Posted by Alex
TREATMENT-NONPHARMACOLOGIC MODALITIES
Education-Patients with fibromyalgia seem to be comforted once the diagnosis is confirmed by a healthcare professional. Much of what we can do is to “witness” the disease along with the patient. Even though we do not have successful treatments we can help people understand the disease process, what will worsen it, and how long the exacerbations will last. People also do better when they are given some part in their recovery. Relaxation and breathing exercises can be used to help a person maintain their functional ability at work. There also is benefit in “uncoupling” of the sensory component of the pain and the cognitive appraisal of the pain. Celebrex arthritis
Exercise-As muscles atrophy, the pain worsens and prospects for full recovery diminish. Maintaining muscle tone needs to be a priority in treating fibromyalgia. Exercise programs need to start off with stretching. Exercises should be low load, low repetition and focus on strengthening. If aerobics are done they should be low impact. Pain limits should not be exceeded, and when pain develops exercise should stop. Water aerobics are particularly well tolerated. Buy canadian Sumatriptan
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Posted by Alex
AGGRAVATING AND ALLEVIATING FACTORS
Fibromyalgia patients do not respond uniformly to external factors. It is generally accepted that cold weather, humid weather or a rapid change in temperature can bring on an exacerbation of fibromyalgia. Lifestyle patterns involving sleep, exercising past the point of exhaustion, anxiety, remaining inactive for long periods of time, missing sleep or meals, and allowing oneself to become severely phys ically or mentally fatigued can cause a flare-up in the syndrome. Other triggers include surgery, medical illness, hypothyroidism, even the activation/infection of HIV or Lyme disease can trigger fibromyalgia. This is not a universal response and in different populations different responses to these stimulii can be found. Imitrex migraine
The protective factors are considered to be staying on a strict schedule, living in warm or dry weather and maintaining a moderate activity schedule.
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Posted by Alex
Fibromyalgia is the name given to a collection of symptoms with no clear physiologic cause. The constellation of symptoms are clearly recognizable as a distinct pathologic entity. The diagnosis is made through clinical observations made by the examiner. Differential diagnosis must include other somatic syndromes as well as disease entities like hepatitis, hypothyroidism, diabetes mellitus, electrolyte imbalance, multiple sclerosis, and cancer. Diagnostic criteria are given as guidelines for the diagnosis, not as absolute requirements. Treatment of this condition remains individualized and relies heavily on having a therapeutic relationship with a provider. Treatment of this syndrome needs to be looked at as an ongoing process. Goal oriented treatment aimed at maintaining specific functions can be directed at helping a patient get restorative sleep, alleviating the somatic pains that ail the patient, keeping a person productive, regulating schedules or through goal oriented agreements made with the patient. Since this syndrome is chronic and may effect all areas of a persons functioning the family and social support system of the person being treated need to be evaluated. Patients often seek alternative medical treatments for this problem including diet therapy, acupuncture, and herbal therapy. Treatment must involve more than just the symptoms presented and the patient can only be treated successfully if they are willing to work at changing their own perceptions, and ways of relating to stressors in their world. Omnicef 125 5 mg/ML
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