2 Types of Pain with Fibromyalgia & CFS

2 Different Types of PainThere are 2 different types of pain, find out more in this article.

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Did you know there are 2 types of pain with fibromyalgia & CFS that many of us struggle with? They are nociceptive and neuropathic pain.  Find out more about each, including natural treatment options, below.

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Chronic pain can be divided into 2 pain types:

  1. Nociceptive Pain
  2. Neuropathic Pain

Type 1: Nociceptive Pain

What is Nociceptive Pain?

When you have an injury, there are receptors in the nervous system that become activated.  These are called ‘nociceptors’.

If there is an injury that occurs outside the nervous system, then these nociceptors aren’t activated.

Nociceptive pain is caused by either an injury or something, such as a diseased part of the body that doesn’t affect the nerves.

However, in chronic pain, the nociceptors might continue to send pain messages to the brain long after the injury has healed.

Nociceptive pain is broken into two sub-categories:

1.Somatic Pain: The word ‘soma’ means ‘body’, therefore, somatic pain is from outer body injuries, such as:

  • Muscles
  • Skin
  • Ligaments
  • Bones
  • Joints
  • Tendons

The type of pain depends on what part of your body is injured, however it is generally easy to pinpoint where the somatic pain is coming from.

Somatic pain tends to be throbbing, aching, dull or sharp.

Examples of somatic pain:

  • Fibromyalgia
  • Tension headaches
  • Pelvic pain caused by pelvic joint instability
  • Chronic back pain that is not caused by nerve damage
  • Arthritis



Treatment of Somatic Pain:  Some people find that over-the-counter medications such as anti-inflammatories (NSAIDS) and analgesics work.  These can be both oral medications or creams and rubs. Opiods can be prescribed, but generally for shorter-term use.

Heat and cold packs can also help reduce pain and swelling, massage and relaxation may also help to reduce pain.

Ice packs, suck as Koolpaks (amazing -as they keep cold for a long time and freeze fast), and heating pads, such as the PureRelief XXL fast-heating pad

Exercise is a great way to reduce somatic pain due to increasing endorphins, the ‘feel good’ hormone. Endorphins are peptides which activate the body’s opiate receptors, causing an analgesic effect.

2. Visceral Pain: Viscera are your internal organs and blood vessels, which don’t have a lot (or any) nerves.  It is caused by compression in and around the organs or by stretching of the abdominal cavity.

Visceral pain can have referred pain – meaning that your brain can’t figure out where the pain is coming from.  A good example is lower back pain might be a kidney problem.

Examples of visceral pain:

  • Irritable bowel syndrome (IBS)
  • Vulvodynia
  • Bladder pain (such as cystitis)
  • Endometriosis pain
  • Prostate pain
  • Cancer-related pain

People with visceral pain may experience pallor, profuse sweating, nausea, GI disturbances, and changes in body temperature, blood pressure, and heart rate.

Treatment of Visceral Pain:  Visceral pain is generally treated with either opiods or NSAIDS. Exercise can also improve pain due to endorphins being released.

Visceral pain can feel like aching or squeezing.

Type 2: Neuropathic Pain

Otherwise referred to as ‘peripheral neuropathy’, this type of pain is known as ‘nerve pain’ vs an actual injury causing pain signals, the nerves themselves are damaged. It can be a very intense pain – it can be very complex and sometimes hard to treat.

What Causes Neuropathic Pain?

Pain signals that are being sent to the brain that are faulty, which can lead to chronic, neuropathic pain.

Your body is made up of a large network of nerves, which is called the ‘peripheral nerve system’, which is made up from all the spinal column nerves and nerve roots.

Should these nerves begin to malfunction, through either injury or disease, then they can cause chronic neuropathic pain -which can also be referred pain.

A perfect example is numbness and tingling in your arm, which could be related to damage to the nerves in your neck.

Nerve Pain Isn’t Always Understood Pain…

Although what can exactly be the cause of chronic neuropathic pain isn’t always understood, the nerve pain can be brought on by irritation (such as osteoporosis and degeneration), disease and trauma.

Some people can be born with conditions that can cause neuropathic pain, other types are congenital disorders.

Neuropathic pain is common in diseases such as diabetes that attack sensory nerves.

Nerve Damage & Disease

Nerve pain can also be present when nerves have been damaged or severed, such as spinal cord injury or amputation.  Carpal tunnel syndrome (CTS) and sciatica are also conditions where the nerves have been irritated and can cause nerve pain.

Other diseases and disease sources that can cause neuropathic pain can include Guillain-Barre syndrome,(which is thought to have a connection with fibromyalgia), cancer, multiple sclerosis, kidney disorders, alcoholism, and HIV.

More types of neuropathic pain caused by nerve damage include spinal cord injury, post-mastectomy pain (PMPS), postoperative hernia repair pain, and other types of post-surgical pain.

Neuropathic pain can feel sharp, stinging and have burning sensations.

 Fibromyalgia pain and CFS pain  that is nerve related are allodynia (pain due to a stimulus that does not usually provoke pain) and hyperalgesia (increased pain from a stimulus that usually provokes pain)

Root Causes of Pain

This past year has been a real journey for myself, regarding that ‘light bulb moment’ – where I realized that a lot of my health issues – pain included – had to do with root issues (ie the main issue causing the pain).

So many of us have fallen into the situation with conventional medicine that we take medications that not only mask the symptom -but can subtly create a multitude of other health issues aka side effects – requiring, you guessed it…more meds!

Problem is that many of these medications are doing nothing to eradicate the source of the pain to begin with…

One issue that I clued into this past year, (which blew my mind), was toxicity.

Toxins can make our bodies ache (not to mention be the root cause of things like brain fog, sleep issues, fatigue, skin issues and so much more…).  Parasites love to burrow in our joints and muscles, causing pain, as an example.

Toxic Neuropathy is a Real Thing

Toxic neuropathy refers to neuropathy caused by drug ingestion, drug or chemical abuse, or industrial chemical exposure from the workplace or the environment.

It can also be caused by additive toxins in foods and food additives, pesticides, industrial and/or household cleaning solvents, etc. (In other words, you don’t have to be working in a nuclear power plant to be affected by toxins causing toxic neuropathy…)

Take the ‘How Toxic Are You?’ Quiz –> HERE

Treating Pain Naturally

Many people are choosing alternative, natural, pain relief options vs prescription medication that can cause side effects, such as constipation, addiction, itching, sleep issues and withdrawal.

As mentioned above, heat and ice can also help.  You can find out more about heat and ice treatment here.

A product that contains both peperine and curcumin (a known, natural pain and inflammation ingredient) is by a trusted household spice company – Schwartz.  Their curcumin & bioperine pain relief & joint support  is also GMO and gluten-free.

I personally highly recommend Ouch Pain Relief Capsules – as they not only help muscle and joint pain – but also nerve pain (which is so hard to treat).

Mattresses Matters!

Many people don’t connect with the fact that their mattress can also be a prime source of pain, and only figure this out when they get a new mattress.

Nrem Mattress for Pain Relief

NRem mattress designed for people with chronic pain

In fact, a study was done by Oklahoma State University, which found that people with back problems who replaced their mattresses every 5-7 years slept significantly better and reduced their pain.

Consider how much time you spend in bed – and if you struggle to sleep and wake up stiff and aching…could be time to replace your mattress!

For many of us, we spend a lot more time than the average person in our beds, due to pain.

Therefore, replacing a mattress on a regular basis is really something to consider if you are struggling with neck, back and hip pain.

In the UK?

If you are in the UK and are looking for a great mattress, I can personally recommend (because I sleep on it every night), the Nrem mattress designed for people with chronic pain.

Mention FIBROMAPP when you go to check out and get a £30 discount.

Plus…you get 100 night trial, 0% interest, for just £1 a night – no matter what size mattress!. Sleep easy with £0 deposit and no payments until the month after your order. And free delivery, too! Awesome!

Excercise Can Help

Exercise is also an excellent way to get your pain under control – naturally, by releasing endorphins – the ‘feel good’ hormone.

Obviously, it can also increase pain!  Moving to fast, overstretching and twisting can increase pain, however, there are exercises you can do that are much more gentle, such as swimming – a great exercise for people with chronic pain!

Swimming, otherwise known as ‘aquatic therapy’, can help reduce inflammation.  Because of the the buoyancy of your body in the water, it protects you from jarring and jerking movements and is low impact – all of which is great for pain peeps!

Conclusion

In conclusion, most of us with fibromyalgia and CFS are dealing with 2 types of pain affecting muscles, joints and nerves.  What about you?  Do you struggle with both types of pain?  What do you do that helps relieve it (naturally?).

Alyssa Reid

2 Types of Pain with Fibromyalgia & CFS


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Fibromyalgia Is Such a Pain in the Neck

My neck and shoulders are the worst areas of my body in regards to pain and muscle tension. So many others I’ve spoken with who have fibromyalgia say the same. What causes those particular pains? Is there something we can do to alleviate it?

Fibromyalgia Is Such a Pain in the Neck

One specific kind of neck pain associated with fibromyalgia is occipital neuralgia. It is excruciating pain that starts in the back of the neck and stretches up to the scalp. It can cause pain behind one eye as well as increased sensitivity to light.

Spine-health recommends consistent regular exercise to treat neck and shoulder pain. Starting slowly and increasing over time is best. A couple of exercise ideas are yoga and walking. Getting your blood pumping and doing something that improves flexibility and helps to improve strength is the goal. If you’re bedbound or want a gentle stretch before or after you sleep, I recommend “Yoga in Bed.”

Spine-health also recommends alternative therapies like chiropractic care, gentle massage, acupuncture, or acupressure.

Style Craze also suggests applying essential oils, apple cider vinegar, ice, or Epsom salt to the site of pain. Additionally, it recommends using a neck collar and taking supplemental vitamin C, vitamin B complex, and vitamin D.

Myotherapy is a great option if you’re interested in massage. Myotherapy uses a broader range of massage techniques than a typical therapeutic massage does. They focus primarily on trigger point therapy but might also use other techniques such as dry needling, musculoskeletal alignment, deep tissue massage, cupping, and muscle stretching in addition to a range of rehabilitative exercises.

Neck and shoulder pain can be super frustrating and something we should try to keep on top of. We should pay close attention to our posture and to the tension in our neck and shoulder muscles. The pillow we use can also affect the level of neck and shoulder pain we experience. Neck and shoulder pain can lead to headaches which then increases your overall muscle stress and tension, thus more pain.

Do you suffer from neck and shoulder pain? What do you do to help alleviate it, other than taking meds?

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Fibromyalgia Is Such a Pain in the Neck


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FDA Approves New Drug To Reduce The Risk Of Heart Attacks And Stroke

Strokes happen when blood flow to your brain stops. Within minutes, brain cells begin to die. There are two kinds of stroke. The more common kind, called ischemic stroke, is caused by a blood clot that blocks or plugs a blood vessel in the brain.

FDA approves new drug to reduce the risk of heart attacks and stroke in high-risk patients
The Food and Drug Administration has announced its approval for the Merck heart attack and stroke prevention drug, NEW DRUG for high-risk patients who have never suffered from a number of prior conditions.NEW DRUG (vorapaxar) tablets are the first in a new class of drug known as protease-activated receptor-1 (PAR-1) antagonists. These drugs, designed to reduce platelets’ ability to clump together and form into clots, reduce the user’s overall chance for stroke and heart attack while increasing his or her chance for bleeding. The FDA’s approval comes with a mandate that all Boxed Warnings carry this risk.

In trials,new drug was found to reduce death rates from cardiovascular trauma, including peripheral artery disease (PAD), by 17 percent over the three years it was studied. The drug, if used correctly, could offer consumers who have already suffered heart complications a considerable sense of comfort in their later years, Dr. Eugene Braunwald, who supervised the FDA’s study of the drug, told Fox Business.“A new treatment option like NEW DRUG is an important advance that can help to lower that risk for appropriate patients taking aspirin, clopidogrel, or both,” he said.

The FDA advises physicians and health care professionals to caution patients about their increased risk for bleeding and bruising, and that they should report to their doctor any excess bleeding or the presence of blood in their stool or urine following taking new drug.Following the 25,000-subject trial, the FDA now recommends new drug to any person who is considered “high-risk,” meaning he or she has already sustained a heart attack or other form of blockage to the heart.

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FDA Approves New Drug To Reduce The Risk Of Heart Attacks And Stroke


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Fibromyalgia is death disease

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Fibromyalgia

While there is a lot of ongoing speculation about what triggers fibromyalgia, its causes have yet to be definitively identified and confirmed. Recent research has generally found that fibromyalgia is most likely a result of what scientists call central sensitization, or unusual responses in the nervous system with regard to pain perception.

 

 

Fibromyalgia’s Biochemical Triggers

“The [current] consensus is that fibromyalgia is not a problem with the muscles, joints, or tendons, but rather a problem with the central nervous system,” says Dr. Bruce Solitar, clinical associate professor of medicine in the division of rheumatology at NYU Medical Center/Hospital for Joint Diseases in New York. While it’s easy to think that pain felt by someone who has experienced no physical damage to the body might be categorized as purely psychosomatic, the sensations that a fibromyalgia patient experiences are as real as any other pain.

This was clearly demonstrated when researchers did MRI imaging of patients with fibromyalgia. When they pressed on certain areas of the participants’ bodies, they found dramatically increased activity in the pain center of the brain. One theory attributes this phenomenon to an increased release of substance P, the chemical that activates nerves when there is a painful stimulus. “In fibromyalgia patients, substance P is being released even in the absence of a painful stimulus. And there seems to be an amplified release when there is a painful stimulus,” explains Dr. Solitar. In addition, the brain’s regulatory effect, which sends “down signals” to turn off pain, also appears to be abnormal in people with fibromyalgia — so when a painful stimulus does occur, it gets amplified rather than dampened.
Fibromyalgia’s Physical and Emotional Triggers

So what causes the nervous system to malfunction in such a way? Scientists aren’t sure, but a number of conditions have been linked to the development of fibromyalgia. These include:

Infection. The Epstein-Barr virus, and the viruses that cause influenza, and hepatitis B and C have all been implicated in the development of fibromyalgia. “These viruses may have [long-term] effects on the immune system. It’s also possible that viral particles attach to glial cells, which are cells within the brain that affect neurotransmission [and influence the pain response],” says Dr. Solitar. Additionally, there is a well-established connection between Lyme disease (caused by a bacteria called Borrelia burgdorferi) and fibromyalgia: Some patients who have been treated for Lyme — and ostensibly recover from it — continue to experience the unusually high frequency of unprovoked pain that characterizes fibromyalgia.

Trauma. Sometimes the development of fibromyalgia is linked to physical injury, especially in the upper (cervical) spine. In other cases, it’s associated with great emotional stress, like the death of a family member or the loss of a job. The possible link between these unrelated types of trauma is the neurohormonal change that both physical injury and emotional stress can trigger. Psychological processes can change — and can be changed by — alterations in the function of hormone-regulating centers like the hypothalamus and the pituitary and adrenal glands, which in turn can affect the nervous system.

Fibromyalgia’s Other Common Threads

“Fibromyalgia has been associated with all age groups, though women between the ages of 30 and 50 have a higher incidence of the disease,” says Dr. Solitar. While this increased prevalence among younger females suggests a hormonal connection, he says it’s also possible that it’s related to diagnosis. “Women tend to [naturally] be more tender [or sensitive to pain] than men, so if you base your diagnosis on tender points, you’re likely to diagnose more women with fibromyalgia than men.”

Also, fibromyalgia often develops in multiple members of the same family, although it’s not clear if this is the result of genetic or environmental effects. “Family members of people with fibromyalgia seem to be more tender than others,” says Dr. Solitar, “but there isn’t a lot of conclusive genetic research out there.”

In many cases, why fibromyalgia strikes is still largely unknown. “For a lot of patients, we don’t come up with a good explanation for the development of fibromyalgia,” Dr. Solitar notes. “We all get exposed to stress regularly. And while trauma and infections do seem to be a common [fibromyalgia] theme, there are a lot of people who just slowly develop a sense of feeling poorly.”

and its varying array of symptoms often baffle patients and physicians alike. There is still no widely accepted diagnostic blood test or biomarker for the disease, even though sufferers report life-altering physical limitations. Now, new research at the University of Michigan is linking the broad range of fibromyalgia symptoms to a brain molecule called glutamate, opening the door to new treatment options and more precise methods of diagnostic testing.

Fibromyalgia: New Evidence May Help With Diagnosis
Symptoms of fibromyalgia run the gamut from extreme fatigue and flulike body aches to digestive ills and migraine headaches. Due to the absence of a specific quantitative or qualitative test, however, physicians have long been forced to rely on a patient’s self-report to help diagnose this elusive condition. For this reason, some doctors didn’t take the malady seriously.

Groundbreaking research done in 2002 by Daniel Clauw, M.D., professor of medicine and associate dean at the University of Michigan Medical School, provided the first solid biological and physical evidence that fibromyalgia patients really felt intense pain when they said they did. A form of brain imaging called a functional MRI (fMRI) showed that those with fibromyalgia were much more sensitive to pain than those in a control group; similar levels of pain also caused different areas of the brain to light up on the scans of the FM group than those of the control group.
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The widespread nature of the chronic pain associated with fibromyalgia — pain not specific to any one group of muscles or joints — is currently under investigation. “Most physicians believed fibromyalgia was a peripheral issue, involving the muscles and joints, because that’s what patients experienced and reported,” says Richard Harris, Ph.D., research investigator in the Department of Internal Medicine’s Rheumatology division at the University of Michigan Medical School, as well as a researcher at the university’s Chronic Pain and Fatigue Research Center; and a colleague of Dr. Clauw. “Findings from our new research suggest that fibromyalgia may be more of a central nervous system condition. This makes it harder for critics to explain away the findings—patients can’t fake an MRI test result.”

Fibromyalia: Glutamate Linked to Pain
Dr. Harris and other University of Michigan researchers found that pain levels in fibromyalgia patients correlated positively with the levels of glutamate, an amino acid and neurotransmitter (brain chemical) responsible for stimulating nerve cells. “When patients were given treatments designed to reduce their pain, glutamate levels went down in a corresponding way,” Harris explains.

Earlier research showed a link between activity in a part of the brain called the insula (insular cortex) and pain in fibromyalgia sufferers. The insula region is also involved with stimuli from muscles and skin in addition to internal sensations like those from the bowel. This association may help explain the higher incidence of digestive problems, such as irritable bowel syndrome, in fibromyalgia. Other fibromyalgia-associated conditions, such as anxiety and migraine headaches, may also be linked to the central nervous system’s involvement, according to Andrew Holman, M.D., rheumatologist and assistant clinical professor of medicine at the University of Washington.

Fibromyalgia: Research Leads to New Medications
New medications are now available for use in treating fibromyalgiasymptoms thanks to this research. “The Food and Drug Administration recently approved pregabalin (Lyrica) and duloxetine (Cymbalta), two medications that both work centrally, as a direct result of the new research,” says Dr. Holman. “Fibromyalgia has its own process, but the problems of the autonomic nervous system that cause Stage 4 sleep deprivation [a symptom of fibromyalgia] originate in the same areas of the brain that are responsible for such issues as bowel motility [which relates to IBS] and the basic fight or flight syndrome [which relates to anxiety symptoms].”

Although these findings validate many of the more subtle symptoms experienced by fibromyalgia patients, more research is needed before fMRI scan testing becomes part of a routine diagnosis, says Harris. Until then, Harris stresses the importance of being aware of your symptoms and managing them appropriately. “Fibromyalgia is not one of those conditions where you can do one thing and then you’re done,” he notes. “It’s a matter of managing symptoms through a multifaceted approach.”

  • MedicaFibromyalgia tions

The precise causes of fibromyalgia remain a matter of speculation, so today’s treatments, even those approved by the FDA, are non-specific at best. Many pharmaceutical options, however, are available for treating fibromyalgia’s diverse symptoms, which can range from muscle pain and sleep problems to depression and anxiety.

To date, the antidepressants duloxetine (Cymbalta) and milnacipran (Savella), and pregabalin (Lyrica), an antiseizure medication that’s also used for certain types of pain, are the only prescription medications approved by the FDA specifically for the treatment of fibromyalgia. But doctors employ many other drugs, approved for related conditions, to treat specific symptoms of fibromyalgia. Many of these medications address more than one fibromyalgia-associated problem. As with all drugs, many of the medications listed here have significant side effects and interactions. You should discuss any medicines you are prescribed with your doctor and your pharmacist before taking them. This will help you know what to expect and when you need to report a problem or look for a substitute drug.

Pain relief and improved sleep are the primary goals of fibromyalgia treatment and medications, but doctors also prescribe various drugs to treat depression and fatigue.
The following medications are commonly used in the treatment of fibromyalgia.

Pain relievers
Most over-the-counter analgesics don’t work very well for fibromyalgia, because the disorder doesn’t involve much inflammation. Prescription opioids and localized injections can sometimes be helpful, depending on the specific symptoms.

  • OTC analgesics. Tylenol (acetaminophen) and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve, Anaprox) may help in some patients. However, they are generally recommended for patients experiencing peripheral pain syndrome (involving muscles and connective tissue and/or the peripheral nervous system as opposed to fibromyalgia, which is a disorder of the central nervous system) in addition to fibromyalgia.
  • Opioid therapies. Some relief of pain has been reported with opiates such as tramadol (Ultram), and with the combination of tramadol and acetaminophen (Utracet)— both of which may also relieve sleep problems. While effective for acute severe pain, opioids such as hydrocodone/acetaminophen (Vicodin), propoxyphene/acetaminophen (Darvocet), oxycodone/ acetaminophen (Percocet), and oxycodone (OxyContin) don’t work as well on long-tem chronic pain, generally speaking. Additionally, they carry the risk of addiction and have been linked to other side effects — for example, increasing the body’s sensitivity to pain, as well as to drowsiness and constipation.
  • Trigger point injections. Injections of local anesthetics (such as lidocaine and procaine) and/or cortisone (a steroid medication) may help treat painful muscles, tendons, or ligaments and break cycles of pain and muscle spasm.

Antidepressants
These medications help regulate certain chemicals in the brain, called neurotransmitters, that are implicated in various fibromyalgia symptoms, including muscle pain, sleep problems, and fatigue. To achieve the best results, they are sometimes used in combination. Those commonly prescribed include:

  • Tricyclic antidepressants. Amitriptyline (Elavil, Endep), nortriptyline (Pamelor), and doxepin (Sinequan) as well as the tetracyclic antidepressant trazodone (Desyrel), increase the levels of norepinephrine and serotonin, brain neurotransmitters that affect pain signals and depression, and often have a sedative, sleep-inducing effect.
  • Selective serotonin reuptake inhibitors (SSRIs). Included in this group are citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), sertraline (Zoloft), fluvoxamine (Luvox), and paroxetine (Paxil).
  • Selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). This newer class of antidepressants, also known as dual uptake inhibitors, helps regulate the neurotransmitters serotonin and norepinephrine. They include venlafaxine (Effexor), desvenlafaxine (Pristiq), duloxetine (Cymbalta), and Savella (milnacipran).

Muscle relaxants
Medications such as cyclobenzaprine (Flexeril, Cycloflex, and Flexiban), carisoprodol (Soma), and methocarbamol (Skelex) are often prescribed to treat painful muscle spasms; they are usually used for short-term relief.

Anticonvulsants
This class of drugs is used for fibromyalgia because these medications also help treat neuropathic pain, which occurs when nerves are overexcited and need to be desensitized. Drugs in this category include pregabalin (Lyrica), as well as carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, and Tegretol-XR) and gabapentin (Gabarone, Neurontin).

Sedatives/Hypnotics
Restful sleep is critical for easing the symptoms of fibromyalgia. If other medications (specifically, muscle relaxants and antidepressants) are not effective, doctors may prescribe short-term sleep aids such as zolpidem (Ambien), zaleplon (Sonata), and eszopiclone (Lunesta), which work by slowing brain activity to permit sleep. Such medications often lose their effectiveness over the long term, however.

Stimulants
Some doctors are now prescribing medications used for attention deficit hyperactivity disorder, such as methylphenidate (Ritalin), dextroamphetamine sulfate (Dexedrine), and modafinil (Provigil) to ease symptoms of fatigue and “brain fog” (difficulty thinking and concentrating) that patients with fibromyalgia often experience.

On the horizon
Among new medications being researched for the treatment of fibromyalgia is sodium oxybate (Xyrem), also known as GHB. This central nervous system depressant is currently approved for the treatment of narcolepsy, but has shown promise for pain relief and improved functioning in patients with fibromyalgia. An application for approval was submitted to the FDA on December 15, 2009.

Finally, in addition to prescription medications, doctors often recommend thatother pain management therapies be explored. Among the most effective are therapeutic massage and myofascial release therapy, a specialized technique used to ease tension in the body, which can help relieve muscle discomfort and reduce spasms.

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Fibromyalgia is death disease


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