Comprender la fibromialgia y síndrome de fatiga crónica

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Relative to many of today's diseases and disorders, little is known about the etiology, the cause, and the long-term effects of Chronic Fatigue Syndrome (CFS) and Fibromyalgia Syndrome (FMS). The two disorders share a myriad of characteristics, however, which begs the question: Are they really two separate diseases? How does Myofascial Pain Syndrome fit in? What are the various pain expressions characteristic of each? How are symptoms the same or distinct from each other? Neck pain, back pain, and sciatica have been reported in all three conditions but in varying degrees of intensity and frequency. How are they the same and how are they different? We have already begun to explore the answers to these questions in previous articles, we will continue to do so in this and subsequent articles in this series.

There are many similarities between chronic fatigue syndrome and fibromyalgia. The course of both disorders is generally persistent and chronic, with symptoms arising steadily to a crescendo, often waxing and waning in cycles. Unfortunately, the prognosis is poor with little real understanding of the etiology or cause. Treatment strategies for both chronic fatigue and fibromyalgia are focused more on symptoms than on treating the perceived cause. Pain often varies from dull to acute, from fleeting to constant or chronic. Improvement is possible for those with the disorder(s), but complete recovery is rare. Most CFS and FMS sufferers continue to have symptoms for years, if not decades.

Sufferers of both CFS and FMS also seem to be susceptible to secondary psychological problems, such as depression, anxiety, and mood swings. The psychological and psychosomatic aspects of these conditions have not been lost on researchers, with much current research focusing on related psychological issues. It is also quite common for depression to become quite serious, as chronic fatigue symptoms and fibromyalgia pain take a heavy toll.

Treatment for both disorders, FMS and CFS, are often similar, if not the same. Increased occurrence has been demonstrated in blood relatives, suggesting a possible genetic component to the disorder. And, while certain segments of the population seem to be at greater risk, are more susceptible, both conditions are present in all demographic groups. However, the most susceptible demographic group, for both disorders, is women in their middle years, particularly women from 30 to 50 years of age. Symptoms of both fibromyalgia and chronic fatigue syndrome seem to worsen after exertion, demanding activity, and stress of all types (physical, cognitive or emotion).

When routine lab tests are conducted on patients with suspected CFS or FMS, the results quite often appear normal. Both disorders are extremely difficult to diagnose. CFS and FMS often overlap or are found jointly with other disorders and/or diseases such as allergies, tension headaches, migraines, irritable bladder, irritable bowel and autoimmune disorders.

Chronic fatigue and fibromyalgia also share numerous abnormalities not commonly linked to other disorders. Some of the abnormalities or characteristics peculiar to CFS and FMS include central nervous system abnormalities (CNS), perhaps a reason for the various pain expressions and mood disorders, and lowered levels of the neurotransmitters norepinephrine and serotonin, also with an impact on mood and pain, to include neck pain, back pain, deep hip and pelvis pain, and sciatica. Fibromyalgia sufferers in particular experience a decreased threshold for pain overall, at times localized and at other times diffuse and acute. Chronic fatigue patients will also suffer from idiosyncratic pain, diffuse and varied in its expression. Abnormalities also arise in each of the nervous system's two branches, the sympathetic and parasympathetic nervous systems.

FMS and CFS patients may also exhibit disorders affecting multiple body systems, the nervous system, as noted above, the circulatory system, particularly hypertension and heart-related problems (also a possible stress link) and digestive, as in ulcers and acid reflux (stress again) and endocrine (hormones also impacted by stress). Sleep abnormalities are considerable and widespread. Interestingly, brain imaging seems to indicate that blood flow wanes to some areas of the brain. Symptoms also appear to arise in patients' sensory processing, generating a higher sensitivity to sensory input (light, sound, chemicals) and, again, pain stimuli. To summarize, chronic fatigue syndrome and fibromyalgia share a host of symptoms, ranging from neurological to gastrointestinal.

There are symptoms characteristic of each disease or disorder, chronic fatigue and fibromyalgia. For example, CFS presents a more powerful association or link with intolerance to exercise, greater fatigue, flu-like symptoms and vision changes. Symptoms found to be more prevalent in fibromyalgia include the presence of the particularly painful trigger and tender points and the presence of allodynia. Allodynia is the powerful triggering of pain responses for things that wouldn't be painful to an unaffected person. Physicians refer to a certain pain expression from movement or motion as "motion allodynia." Pain specialists refer to pain at a comfortable or normal temperature, temperature not uncomfortable to the most people, as "cold allodynia." Allodynia is often used by physicians to refer to neuropathic or "bizarre" pain, which presents as the result of any non-noxious stimuli, often "jumping around from affected to unaffected parts of the body.

Of the two disorders, CFS is being reported to be nearing or at epidemic levels, affecting many persons at the same time across a wide range of demographic groups. CFS symptoms wax and wane more frequently than symptoms of FMS, and the rate of disability is greater in chronic fatigue syndrome patients. Currently, we don't know what the direct (or indirect) connection is between chronic fatigue syndrome and fibromyalgia. Early research and speculation has suggested that they could possibly be distinct, meaning the two disorders are not related, identical, the same disorder, but with different names, overlapping, two diverse expressions of a similar disorder or possibly the result of different causes or triggers leading to a common pathway, two subtypes of a larger illness and part of a spectrum of illnesses, including both...and possibly Myofascial Pain Syndrome. Until further research is done, it is difficult to say with any degree of certainty.

For further information and an intelligent program of treatment for neck pain, back pain, and sciatica, what I refer to as the "back pain complex" try the program below:

http://www.HowToStopSciatica.com

For additional resources dealing with CFS and an awesome program for fibromyalgia, as well as related neck pain, back pain, and sciatica, including additional treatment plans and a community for support; an awesome resource for New Balance running shoes, great for heel cushioning and a must for anyone suffering from neck pain, back pain, and/or sciatica; ice-compression braces, crucial for inflammation and swelling; orthotics for the times when the New Balance can't be worn; and, natural anti-inflammatories for the back pain complex.

Go to:

http://www.UltimateBadBackStrategies.com

John P. Zajaros, Sr., The Bad Back Guy

Fatiga crónica - nuevos conceptos en la comprensión de esta enfermedad

El diagnóstico médico de síndrome de fatiga crónica (SFC) es complejo debido a su similitud con otros trastornos mal definidas como fibromialgia, síndrome de la guerra del Golfo y el síndrome de Sjogren. Existe una superposición significativa entre los síntomas asociados con cada una de estas condiciones.

CFS es considerado por la medicina hoy para ser una subclase de fatiga crónica. Esta afección se caracteriza por la falta de definición de los síntomas que permiten un diagnóstico médico. Se desconocen la patología y las causas de estos síndromes de fatiga.

Sólo 1-2% de los pacientes con fatiga crónica recibir un diagnóstico de SFC. CFS pacientes sufren de:

* la desactivación de fatiga

* dolores de cabeza

* problemas de memoria y concentración

Los síntomas adicionales incluyen:

* dolores de garganta

* la licitación de los ganglios linfáticos

* dolor muscular esquelético

* feverishness

* trastornos del sueño

* problemas psiquiátricos

Debido a esas denuncias, las personas a menudo enfrentan problemas sociales, pérdida de puestos de trabajo y la ruptura del matrimonio. Aunque estos síntomas suelen ser menos graves en uno con fatiga crónica (sin diagnóstico), las complicaciones de vivir con esta enfermedad son similares a CFS (diagnosticada).

Causa de fatiga crónica son Multi-Factorial y desafiar una causa se ajuste todo descripciones

Los científicos y médicos tratan desesperadamente desentrañar los misterios de estas condiciones que perturban la vida de tantos millones de personas. La fatiga es una de las principales condiciones que sufrió por la gran mayoría de la población.

Una nueva pieza interesante de investigación sobre el síndrome de la guerra del Golfo fue la noción de que las vacunas administradas a los soldados, como el ántrax, causaron la condición. Se ha demostrado que los virus y las vacunas inducen una respuesta del sistema inmunitario que no se apaga. Lo que sigue es una crónica activación del sistema inmunitario que clínicamente se expresa como los síntomas de CFS.

Lo interesante de esta observación es que es compatible con los argumentos de muchos padres de niños autistas que las vacunas fueron un factor primordial en la causa del autismo. El establecimiento médico y el Gobierno, sin embargo, han aplastado estas afirmaciones.

Tal vez teniendo una página de tratamientos no médicos para el autismo, incluido el uso de constructores del sistema inmunitario como calostro, puede ser un buen movimiento. Esto señala el camino a la utilización de muchos tratamientos no aprobados por la medicina que se basan en la estimulación de la respuesta de curación natural del cuerpo, en lugar de la actual utilización excesiva de medicamentos recetados.

Es evidente que la fatiga crónica y CFS pacientes poseen un desequilibrio del sistema inmunitario. Hay disminución de la función en:

* Las células NK

* macrófagos

* otros marcadores del sistema inmunitario

Sin embargo, no hay ningún vínculo claro entre la inmunidad anormal y CFS. Eso es lo que hace que este tema tan difícil de definir y lleva a uno a darse cuenta de que sólo inmediata soluciones viables para ayudar a proporcionar alivio para quienes sufren de fatiga crónica.

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Fibromialgia de fatiga crónica - comprensión fibromialgia de fatiga crónica

Una persona que sufre de agotamiento grave diariamente durante al menos seis meses puede estar sufriendo de fatiga crónica. Hay una variedad de síntomas además de estar cansado que la persona puede estar sufriendo. Incluyen problemas con concentrarse en una determinada tarea, problemas de memoria, problemas para dormir y dolor de garganta crónica. Aunque en general la fatiga crónica por sí mismo no físicamente dolorosa.

Fibromialgia es la enfermedad que deteriora las articulaciones en el cuerpo. Estos provoca dolor que es difícil de controlar sin medicamentos para el dolor. A menudo se asocia con problemas para dormir y fatiga. A menudo es provocada por un problema con el sistema inmunológico o el hipotálamo. Progresan en el tiempo a lo largo del cuerpo y el dolor será más grave a medida que avanza.

Una buena forma de ayudar a retrasar la progresión de la fatiga crónica fibromialgia es consultar regularmente con un médico. De esta forma que los medicamentos pueden modificarse según sea necesario. Muchos médicos están abiertos para el concepto de los pacientes que toman medicinas alternativas para tratar la fatiga crónica, fibromialgia, pero no escriban una receta para ello. Seguirán para ayudarle a controlarla incluso si rechazas medicamentos tradicionales para ello.

Comer una dieta bien equilibrada ayudará también la condición de difusión a un ritmo rápido. Buscar alimentos que sean ricos en vitamina B. También es una buena idea tomar un suplemento regular.

Es importante buscar tratamiento para la fatiga crónica, fibromialgia, tan pronto como aparecen los síntomas. Puede tomar tiempo para encontrar la combinación correcta de los medicamentos y la dieta para el individuo. Cuanto antes el tratamiento comienza más lenta que la enfermedad será capaz de avanzar.

Es vital que una persona con fatiga crónica fibromialgia obtiene un descanso adecuado. Esto puede lograrse por la derecha medicamentos para controlar el dolor y por acostarse y levantarse al mismo tiempo todos los días. Abordar el dolor es el más importante aunque porque no se puede esperar una persona con fibromialgia fatiga crónica para obtener suficiente sueño cuando ellos están sufriendo constantemente.

Si has encontrado útil esta información sobre fibromialgia de fatiga crónica, también querrá ver fibromialgia

Comprender el síndrome de fatiga crónica (SFC)

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Chronic Fatigue Syndrome (CFS) is a complex disorder about which little is known. The reasons for onset, etiology or cause of CFS are still largely unknown. In spite of the fact that more than one million individuals suffer from the disorder in the United States alone, physicians are still focused primarily on symptoms, rather than causality. There are no physical signs to alert an individual or your medical practitioner to the presence of CFS, nor are there any conclusive diagnostic laboratory tests designed to diagnose it. The only thing more difficult than diagnosing and treating chronic fatigue syndrome, is living with it!

The onset

Chronic Fatigue Syndrome differs from other chronic illnesses in that about three-fourths of occurrences come with what can only be described as an abrupt onset, often presenting suddenly and, seemingly, out of nowhere. Other instances of chronic fatigue spring up after a long period of mild symptoms, generally triggered by a traumatic event or stress. While suggestive, the link between stress and chronic fatigue remains only that...suggestive.

Etiology or Cause

The research into CFS has been extensive, published virtually around the world and in every scientific journal and magazine you can think of, the interest is intense as the disorder reaches epidemic levels. Every organization, from the National Science Foundation (NSF), to the National Institutes of Health (NIH), and the Center for Disease Control (CDC) have researched this complex and puzzling phenomenon, but to no avail. There are a number of powerful hypotheses but as of yet no solid data to support any of them. While anecdotal, it seems that the disorder only recently, in fact over the past three and one-half decades, has burst onto the scene, peaking the interest of scientists, researchers, and the medical community as a whole.

Transmission

No solid conclusions have been drawn pertaining to transmission of chronic fatigue. In fact there is no evidence at all to support the proposition that CFS may be contagious. Nevertheless, multiple cases of the disorder have been diagnosed in the same family. There does seem to be powerful suggestive evidence that chronic fatigue may indeed have a genetic component, however, the jury is still out. More research is needed to prove or disprove the suggestion that CFS is or is not genetic.

Symptomology

Chronic Fatigue Syndrome is categorized by incapacitating, debilitating, and even totally disabling fatigue. CFS presents with a myriad of symptoms, many resembling other illnesses. Symptoms of CFS mimic those of several other disorders, making it extremely difficult to properly diagnose. Chronic fatigue symptoms are similar to those of Fibromyalgia Syndrome, Myofascial Pain Syndrome, multiple sclerosis, mononucleosis, and even Lyme disease. The symptoms are widespread, and are usually broken down into three categories, they are listed below.

General or physical symptoms:

Many sufferers of CFS find it nearly impossible to perform any sort of physical exertion. When engaged in physical activity, such as exercise or any sort of physical labor, the CFS sufferer may experience shortness of breath, light-headedness, and even blackouts. While some individuals are able to conquer the work week, usually exerting tremendous effort to do so, many more are bedridden, forced to rely solely on others, totally disabled. Problems compound in the ear, nose and throat area, appearing to be endocrine driven symptoms (glands and hormones). Sore throats and swollen lymph nodes occur, perhaps suggestive of an infection (antigen/antibody reaction), as when the body attempts to fight off a foreign body or when the body is undergoing an extreme stress reaction. While allergies develop and symptoms become more severe, fevers often present as a symptom as well. Additionally, CFS sufferers will experience night sweats, weight change with little or no apparent change in dietary habits, and they will often suffer from irritable bowel syndrome and bladder dysfunction. Interestingly, many of the conditions listed above are often present during periods of exaggerated stress.

Neurological symptoms:

Sleep disorders are a common symptom of CFS and it has been suggested that increased pain sensitivity may contribute to the restlessness and sleeplessness many experience. Chronic fatigue sufferers often experience difficulty with their senses, mainly in the form of vision changes and sensitivity to bright light, olfactory changes (odor perception) and sensitivity to certain chemicals have been documented. Disorientation may also occur with CFS, while some suffer with problems of balance and spatial perception. Trouble with concentration and memory have also been reported, seeming to present along with impaired word usage during a phenomenon called "brain fog." Some living with CFS are even subject to seizure-like episodes and unusual and disturbing nightmares.

Emotional problems:

Depression is often connected with chronic fatigue syndrome. Along with depression, CFS sufferers experience suicidal ideation, anxiety (with or without panic attacks), anger and rage issues, and mood swings ranging from pronounced manic episodes to suicidal depression. The depression experienced alongside CFS may be chemically induced, due to a serotonin and norepinephrine imbalance, as well as a consequence of external events, such as severe pain, disability, and hopelessness due to lack of treatment options.

CFS varies in degree and expression, type and severity, from one patient to the next. In the same individual, chronic fatigue may wax and wane from one day to the next, even hour to hour. Chronic Fatigue Syndrome symptoms may be mild to acute, fleeting to chronic, in the same individual and from day-to-day.

Chronic Fatigue Syndrome crosses all barriers and touches individuals from all walks of life. There are no clear ethnic, socioeconomic or age-related factors...anyone may be affected. However, there does seem to be a gender issue, with twice as many women as men presenting with the disorder, particularly women between 30 and 50 years of age. Of the known cases of CFS, those with verifiable diagnoses, at least twice as many women have the disease as men. It also appears to affect pregnant women at a much higher rate than the rest of the population. The reason or reasons for the gender discrepancy, like the difficulty with the initial diagnosis, is problematic and requires more research. The complexity of the disorder, combined with a lack of any sort of diagnostic standard, results in a medical community that is reactive, required to treat symptoms, with little or no real idea of etiology (cause). The impact of chronic fatigue on the lives of those suffering from this debilitating and disabling disorder is unfathomable to those who aren't living it on a daily basis. Like Chronic Pain Syndrome, Chronic Fatigue Syndrome creates a constellation of secondary and tertiary consequences, some as bad if not worse than the original condition. Until etiology (cause) is established, CFS sufferers deal with, on a daily basis, one of the most debilitating of all disorders. While their load may be lightened with an individually designed and implemented treatment strategy, the ultimate treatment, a cure, still appears elusive.

For further information and an intelligent program of treatment for chronic pain, including fibromyalgia, neck pain, back pain, sciatica, and what I refer to as the "back pain complex" try the program below, it is excellent.

HowToStopSciatica.com

For additional resources dealing with neck pain, back pain, and sciatica, including additional treatment plans and a community for support; an awesome resource for New Balance running shoes, great for heel cushioning and a must for anyone suffering from neck pain, back pain, and/or sciatica; ice-compression braces, crucial for inflammation and swelling; orthotics for the times when the New Balance can't be worn; and, natural anti-inflammatories for the back pain complex. You can also access a 300+ page book on all aspects of pain relief and health care, absolutely free:

Go to:

UltimateBadBackStrategies.com

John P. Zajaros, Sr., The Bad Back Guy