Fibromyalgia & Pain Management : What Is Rheumatoid Arthritis?
Fibromyalgia and Arthritis
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Is fibromyalgia a form of rheumatoid arthritis? I was told that it is, and is the result of arthritis within the muscles. I am being treated with diclofenac. I have been told this is a medication for treatment of arthritis. I am getting conflicting info on this.
— Ruby, Ohio
Thankfully, fibromyalgia is not a form of rheumatoid arthritis. Fibromyalgia causes tender spots in certain muscles, near tendons and other body structures, but does not cause joint or muscle inflammation. It is not absolutely clear what causes fibromyalgia, but disturbance of normal sleep patterns is very common, with patients waking up frequently and having difficulty falling asleep again. The disturbance concerns the fourth stage of sleep, during which we do not dream. Other symptoms are irritable bowel syndrome, headaches, stress, fatigue, and neuroendocrine abnormalities (abnormal release and response to hormones produced by the brain).
The treatment of fibromyalgia is aimed at restoring normal sleep and stress reduction. There is no definitive treatment, but the best strategy includes aerobic exercise, stress reduction techniques, and antidepressants Other interventions include physical therapy, massage, cognitive behavioral therapy, nonsteroidal anti-inflammatory drugs like diclofenac, sedatives, muscle relaxants, opioids, and antiepileptics. I personally do not prescribe opioids or sedatives for fibromyalgia. Although initially thought that acupuncture helped, a critical review of acupuncture studies in fibromyalgia did not show any real benefit.
Video: Fibromyalgia & Pain Management : Rheumatoid Arthritis Triggers
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