Fibromyalgia

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Fibromyalgia is a chronic pain syndrome diagnosed by the presence of widespread body pain (front and back, right and left, both sides of the diaphragm) for at least 3 months in addition to tenderness (digital palpation at an approximate force of 4 kg) of at least 11 out of 18 designated tender point sites as defined by the American College of Rheumatology 1990 classification criteria. The cause is not well understood, but may be related to a disordered pain perception mechanism. Classification: Primary fibromyalgia is the more common form of fibromyalgia whereby another cause for pain is not found; Secondary or concomitant fibromyalgia refers to fibromyalgia that accompanies another rheumatic disorder or follows an inciting event: Significant infection; Injury, physical; Emotional trauma; Admission to the hospital; Inciting events are not felt to be necessarily causal per se, but may trigger disordered pain perception resulting in the symptoms of fibromyalgia. Treatment and prognosis are the same as for primary fibromyalgia. Juvenile fibromyalgia is a much less common form of the condition, which occurs in children and adolescents. It carries a better prognosis than fibromyalgia in adults. An alternative classification may be useful in directing treatment options: Type I - patients with no associated processes; Type II - patients with associated rheumatic-autoimmune chronic diseases; Type III - patients with severe psychiatric disorders; Type IV - patients with simulated fibromyalgia. The common symptoms are pain, fatigue and fibro fog, but the list of possible signs and symptoms of fibromyalgia are far-reaching and body-wide; There is no radiographic or laboratory testing for fibromyalgia; the diagnosis is strictly a clinical one. However, if the patient does not meet clinical criteria for a diagnosis of fibromyalgia, then some further tests may help explain the patient's musculoskeletal pain or fatigue. Presence of chronic more than 3 months widespread body pain in the muscles and joints.

Symptoms:

Laboratory Test Procedures:

pain
fatigue
fibro fog
sweating
weight changes including unintended loss or gain
cravings for carbohydrate and chocolate
headache
blurred vision
gradual loss of peripheral vision, usually in both eyes
delayed reactions to physical exertion or stressful events
morning stiffness
muscle twitching
diffuse swelling
sneezing
ringing ears
earaches
shortness of breath
trouble sleeping
teeth grinding
change in menstrual cycles
erectile dysfunction
bloating of the abdomen with fluid
nausea
cramps
pain in the pelvic area
frequent urination
difficulty speaking
directional disorientation
loss of balance
tingling or burning in fingertips, toes and lips
confusion
forgetfulness
concentration difficulties
sensitivity to light
sensitivity to cold
sensitivity to heat
sensitivity to noise
sensitivity to odors
having a sense of impending danger, panic or doom
depression
behavioral and emotional changes
irritability
fast heartbeat
irregular heartbeat
mucosal bleeding
decreased body hair
easy bruising
freckles

ESR - Sed Rate
TSH
T4 Free
T3 Free
Hemoglobin
Hematocrit
RBC
Iron, Serum
Rheumatoid Factor, titers
Rheumatoid Factor, units
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