Pharmacological therapy of fibromyalgia: what patients should know

Pharmacological therapy of fibromyalgia: what patients should know

Drug treatment of fibromyalgia - what the patient needs to know

Fibromyalgia is a neurological disease characterized by reflex pain in muscles and fascia. The disease belongs to the pathologies of peri-articular soft tissues. In the development of myofascial pain syndrome of the spine, several phases are distinguished: acute, subacute and chronic. Fibromyalgia occurs in different parts of the body and has a clear localization. The disease is characterized by the formation of trigger zones - areas of compaction in muscle fibers.

Causes of fibromyalgia:

  • anomalies of the development of the musculoskeletal system (different limb lengths, flat feet, asymmetry of the pelvic bones);
  • curvature of the spine (scoliosis, kyphosis, lordosis);
  • chronic joint diseases;
  • excessive physical exertion;
  • bruises, injuries;
  • long immobilization;
  • hypothermia;
  • chronic stresses;
  • uncomfortable clothes that squeeze the muscles.

The main cause of myofascial syndrome of the lumbosacral spine is excessive physical exertion and prolonged sitting (at a computer, in a car).

The risk factors that provoke the onset or aggravation of the disease include: stooping, obesity, wearing tight clothes, emotional lability and diseases of the spine.

Fibromyalgia: what it is, how to treat the disease

As mentioned above, myofascial pain syndrome is a neurological pathology characterized by pain and the formation of muscle knots. The disease can manifest itself in different groups of muscles.

Localization of myofascial pain:

  • upper and lower limbs;
  • head;
  • stomach;
  • buttocks;
  • back;
  • chest cell;
  • neck.

Note that the cause of myofascial pain syndrome in the neck is most often osteochondrosis or spondylosis. To confirm the diagnosis, the patient is required to undergo an X-ray.

Symptoms of fibromyalgia

Myofascial pain syndrome of the face. The disease is manifested by pain in the area of ​​the chewing muscles, spasms of the facial muscles that limit the movements of the lower jaw, and a crunch in the temporomandibular joint.

Pains in the stomach and chest. Trigger points in this case cause pain in the upper part of the chest and the right side of the hypochondrium, simulating the symptoms of gallbladder dysfunction.

Pains in the neck and shoulders. In cervical fibromyalgia, trigger points are located in the upper part of the trapezius muscles. Most often, this pathology develops in office workers and people with postural disorders.

Pain in the thigh. The symptoms of fibromyalgia in this case are as follows: pain in the groin, which radiates to the thigh, and the inability to stay in a sitting position for a long time.

Myofascial hand pain syndrome. Pain occurs when bending and extending the arms. Often, the patient feels pain in the area of ​​the elbow joints and in the little fingers.

Pains in the lower limbs. The cause of the pathology is most often injuries and excessive physical stress on the legs. The syndrome is manifested by pain in the area of ​​the knee joints and the lateral surface of the thigh.

You can learn about the causes of fibromyalgia of the jaw and head at a consultation, for which registration is open on our website Dobrobut.com. Reception is conducted by specialists of the highest category with many years of experience. If necessary, the doctor will prescribe a diagnosis and tell in detail about fibromyalgia, what it is and how to treat the disease.

Diagnostics

A neurologist deals with the treatment of pathology. After a thorough examination of the patient, the doctor can prescribe additional studies, namely: MRI (magnetic resonance imaging), electroneuromyography, ultrasound examination (US) and radiography. Based on the results of the research, a treatment plan will be prescribed.

Treatment of fibromyalgia

The course of therapy begins with the treatment of the main disease that caused the myofascial pain syndrome. In addition, the patient is prescribed anesthetics, sedatives, and antispasmodics. To eliminate the pain syndrome, it is appropriate to prescribe pain-relieving ointments. After relief of acute pain, therapeutic massage, acupuncture and exercise therapy are recommended. Additional methods of treating fibromyalgia include special exercises for stretching the affected muscles and hot wraps.

Important: it is necessary to treat the pathology at the first symptoms before the formation of complications and the transition of the disease into a chronic form. The sooner the treatment is started, the more chances the patient has for a full recovery. By the way, during the consultation, the doctor will not just recommend certain methods of treatment, but will also tell you what has helped someone with fibromyalgia pain.

Prevention

Prevention of the disease, according to doctors, will be helped by regular exercise, healthy sleep, emotional calm, a properly equipped workplace, proper nutrition and proper weight distribution during heavy physical work. Office workers who spend most of their working time in a sitting position and drivers need to monitor correct posture and alternate periods of work with 15-minute breaks.

Related services:
Remedial physical education (PE)
Massage

Updated: 04.04.2025
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Doctors who advise on this issue:
24experience (y.)
Zhylinska Tamara Mykhailivna
Zhylinska Tamara Mykhailivna
Neurologist
35experience (y.)
Dzhumik Valentyna Anatoliivna
Dzhumik Valentyna Anatoliivna
Neurologist
23experience (y.)
Borodina Olena Oleksandrivna
Borodina Olena Oleksandrivna
A general practitioner is a family doctor; Gastroenterologist; Physician; Ultrasound doctor
19experience (y.)
Patlan Svitlana Mykolaivna
Patlan Svitlana Mykolaivna
A general practitioner is a family doctor; Pediatrician; Physician
30experience (y.)
Lukach Oksana Ivanivna
Lukach Oksana Ivanivna
Neurologist; Ultrasound doctor

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