Complementarity of medical care and posturology in the management of Fibromyalgia Syndrome

Publication date: June 2019Source: Neurophysiologie Clinique, Volume 49, Issue 3Author(s): Frédéric Viseux, Pascal Charpentier, Antoine LemaireFibromyalgia Syndrome (FMS) is a chronic and multi-faceted disease with an unknown aetiology. Clinical symptoms consisting of widespread pain, generalized muscular hypertonia, fatigue, sleep disturbances, impaired cognition and poor physical fitness compromise the autonomy, function and independence of these patients [1]. Postural control is affected and balance is impaired, leading to a greater risk and frequency of falls [2]. Pain in FMS may be associated with hyperexcitability of the nociceptive system and reduced opponent non nociceptive sensory process [3]. Although the pathophysiology of pain is unclear, an involvement of the thinly myelinated Aδ and the unmyelinated C-nerve fibers has been reported. An abnormal peripheral C nociceptor ongoing activity and increased mechanical sensitivity could contribute to the pain and tenderness suffered by patients with FMS. Routine engagement in physical exercise is strongly recommended for pain management in musculoskeletal conditions such as FMS. Adherence to exercise in patients with FMS is poor and the majority of them are sedentary. Prolonged sedentary behaviour may contribute to physical deconditioning and a loss of confidence in one's ability to participate in physical activity, which reinforces the cycle of pain and disability. Understanding the factors involved i...
Source: Neurophysiologie Clinique - Category: Neuroscience Source Type: research

Related Links:

Conclusions: Monitoring the affective dimension of pain should be included in an integrated approach to pain, and Hatha yoga may be beneficial in the pain management of FM participants. PMID: 31370034 [PubMed - in process]
Source: Advances in Mind Body Medicine - Category: Psychiatry Tags: Adv Mind Body Med Source Type: research
Conclusion: These findings support the hypothesis that in FM a deteriorated function of cortical inhibition, indexed by a higher SICI parameter, a lower function of the DPMS, together with a higher level of BDNF indicate that FM has different pathological substrates from depression. They suggest that an up-regulation phenomenon of intracortical inhibitory networks associated with a disruption of the DPMS function occurs in FM. Introduction Major depressive disorder (MDD) and fibromyalgia (FM) present overlapped symptoms. Although the connection between these two disorders has not been elucidated yet, the disruption...
Source: Frontiers in Human Neuroscience - Category: Neuroscience Source Type: research
CONCLUSIONS: At the moment, ozone therapy seems a treatment that, also because without any side effect, is possible to be proposed to patients with fibromyalgia that are not obtaining adequate results from other available treatments and it can be considered as complementary/integrative medicine. PMID: 30840304 [PubMed - in process]
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
This study explores experiences related to hearing loss and barriers to hearing health care among older Korean Americans.      Read more   Aging ...
Source: Johns Hopkins University and Health Systems Archive - Category: Nursing Source Type: news
Our definitions of pain matter more to researchers and people who like to philosophise about pain than to people experiencing pain. At the same time, definitions do matter because when the IASP definition of pain was first established, the distinction between the neurobiological underpinnings of pain – and the experience – was clear. And this matters because neurobiology is only part of the picture. (Chekka &Benzon, 2018; Cohen, Quintner &van Rysewyk, 2018; Reuter, Sienhold &Sytsma, 2018; Tesarz &Eich, 2017; Williams &Craig, 2016)The idea of “tribes” in pain and pain management i...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Pain conditions Professional topics diagnosis Education interprofessional lived experience silos social sociology tribes Source Type: blogs
Over the past few years I’ve been pondering the presumed gap between people living with pain and the people who “treat” or work with them.  Most of my readers will know that I live with widespread pain (aka fibromyalgia) or pain that is present in many parts of my body, and the associated other symptoms like DOMS that last for weeks not a day or two, and increased sensitivity to heat, cold, pressure, chilli, sound and so on. I first “came out” with my pain about 15 years ago: that is, I first disclosed to people I worked with that I had this weird ongoing pain – and finally joined...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Professional topics Research Therapeutic approaches inclusion inequality Source Type: blogs
Pain is a common pediatric health problem, with severe and disabling pain occurring in 5 –10% of youth (Huguet&Miro, 2008). A wide body of psychological research describes the prevalence and impact of chronic pain during childhood and adolescence, and psychosocial and behavioral factors (e.g., pain anxiety, parent responses, sleep disturbances) associated with pain and pain-related disability. Pediatric pain has been a frequent topic of publications in theJournal of Pediatric Psychology over the past two decades (Canter, Amaro, Noser,&Roberts, 2018). The last special issue on pain in children was published in...
Source: Journal of Pediatric Psychology - Category: Pediatrics Source Type: research
Sometime back in 2010, a good friend of mine from college who had since become a pediatrician posted a complaint on Facebook about “made up” health conditions. “Fibromyalgia, I’m looking at you,” she wrote. At this time, pain was more of an occasional visitor in my body rather than the permanent tenant it has since become. Still, I was offended on behalf of those patients with the disease. Fast forward to today and my life is all about pacing. This is because everything I do — cook, sleep, work, walk — takes time. This gradual approach to every aspect of my life is not about enligh...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Managing your health care Pain Management Source Type: blogs
Authors: Häuser W, Ablin J, Perrot S, Fitzcharles MA Abstract Fibromyalgia (FM) is a prevalent and costly condition worldwide, affecting approximately 2% of the general population. Recent evidence- and consensus-based guidelines from Canada, Germany, Israel and the European League Against Rheumatism aim to support physicians in achieving a comprehensive diagnostic work-up of patients with chronic widespread pain (CWP) and to assist patients and physicians in shared decision making on treament options. Every patient with CWP requires at the first medical evaluation a complete history, medical examination and so...
Source: Polskie Archiwum Medycyny Wewnetrznej - Category: Internal Medicine Tags: Pol Arch Med Wewn Source Type: research
ConclusionAlthough there remain several barriers to overcome, implementation of a PCMH would allow patients with FM, like those with other chronic conditions, to be successfully managed in the primary care setting.
Source: International Journal of Clinical Practice - Category: Internal Medicine Authors: Tags: Systematic Review Source Type: research
More News: Brain | Chronic Pain | Disability | Fibromyalgia | Neurology | Neuroscience | Pain | Pain Management | Sleep Disorders | Sleep Medicine | Sports Medicine