Fibromyalgia and musculo-scrawny disorders
The expression ” Troubles Musculo-Squelettiques ” is a generic name (a lumber room!) used to indicate(appoint) a set of mechanical pathologies affecting(allocating) mainly muscles, tendons (tendinitis) and nerves(gristle) (certain canalaires syndromes as the syndrome of the carpal channel(canal)). As all the mechanical pathologies, they are favored by the micro-traumas (professionals) and by the postural disorder: see Pathologies of the foot.
American College of Rheumatology defined the syndrome fibromyalgique as ” a painful chronic syndrome characterized by musculo-scrawny diffuse pains and painful perception(collection) of the palpation of at least 11 among 18 specific sites of the body. ” (Wolfe and al 1990)
Fibromyalgia – pains
In these chronic pains join: (Soriot-Thomas and al 2012)
– A morning(early) steepness
– Sleeping disorders (interrupted with microawakenings(microalarm clocks))
– A general and muscular fatigue
With sometimes, in a variable way according to the people and in the time(weather):
– A colonopathy ( Intestinal Functional Disorders(Confusions))
– Paresthésies (tingling, unpleasant sensations)
– Anxio-depressive disorders(confusions)
– A dry syndrome
– A syndrome of Raynaud
– Cognitive disorders(confusions) (Canovas on 2009)
– A SADAM
Impatiences, muscular cramps, etc.
The pain is permanent and can be deteriorated(aggravated) by the effort, the cold, the humidity, the feelings and the fatigue.
These various symptoms can have an echo mattering on the social and professional life. (HAS on 2010)
The fibromyalgia concerns 2 % of the world population, and fibromyalgiques is 80 % of the women. (Blotman on 2003)
Causes – mechanisms
THE WHO recognized the fibromyalgia in 1992 and classified him(it) in the not specified ” rheumatisms ” (Soriot-Thomas and al 2012).
This vague definition is understandable by the fact that, as for the most part of the chronic pains (see Lumbago), the antomo-clinical reasoning (that is try to connect a symptom with a characteristic anatomical lesion of a well defined disease) is not relevant to understand(include) the fibromyalgia, especially as the complementary(additional) examinations are normal.
The patients suffering from fibromyalgia thus undergo on average 4 years of medical wandering before the diagnosis is put (Soriot-Thomas and al 2012).
To understand(include) the fibromyalgia, it is necessary to adopt a systematic reasoning (that is to argue in terms of global system, as it posturologie – to see How does it work?).
The explanation which is at present the best documented is neurophysiological: fibromylagiques suffers from a hypervigilance, with numerous microawakenings(microalarm clocks) which disrupt(perturb) the phase of relaxation(slackening) of muscles (Moldofsky on 1995, 1996, Dauvilliers and al 2001). To simplify, we can say that these patients never release(relax) completely their muscles, they are always too much stretched out. We thus think that it explains muscle pains and fatigue. He(it) results from it so certain hormonal disorders, with a difficulty of adaptation to the stress (Soriot-Thomas and al 2012) .Fibromyalgie – letters Of more the patients fibromyalgiques have a dysfunction of the control mechanisms of the pain (Gracely and al 2002, Houvenagel on 2003, CoOK and al 2004, Julien and al 2005, Goffaux and al 2007, Roussel on 2011, Calvino 2012), as to most of the patients reached(affected) by chronic pains (Yunus and al 2007).
In light they are hyper at the same time reactive in the slightest stimulations (” hyper central excitability “), because, on one hand their nervous system works as a badly settled(adjusted) alarm which would start too easily (“allodynie”), and, on the other hand, the centers of inhibition of the pain work at a minimal level at these patient’s.
At present we consider that the anxious and depressive disorders(confusions) are more a consequence of the fibromyalgia than a cause, as it is often the case in the chronic pains. (Bennett 1996)
On the other hand, this hyper sensibility can be secondary in traumas (in particular the rabbit punches(whiplashes injury) – Busikla and al 1997) and microtraumas (Houvenagel on 2003) ending in the postural disorder. The Syndrome of Deficiency Posturale (SDP – Da Cunha on 1979) indeed shows disturbing similarity with the fibromyalgia (Wolfe and al 1990) with which it is frequently associated (Soriot-Thomas and al 2012).
Recently, more and more authors draw the attention on the link existing between posturaux disorders(confusions) and fibromyalgia (Jet 1995, Lapossy on 1995, Joos and Van Celst 2002, McCabe and al 2007, Alves Da Silva 2008, Ferrari on 2012).
Fibromyalgia – relaxation
Soriot-Thomas (and al 2012), algologue in the center of Evaluation of the pain of the CHU(TEACHING HOSPITAL) of Amiens, recommend to associate several therapeutic to limit(ease) the symptoms of the fibromyalgia:
#en more medicinal treatments(processings),
#les therapeutic not medicinal have a major role, with in particular a coverage(care) multidisciplinary posturale (Alves Da Silva 2008 – to see postural Balance sheet(Assessment) and posturaux Treatments(Processings)),
#activités physical appearances(physics) / rehabilitation in the effort, the relaxation, T’ai chi (Wang on 2010),
#et psychological support (Carville and al 2008).
#En reason of hyper reactivity of the patients fibromyalgiques, the stimulations used there posturologie will be particularly fine.
In the chronic pains join:
A morning stiffness
steepness of the exercises of the muscular and articular awakening(alarm clock) to be directly made for the awakening(alarm clock) on your bed before of raised.
Softening 1 Softening 2 Softening 3
(interrupted with microawakenings(microalarm clocks))
Softening 1(Limbering up 1) Softening 2(Limbering up 2) Stretching backs and legs in the bed
A general and muscular fatigue phase of relaxation of muscles
InYoga Qi Qong stretchings Pilates anti-stress
( Exercises of breath. Contraction and relaxation of muscular chains(channels))
A reeducation in the effort
Joint(Articulation) of the back Stretchings of the back Pre-Pilates
The anxious and depressive disorders(confusions) the exercises of the breath and listening of a music calms down that to suggest you positivity and tranquilité (classical music favors to make the coverage(care) of lower(dim) the anxiety) is, causes(provokes) a change in the state of spirit to help in surmounted(overcome) the depression.
Visualization exercises and happines verbalization.