situations, whereas the Parasympathetic nervous system lowers the heart rate and slows down the muscles to save energy.

    Fibromyalgia is linked to a malfunction in the ANS. Patients with fibromyalgia find that their Sympathetic Nervous System functions at an elevated pace and that their Parasympathetic Nervous System works at a much lower rate. Such individuals always face this inevitable “fight or flight” response. When such individuals are in a hyperactive state, they have an escalated heart rate. Women with this problem suffer from dysfunctional ANS.

    Hypothalamus-Pituitary-Adrenal Axis (HPA)

    The HPA axis is a network of stress responses by the brain, pituitary, and adrenal glands. The main function of the hypothalamus is to maintain the body’s balance. It receives and sends messages from the nervous system via hormones through the circulatory system. The hypothalamus regulates and controls blood pressure, digestion, sleep cycles, sex drive, body temperature, coordination, heart rate, and sweating.

    The pituitary gland is responsible for the secretion of certain important hormones for the body while the Adrenal Gland produces hormones for the entire body and controls chemical reactions and the “fight or flight” response to stress.

    How ANS and HPA Lead To Fibromyalgia Pain

    Together, the ANS and the HPA axis are major paths for body responses during stressful conditions. These responses include pain, trauma, infection, low blood sugar, and low blood pressure.

    Due to certain malfunctions in the ANS and HPA, the body can struggle to maintain homeostasis. External factors such as persistent daily stress, injury, or other stressors can further knock the body’s equilibrium off-balance. The body systems and stress response regulated by the ANS and HPA respectively can go haywire.

    Studies conducted have shown that fibromyalgia patients are prone to either inactivity or overactivity in the HPA, causing abnormal levels of important hormones and hence leading to various symptoms of fibromyalgia.

    https://fibromyalgia-6.creator-spring.com/
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    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Finally Morgan Freeman Opens up his ‘Struggle’ about Fibromyalgia

    Every so often he grabs his left shoulder and winces. It hurts when he walks when he sits still when he rises from his couch, and when he missteps in a damp meadow. More than hurts. It seems a kind of agony, though he never mentions it. There are times when he cannot help but show this, the fallout from a car accident four years ago, in which the car he was driving flipped and rolled, leaving Freeman and a friend to be pulled from the car using the Jaws of Life.

    Despite surgery to repair nerve damage, he was stuck with a useless left hand. It is stiffly gripped by a compression glove most of the time to ensure that blood doesn’t pool there. It is a clamp, his pain, an icy shot up a relatively useless limb. He doesn’t like to show it, but there are times when he cannot help but lose himself to a world-ending grimace. It’s such a large gesture, so outside the general demeanor of the man, that it feels as if he’s acting.

    “It’s the fibromyalgia,” he says when asked. “Up and down the arm. That’s where it gets so bad. Excruciating.”

    This means Morgan Freeman can’t pilot jets the way he used to, a hobby he took up at sixty-five. He can no longer sail as well. There was a time when he would sail by himself to the Caribbean and hide out for two, three weeks at a time. “It was complete isolation,” he says. “It was the best way for me to find quiet, how I found time to read.” No more. He can’t trust himself on one arm. He can’t drive, not a stick anyway, not the way he used to — which is to say fast, wide open, dedicated to what the car can do.

    And he can’t ride horses as much, though once he rode every day.
    He never mentions any of it as a loss, though how could it be anything else? He never hints around about the unfairness of it. “There is a point to changes like these. I have to move on to other things, to other conceptions of myself. I play golf. I still work. And I can be pretty happy just walking the land.”

    Wait. How can he play golf with a clipped wing like that? How can you swing a club when you can’t lift one of your arms?

    “I play one-handed,” he tells me. “I swing with my right arm.”
    How does that work out for you?
    “See for yourself,” he says. “I’m playing at 3:00 today.”

    Freeman’s revelation that he has fibromyalgia spread like wildfire through the FM community.  Finally, here was an A-list celebrity acknowledging he had been diagnosed with FM.  A handful of other celebrities have had the courage to speak up about their FM, for which we are extremely grateful, but as yet none have had the super-star power of Morgan Freeman.

    Almost immediately FM patients and advocates began calling on Freeman to speak out on behalf of others with fibromyalgia.  It’s even been rumored that a large national FM organization has approached him about being their spokesperson.  While most in the FM community seem to strongly support that idea, a few have questioned the wisdom of Freeman being an FM spokesman.

    From what I have read, those who are hesitant about Freeman representing the FM community appear to have three concerns:

    Does he really have fibromyalgia since he only mentioned pain in his left shoulder and arm?
    He is still very active and therefore would present an inaccurate picture of how debilitating FM can be.
    Since most people with FM are women, as a man he would not be representative of the majority of patients.
    Let’s take a closer look at each of these concerns.

    Does he really have fibromyalgia? – I have to admit the first time I read the article I, too, wondered whether he had been diagnosed correctly.  But when I reread it, I noticed that he said, “Up and down the arm. That’s where it gets so bad. Excruciating.”  His statement, “That’s where it gets so bad” sounds like he probably has other pain but it’s the pain in his arm that is the worst.  For many years, I could have made a similar statement about my left hip.  Although I had body-wide pain almost all the time, it was the pain in my hip that was usually the worst.

    We also have to remember that the purpose of this interview was not to discuss Freeman’s fibromyalgia.  The author simply noticed Freeman grimacing several times and asked him about it.  It’s logical that Freeman would only mention the pain he was experiencing at the time.  Or perhaps he did go into more detail but when composing the article, Chiarella chose to include only what he felt was most important.

    So is whether or not Freeman really has fibromyalgia a valid concern? Absolutely.  When we’re talking about someone being a spokesperson for a disease, it’s legitimate to want to be sure they actually have the disease.  We just shouldn’t jump to any conclusions based on one isolated statement.

    Morgan Freeman opens up his ‘struggle’ about fibromyalgia

    His activity level doesn’t paint an accurate picture of FM.–  People with FM fall into a wide range of functioning abilities.  Freeman appears to be fairly high-functioning since he continues to work and play golf.  The article did note, however, that he has had to give up several activities that he loved.  On the other hand, some people with FM are completely disabled, unable to handle even basic self-care tasks.  The rest of us fall somewhere in between.  While Freeman’s activity level should not preclude him from representing people with FM, I would hope that part of his message would be to describe just how debilitating FM can be and to explain that different patients have different levels of disability.

    As a man, he is not representative of the average FM patient.– Frankly, I think the fact that he is a man with FM is a positive thing.  Whether we like it or not, when it comes to health issues, men are still given more credibility than women.  Studies have shown that health care professionals are more likely to take a man’s symptoms seriously, but attribute a woman’s symptoms to emotional causes.  Although the acceptance of FM has come a long way in recent years, there are still some people, including some medical professionals, who don’t believe it is real.  Therefore, having a well-known and highly respected man like Morgan Freeman speak out about FM might help improve our credibility among the doubters.

    Given the repeated urgings to step up and be a spokesperson for fibromyalgia, I sometimes wonder if Freeman wishes he had never mentioned it.  He probably never dreamed uttering that one word in the middle of a multi-hour interview would ever garner so much attention.

    In our enthusiasm to have a prominent celebrity like Morgan Freeman speak out on our behalf, I think we need to keep in mind how doing so could impact his life.  Years ago celebrities did everything in their power to keep any health problems secret because revealing an illness could ruin their careers. 

    Although Hollywood seems to be a little more accepting these days, I suspect there is still some hesitation about casting an actor who has a known health issue.  And even if his career is not a major concern, Freeman strikes me as the kind of man who prefers not to dwell on his pain and what he can’t do but rather to push ahead and focus on what he can do.

    Yes, it would be wonderful if Morgan Freeman would decide to become an advocate for fibromyalgia.  The entire FM community would welcome him with open arms.  His support could do wonders for increasing awareness and raising money for research.  But ultimately it’s a personal decision – each of us has to decide what is best for our lives at any given point in time.  While I hope he’ll choose to use his celebrity to help others with FM, I’ll respect his decision either way.

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  • Heartbreaking letter from a Bristol woman who suffers from debilitating disease fibromyalgia

    What happens when your life starts to unravel?

    For 23-year-old Peyton Connor, that happened last May when she was diagnosed with fibromyalgia.

    The long-term chronic condition can cause increased sensitivity to pain, extreme fatigue, difficulty sleeping, and memory loss.

    After collapsing at work at the end of 2015, several tests revealed she had the condition, which has changed her life completely.

    The condition can cripple, can cause people to fall into isolation. Some sufferers lose their social life altogether.

    Here, Peyton pens a heartbreaking letter to those closest to her.

    A Letter to my Loved Ones (What I Wish You Knew)

    Dear family, dear friends,

    First of all, please know how much I love you. I am so grateful that you’ve stuck around and put up with me and all the craziness that has surrounded me since I got poorly.

    I couldn’t have gotten through the grueling diagnosis stage, and through all the disbelief from the ones that didn’t think I was sick without your support.

    While I proved them wrong, you’ve no idea how much I wish they were right – that there was nothing wrong, and it was all make-believe.

    I wish that I could put into words how genuinely heartbroken I am.

    Unless you’ve been in my shoes, you cannot understand how painful it is to see so many opportunities snatched away from you, so many dreams gone, before you even had the chance to grasp at them.

    It’s a pain that is both mental and physical – an ache in my head and in my heart.

    Life throws these things at us for a reason, and we have to find a way to survive it, but that doesn’t make it an easy thing to do.

    We adapt to the situation we’re in because we have to. It’s the only choice we have, to keep going.

    Not only am I heartbroken, but I am also angry. Who wouldn’t be?

    We ask ourselves why us, why me, but there are no answers to those questions.

    Think about them for too long and you’ll go crazy. It doesn’t start out as a bright fiery kind of anger, but instead, it smolders.

    Enough that you don’t feel it at first. But then it adds a layer. And another. And another. Until everything is mired in hatred.

    This illness is like a thief, but it’s a clever thief. This thief knows better than to come in and steal everything in one fell swoop.

    That would be too easy, too noticeable, and it would be over too soon.

    Instead, this particular thief is cautious. He hides in the shadows, taking things one at a time so that at first you don’t even notice.

    You brush it off with a shrug when you notice the shaking starting up randomly. You ignore that creak of pain that’s always in the same place and doesn’t seem to shift.

    You laugh off the memory loss, and you cover up the fact that you’re having accidents – jokes about keeping your legs crossed when you cough in the future. You keep going.

    And because you keep going, you push through all the demons pulling at you, people think you’re fine. You reaffirm this belief by telling them again, yes indeed, you are fine.

    When they express their concerns you tell them convincingly that it’s just a cold, a touch of flu, that time of the month. You lie for it. Because in life we are taught only how to keep moving forward.

    And when you find yourself believing the lie, then and only then is when the thief will strike.

    He will gather up all of his collection, along with a few new things he’s found lying around your body, and he will leave. He will be sure to disconnect a few wires, and short fuse a few sockets in your mind before he goes.

    And that is when reality hits you. All at once, you are not the person you used to be, and who you are now is a stranger to you.

    Coming face to face with an impostor in your brain, after 23 years of solitude, of control… is terrifying.

    It is ingrained in you to fight this impostor. We don’t like to let strangers take control. But they’re much stronger than we are.

    We try to fight the impostor, to medicate them into submission, to talk them out of their position. We try to think positive, exercise, and diet, and change parts of ourselves in the hopes of driving the impostor out of our minds… but the joke is on us.

    These changes are just his subtle way of getting an even firmer hold on us. We played into his hands.

    So, what is left for us to do, except adjust, accept the rules this impostor, this thief, has made necessary, and adapt to those conditions.

    We change our entire lives, we change all our habits, and we kiss goodbye to dreams we’ve had since childhood. We accept that it wasn’t meant to be.

    So, all that is left is to ask of you, my loved ones, my friends… to accept this too. Accept that what we do is not out of choice, but more because we had no choices left to make.

    Accept that we are not weak, but simply used up all of our strength.

    Accept that we are not lazy, but tired.

    And accept that we do not like these changes anymore than you do.

    But as history shows, we are built to adapt. So we did.

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    Official Fibromyalgia Blogs

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  • Weekly dose: Lyrica, the epilepsy drug that treats chronic nerve pain

    Lyrica is the brand name for a prescription medicine called pregabalin. Although it is an anticonvulsant or an anti-epileptic drug, pregabalin is commonly prescribed to alleviate nerve or neuropathic pain – a type of pain caused by damage to, or a disease affecting nerves.

    Neuropathic pain doesn’t normally respond to common painkillers such as ibuprofen or paracetamol. This is because the mechanisms that cause neuropathic pain are different from the underlying causes of other pain.

    History

    Pregabalin is closely related to gabapentin, a medication developed to treat partial seizures. This is a type of epilepsy caused by a surge in nerve cell excitability in one area of the brain.

    Because nerve pain and epilepsy are related to abnormal levels of nerve excitability, an American neurologist tested gabapentin on patients in the mid-1990s and found it relieved their neuropathic pain.

    Both are recommended as first-line treatments for nerve pain by the International Association for the Study of Pain. Lyrica was approved in 2004 in the United States for the treatment of partial seizures of epilepsy and some neuropathic pain.

    Subsequently, pregabalin was developed as an improved version of gabapentin. The amount of pregabalin absorbed into the bloodstream increases in a linear fashion; unlike gabapentin, where the dose goes up, the proportion absorbed into the bloodstream goes down. This makes the effects of pregabalin more predictable than those of gabapentin.

    In 2007, pregabalin was approved in the United States to treat fibromyalgia, a chronic disorder characterized by pain and muscle tenderness throughout the body. In Australia, it was registered by the Therapeutic Goods Administration in 2005.

    How it works

    In neuropathic pain, damaged nerve fibres are hyper-excitable, which means sensations such as light pressure or touch, which are normally barely felt, are perceived as painful.

    Pregabalin (and gabapentin) are thought to interact with specific proteins in nerve endings in the brain and spinal cord. This reduces the entry of calcium ions into nerve terminals to dampen the release of pain neurotransmitter molecules in the spinal cord and brain.

    How Lyrica is used for pain

    Nerve pain is more severe than non-neuropathic pain. Patients with persistent nerve pain often describe it as intense burning or shooting sensations in their arms, hands, fingers, legs, feet, or toes. Because it’s often poorly relieved by available medications, the pain is unrelenting and intrudes into all activities of daily living.

    About 7% to 8% of adults have chronic pain with neuropathic characteristics. These include: feeling pain from light pressure or touch, such as clothing; hypersensitivity to mildly painful events such as bumps or knocks; burning, tingling and pins and needles; and abnormal sensations, such as ants crawling under the skin when touched.

    Some groups have a higher prevalence of neuropathic pain than others, particularly those who suffer from conditions that cause damage to the nerves, such as those with diabetes or following a bout of shingles.

    Neuropathic pain is also common after certain operations, such as a mastectomy, and affects about 35% of people with HIV infection. About 20% of cancer patients with chronic pain will have pain with neuropathic characteristics either because a tumor is pinching one or more nerves or because of damage to nerves that results from the cancer treatment itself.

    The recommended pregabalin dose to relieve nerve pain is 150 mg to 600 mg per day. The doctor will initially prescribe a relatively low dose that is typically 75 mg once or twice daily, and 25 mg once or twice daily for the elderly or children. This will gradually be increased over several months.

    How Lyrica is used for epilepsy

    In people with partial seizures, a doctor may prescribe pregabalin as an add-on treatment to other anti-epileptic medications. But it is not the best add-on treatment for everyone.

    The doctor will gradually increase the dose, usually starting at 75 mg twice a day or 50 mg three times a day. The goal is to reach the dose that gives the best control of partial seizures without causing troublesome side effects.

    What it costs

    Pregabalin capsules are marketed in strengths ranging from 25 mg to 300 mg. It’s listed on the Pharmaceutical Benefits Scheme in Australia, which means you pay up to A$38.30 for a pack of 56 capsules or A$6.20 if you have a concession card.

    How many people use it?

    When pregabalin was first listed on the Pharmaceutical Benefits Scheme in 2013 to treat neuropathic pain, the then health minister announced it would help 270,000 Australians. However, between June 2015 and 2016, pregabalin’s item number was claimed around 650,000 times. This may be because the effects of pregabalin are more predictable than those of its predecessor, gabapentin.

    Side-effects

    The main side effects of pregabalin are drowsiness, dizziness, impaired balance, and an inability to think properly. These are more likely to occur soon after treatment starts and may diminish with time. Less common side-effects include blurred vision, dry mouth, fatigue, and weight gain.

    Side-effects are the main reason patients stop taking pregabalin for nerve pain. So it is really important that the initial dose is not too high and that the dosage gets increased slowly, especially in older people and those with impaired kidney function.

    Special considerations

    Pregabalin is excreted from the body in urine through the kidneys. People with impaired kidney function need lower doses of pregabalin as the drug would be excreted more slowly. Pregabalin is not broken down in the liver so it does not interfere with the liver breakdown of other medications.

    Prolonged use of pregabalin does not produce tolerance and dependence, nor does it have the same potential for misuse, abuse, or addiction. Pregabalin can also be used safely with other painkillers such as paracetamol and morphine.

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  • Music Therapy can Reduce Fibromyalgia Pain

    In fibromyalgia patients, music therapy can reduce pain, depression, anxiety, and improve sleep. The findings come from researchers at the University of Granada who found that music therapy combined with relaxation techniques can help improve many areas in the lives of fibromyalgia patients. With improved depression, anxiety, sleep, and reduced pain, a patient’s quality of life can greatly improve.

    Study participants were fibromyalgia patients from Spain who underwent a basal test prior to treatment, a post-basal test four weeks after the treatment, and another one eight weeks after the treatment.

    The researchers applied a relaxation technique based on guided imagery and music therapy led by a researcher. Patients were also given a CD to listen to at home. Researchers measured variables associated with the main symptoms of fibromyalgia and then the patients were given an opportunity to participate in their own treatment.

    The researchers suggest that guided imagery and music therapy is a cost-effective, easily implemented, and overall effective treatment for fibromyalgia patients. The researchers noted, “Further empirical research studies are needed to address other physiological variables associated with the well-being generated by these two techniques, and that analyzes patients’ self-efficiency and personal power to get involved in their own treatment.”

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    Manage fibromyalgia pain through music therapy

    Music therapy is an effective mode of treatment for fibromyalgia patients. It is carried out by a music therapist who assesses the patient’s needs in order to create an individualized treatment plan that can involve singing, listening, composing, and moving to music.

    Music therapy has been around for many years and isn’t just effective for fibromyalgia. In fact, music therapy can be utilized for many ailments in order to improve patients’ quality of life by helping to reduce stress, alleviate pain, and improve overall well-being.

    A patient does not need to be musically inclined in order to benefit from musical therapy and there isn’t a specific type of music that needs to be used. A music therapist works closely with the patient to understand their own unique needs and picks music based on those needs. Although working with a therapist is recommended, there is also the so-called prescriptive music that consists of 50 to 60 beats per minute. This recorded version of music therapy also has been found to help lower blood pressure and reduce pain.

    If you have been struggling with the symptoms associated with fibromyalgia and want to try an alternative mode of treatment, speak to your doctor about a referral for music therapy as it could very well offer you benefits.

    Music can be beneficial to the management of chronic pain, as it can cause physiological changes within the brain in the regions associated with language, memory, and attention. These changes also affect the way the brain processes pain, which can lead to an overall change in the way a patient experiences pain.

    Music therapy benefits in fibromyalgia treatment

    Music therapy is especially effective for those with fibromyalgia, as it is something that can be done in the comfort of their own home. Fibromyalgia patients are sometimes too fatigued or in too much pain to make the journey to a doctor’s office, meaning therapy that can take place with minimal or no travel is especially favored. It can be completed in your own time, on your own schedule, and is cost-effective, meaning that it is easily accessible for all.

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