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What Causes Fibromyalgia?
Question: Hi, my name is XXXXXXX I was diagnosed with fibromyalgia in 2011 but it started in 2004. I was born in 1966 & 35yrs old when symptoms started ie 2004. I am a midwife & can only work 2 days a wk but not in a row, needing a day in between to recover. Just wondered if having this condition is going to shorten my life expectancy . I have to take tramal 200mg & celebrex bd to function, otherwise I wouldnt get out of bed. My only daughter is 6yrs old & like all parents I'd liks to be around for her. Does this syndrome lead to anything fatal? I'm guessing I'll be around as long as my organs can tolerate the medications taken. I know you dont have a crystal ball, its just that I worry about my lifetime a lot having a young child. You see & hear from way more people than I , so hopefully know some that have lived a few extra decades than me. Is there any new evidence on definite causes or advances in treatment? Thankyou for your time & expertise. XXXXXXX XXXXXXX
Brief Answer:
Fibromyalgia (FM)
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
First of all ,Fibromyalgia (FM) per se is not a fatal condition.
However the presence of FM is associated with substantial negative consequences for physical and social functioning.
Symptoms of anxiety and depression are common,in addition to widespread pain.
Treatment strategies include physical conditioning, with encouragement to begin at low levels of aerobic exercise with slow but consistent advancement.
Treatments that incorporate improved physical function with relaxation, such as yoga and Tai Chi,are helpful.
Long-term usage of Celebrex (Celecoxib),non-steroidal anti-inflammatory drug/ NSAID can damage kidney (analgesic nephropathy).
Tramal (tramadol) is an opiod analgesic which should be be avoided in patients with FM.
If a patient's symptom complex is dominated by pain and sleep disturbance sedating antidepressants such as amitriptyline or alpha-2-delta ligands such as gabapentin and pregabalin are desirable.
For patients with pain associated with fatigue, anxiety, or depression, drugs that have both analgesic and antidepressant/anxiolytic effects, such as duloxetine or milnacipran, may be the best first choice.
You may discuss with your doctor.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Fibromyalgia (FM)
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
First of all ,Fibromyalgia (FM) per se is not a fatal condition.
However the presence of FM is associated with substantial negative consequences for physical and social functioning.
Symptoms of anxiety and depression are common,in addition to widespread pain.
Treatment strategies include physical conditioning, with encouragement to begin at low levels of aerobic exercise with slow but consistent advancement.
Treatments that incorporate improved physical function with relaxation, such as yoga and Tai Chi,are helpful.
Long-term usage of Celebrex (Celecoxib),non-steroidal anti-inflammatory drug/ NSAID can damage kidney (analgesic nephropathy).
Tramal (tramadol) is an opiod analgesic which should be be avoided in patients with FM.
If a patient's symptom complex is dominated by pain and sleep disturbance sedating antidepressants such as amitriptyline or alpha-2-delta ligands such as gabapentin and pregabalin are desirable.
For patients with pain associated with fatigue, anxiety, or depression, drugs that have both analgesic and antidepressant/anxiolytic effects, such as duloxetine or milnacipran, may be the best first choice.
You may discuss with your doctor.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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