An unexplained pain disorder is commonly labeled as fibromyalgia. The worse thing about unexplained physical pain is the depression that comes with it and not knowing the cause of it and how to effectively alleviate, or remove the pain. In many fibromyalgia cases, mental health prescription drugs are often the treatment course.
Fibromyalgia is not considered a mental illness disorder… however, it is considered a real disorder once medically substantiated through examination and lab protocol diagnosis. It has been medically determined a depressed and anxious mindset and lack of sleep can cause an autoimmune response leading to inflammatory pain-causing symptoms throughout the body. It has long been a practice for medical professionals to prescribe anti-depressants and sleep aid medications useful in treating acute and chronic phantom pain.
Many who suffer from “medically unsubstantiated and undiagnosed pain cause” are three times more likely to suffer from depression and/or anxiety. In the absence of pain causing illness and disease and physical injury, the central nervous system(s) neuro and hormonal chemicals are often found out-of- balance. Body chemical imbalances are found to trigger an inflammatory autoimmune response in many patients. This chemical imbalance and inflammatory response have a direct connection to mood and bodily pain.
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The populace who tends to be diagnosed with fibromyalgia is women between the ages of 35-55. This condition rarely takes a toll on men, the elderly, or children, although it does occur. Women with fibromyalgia in the U.S. represent over 80% of those diagnosed with this condition. The total populace affected by fibromyalgia in the US represents 2% of our population. Fibromyalgia was formally known as fibrositis (a group of disorders characterized by widespread body aches and pains in muscle, connective tissue, joints and bone). Other triggers that can activate the fibromyalgia condition include exposure to dampness, or cold and certain infections. Pain is usually worse in the morning.
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Understanding Fibromyalgia Basics: Fibromyalgia is a chronic condition that causes pain and stiffness in the muscles, tendons, and ligaments. Although an exact cause of this condition has not been directly identified, it is thought that a major player to this chronic condition resides within the brains serotonin levels which affects mood. Lower levels of serotonin are known to stimulate depression and with depression psychosomatic illness often occurs. If anyone becomes depressed for a long period of time, the body gets sick and real physical pain is experienced. There seems to be a direct correlation between depression, lack of sleep, restlessness, disturbances in bowel function and super sensitivity with touch, whereas key trigger pain receptors are transmitted via the neurochemical highways from the central nervous system (brain). Fatigue combined with depression can trigger autoimmune infection, and related disease and pain anywhere in the body.
When mental and physical pain episodes go undiagnosed too long and without intervention, unhealthy habits and behavior often ensue, i.e., self-medication, sedentary and addictive drinking habits, etc. Unhealthy lifestyle untreated for long duration will lead to more psychosomatic neuro and hormonal chemical imbalances and pain and illness which can lead to other disease manifestation and cancer.
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If you have unexplainable acute/chronic phantom pain in any muscle, joint, tendons and ligaments, seek a medical opinion and request referral to a physiatrist as soon as possible before symptoms worsen.
Recall, “Fibromyalgia is considered a real disorder once medically substantiated.” However, it remains a challenge for many physicians to diagnose an exact cause of pain and treat effectively in some cases. Why? Unlike rheumatoid arthritis or systemic lupus there is no swelling, external-internal tissue damage, or joint-muscle deformity. The patient is healthy otherwise but suffers from chronic muscular pain and stiffness without swelling, deformity or bruising.
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When diagnosing fibromyalgia, the most common symptoms doctors look for: headaches, tender point pain, irritable bowel syndrome, fatigue etc. Psychological symptoms: depression, sleep disturbances and mood changes. Referred lab findings may medically substantiate the disorder via Elevated levels of Substance P (Chemical Nerve Signal) and Nerve Growth Factor (Found in the spinal fluid) and lower levels of serotonin (Brain Nerve Chemical) from laboratory specimen fluid samples.
“The level of chemical in the cerebrospinal fluid (CSF) called substance P, which transmits pain impulses to the brain, is three times higher in people with the disease than in those who do not have the condition. This likely causes someone with fibromyalgia to experience pain more intensely” [emedicinehealth WebMD 2021]
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If you experience phantom pain and have not been diagnosed with a substantiated fibromyalgia disorder, read the tips and recommendations below and seek a medical opinion and diagnosis to get the help you need and deserve now.
10 Fibromyalgia Tips and Recommendations
1. See your doctor if you experience any combination of the symptoms listed above, or (a.) Experience chronic body pain for more than 3 months above and below the waist. (b.) Feel pain in at least 11-18 possible tender points when light pressure is applied. (c.) Experiencing depression and thoughts of suicide and/or high levels of anxiety.
2. Get help if a family member exhibits: Panic attacks, hostility, restlessness, hyperactivity, sleeplessness, and physical pain.
3. If prescribed anti-depressants, a family member should watch for adverse character changes that lead to self-medication and unhealthy lifestyle habits to control pain. A two- month watch is recommended when prescribed anti-depressants to combat fibromyalgia.
4. Adverse behavioral risk is more prominent within adults under 24 and children.
5. Apply hot showers-spray localized area, use heating pads, whirlpool, hot compresses, gentle message to alleviate phantom pain.
6. Stretching and relaxation will alleviate stress, and biofeedback (doctor advisement on this one) will help ease contracted muscles causing pain.
7. The following prescription may be provided to ease pain. Aspirin, acetaminophen, or ibuprofen. Cortisone and local anesthetic injections at pain trigger points.
8. Antidepressants per doctor recommendations, e.g., Serotonin Reuptake Inhibitors (SSRI).
9. Avoid caffeine and alcohol as these interfere with sleep.
10. Get adequate sleep and general conditioning and exercise, proper nutrition.
Author: Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET. 2009-21 Copyright. All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.org, Sign up for your Free eNewsletter.