Fibromyalgia

The term for fibromyalgia is used to describe several related disorders. Various alternative terms for these disorders have been used, including generalized fibromyalgia, primary fibromyalgia syndrome, secondary fibromyalgia syndrome, localized fibromyalgia, and myofascial pain syndrome, each having different connotations. Previously, these disorders were collectively called fibrositis or fibromyositis syndrome. Because inflammation is not present, the -itis suffix was dropped.

Generalized fibromyalgia which is about seven times more common in women than in men occurs throughout the body with pain and stiffness being widespread. Primary fibromyalgia syndrome is the most common variation of generalized fibromyalgia; it usually occurs in young or middle-aged women who have not associated or contributing underlying factors. Secondary fibromyalgia syndrome is a type of generalized fibromyalgia and refers to fibromyalgia symptoms in a person who has another underlying disorder that is causing fibromyalgia symptoms, such as hypothyroidism. Other disorders, such as systemic lupus erythematosus or rheumatoid arthritis, maybe associated with fibromyalgia but not the underlying cause. In localized fibromyalgia, pain and stiffness occur in a particular area or at a fused site such as the jaw, neck, and/or shoulder muscles. Localized fibromyalgia is somewhat more likely to occur in men, possibly because they are more likely to engage in physical muscular activities in occupational and sports situations. Sometimes, localized fibromyalgia generally spreads to become generalized fibromyalgia. Myofascial pain syndrome is a type of localized or regional fibromyalgia which may be seen in various sites. In the temporomandibular type, the chewing muscles on the side of the face are commonly involved and may become painful and tender.

Fibromyalgia is not dangerous or life-threatening, but nonetheless, persistent symptoms can be very disruptive.

The cause of fibromyalgia is unknown, but it is thought to be a type of autoimmune disorder. Fibromyalgia is worsened by physical or mental stress; poor sleep; repetitive strain; injury or trauma; or chronic exposure to dampness and cold. Physical therapy has been shown to provide relief for fibromyalgia primarily through educating patients in its management. Generally an exercise program of regular physical activity and stretching is setup. Proper sleep and decreasing stress are also very important. The therapists at Skyline Physical Therapy are quite knowledgeable in fibromyalgia and have extensive experience in treating patients with this chronic condition. For further information, please contact Skyline Physical Therapy.