Fibromyalgia And Bipolar Disorder : Extent Of Comorbidity And Therapeutic Implications

Diagnosis of FMS is often very difficult. There are many different symptoms that seem to be unrelated. Some of the symptoms such as fatigue overlap with many other diseases. A patient will often have to visit many different doctors before being properly diagnosed. Also, there currently is no lab test to rule whether or not a patient actually has FMS. As physicians become more aware of the disorder and its classic symptoms, it will be easier for them to diagnose it. Still, many other diseases and disorders must first be ruled out before the patient is diagnosed as having fibromyalgia. The American College of Rheumatology (ACR) has established some criteria for diagnosis: more than three months of muscular pain and tender points, there must be pain in all four quadrants of the body (top, bottom, left, right), and there must be at least eleven tender points (the ACR has established eighteen of these points). (Source 1)

Fibromyalgia Syndrome (FMS) is a debilitating neurological disorder characterized by chronic widespread pain and fatigue. It affects approximately 2% of the population, and is more common in women than in men. Central nervous system sensitization affects the entire body, leading to many secondary symptoms. This paper will cover the history, symptoms, and causes of FMS as well as known treatments and exercise prescription for the syndrome.

Exercise is considered an important part of fibromyalgia treatment. According to studies, children who exercise and have fibromyalgia experience less pain. They are also less likely to experience depression or anxiety. Physical therapy can help improve the child's ability to exercise and work through the muscle soreness. In some cases, medication may be given to help with depression and pain. Currently, the efficacy of drugs for children with fibromyalgia is

“Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals (Mayoclinic Staff, 2015).” There are several theories as to why this pain continues to exist post treatment. Researchers have postulated that this disease process amplifies painful sensations in your brain, others retain that it acts like an arthritic condition as it degrades the joint capsule and most soft tissue within. These patients can display a wide variety of symptoms ranging from sleep problems and fatigue, to pain and muscle spasms and or muscle

Throughout history there has always been a debate on whether or not fibromyalgia is a valid health concern. Finally with today’s technology and medical research it can finally be diagnosed.Even though doctors are unable to pinpoint the root cause of these symptoms, we now know it is a valid and widespread medical condition. Fibromyalgia used to be called “muscular rheumatism.” Which is a neurobiological disorder that affects many in their daily lives. The main description of this diagnosis is chronic widespread pain, that can also disturb one's psychological state of mind. Fibromyalgia was not

Fibromyalgia Syndrome (FMS) is complex and multi-faceted. It affects numerous areas of a person’s life and its symptoms can interfere with their ability to carry on daily activities. Fibromyalgia impairs the joints and/or soft tissues resulting in severe & chronic pain; in this way it resembles arthritis. However, because it doesn’t cause inflammation or permanent damage to the joints, muscles, or other soft tissues, it is not considered a true form of arthritis (NIAMS). The many symptoms of FMS include sleep disturbances & unrestorative sleep; generalized morning stiffness; headaches; irritable bowel syndrome; painful menstrual periods; numbness, tingling, and/or weakness of the extremities; restless leg syndrome; temperature sensitivity; and sensitivity to loud noises, bright lights, touch, and even smell. One of the more challenging symptoms is “Fibro Fog”—an experience of confusion and forgetfulness, the inability to concentrate, and the loss of short-term memory.

It’s a life of severe chronic fatigue, pain, depression, and anxiety. Unheard of as recently as twenty years ago, fibromyalgia is now the most common diagnosis made by rheumatologists in America, affecting around 10 million people.

Some of the most common places fibromyalgia will cause pain in is joints, abdomen, back, or neck. The pain types can be chronic, diffused, sharp, or severe. Fibromyalgia can also cause mood swings, insomnia, fatigue, pins and needles, depression, headache, irritability, joint stiffness, nervousness, painful menstruation, back pain spasms, or tingling feet. That is just a short list of symptoms. Fibromyalgia is what doctors diagnose patients with when they have pain and do not know what is causing it. Misdiagnoses could also be Lupus, Lyme disease, Arthritis, and Sleep

In a literal translation fibromyalgia means muscle fiber pain. It is a chronic pain disorder that causes pain and tenderness in the muscle to the touch. By affecting the way your brain processes pain signals, researchers believe that fibromyalgia amplifies those sensations. Robert Bennett MD, explains that different parts of the brain are involved in pain reactions. Pain sensation is necessary; it serves as a reflex to avoid discomfort. This unconscious reflex of avoidance causes the brain to swiftly react, before the actual awareness of the pain sensation occurs. This chronic disorder causes widespread body pain, fatigue, tension headache, digestive problems, depression, anxiety and temporomandibular joint disorder. To have an accurate diagnosis for fibromyalgia health professionals rely on physical examination, a precise tender point examination, and the patient’s history.

Fibromyalgia is a painful, chronic disorder that affects every day life of patients. This debilitating disorder is widely misunderstood and misdiagnosed. The two combining forms in fibromyalgia are “fibro”, which means fiber, and “my/o”, which means muscle (Olson, 2015). The suffix “-algia” translates to pain. When put together, fibromyalgia is defined as pain of muscles and connective tissue structures (Merriam-Webster). This chronic condition causes pain at specific points throughout the whole body, making the pain widespread.

Fibromyalgia syndrome (FMS) is a chronic pain conditions that affects the musculoskeletal. It affects at least 2% of the adult population in the United States and mainly occurs in women. Patients exhibit a variety of  symptoms including muscle pains, sleeping problems, painful, tender trigger points, fatigue and more. It's believed that the syndrome arises from stress, medical illness in a variety of pain conditions.

Generally, the first point of call would be a general practitioner who would more than likely refer you to a pain management expert who will recommend a couple of courses of treatment which might include physiotherapy, cognitive behavioral therapy and non-steroidal anti-inflammatory drugs (nsaids). These are identified to help with pain, irritation, swelling and stiffness. There are diverse physiotherapies for fibromyalgia treatment in Delhi at PHYWorld including TENS therapy which aids in relieving localized pain, tender spots and musculoskeletal pain diseases. Massage is another wonderful option that is advantageous in promoting optimum healing by improving the circulation of blood across the tissues to augment retrieval and offers symptomatic relief. Physiotherapy exercises are useful in improving the muscle functioning and freedom of

The manic, episodic nature of bipolar disorder has made difficult for primary care doctors to diagnose and understand. A 2000 study validates this point—69% of respondents with bipolar disorder were considered previously misdiagnosed (Hirschfield 2003). The study would go on to reveal that average bipolar patient receives on average, three and half wrong diagnoses before being correctly identified as bipolar. While as humans we tend to be cognizant of when we are depressed and understand that it is good to go to clinician for this, we are less aware that

Where: This article was found on WebMD. The web addresses affliction is .com; therefore, the website may or may not be dependable (Whitney & Rolfes, 2016).

After reviewing chapter 5, along with symptoms associated with the disorder the length of time that a person shows the symptoms is important when saying if something is a disorder such as the diagnosis for depression; which the diagnosis of “depression requires that a person experience either depressed mood or loss of interest or pleasure in one’s usual activities plus at least four other symptoms of depression of a period of two weeks or longer”. PMS is usually about a week long and effects women between ovulation and menstruation which is generally a short time frame that is less than two weeks. Also, PMS symptoms are like other mental disorders such as depression and it’s hard to separate them (). There can be other biological circumstances