Tag Archives: Fibromyalgia

Different Disorders, Same Pain

Brain Changes May Explain Chronic Pain Symptoms in Different Disorders – August 23, 2017 In Fibromyalgia, Newsby Patricia Inacio, PhD

Even though fibromyalgia and urological chronic pelvic pain syndrome (UCPPS) are different disorders, new research suggests that patients suffering from these conditions may actually share alterations to the brain, perhaps explaining why certain UCPPS patients exhibit fibromyalgia characteristics, such as widespread pain.

The study “Brain signature and functional impact of centralized pain: a multidisciplinary approach to the study of chronic pelvic pain (MAPP) network study” was published in the journal Pain.   Continue reading

Advertisements

Is Fibromyalgia Making You Older?

Is Fibromyalgia Making You Older? – Health Rising

Being in chronic pain is no fun, that’s for sure.  Think of any area of your life – your work, your relationships, your mood, your finances – and see if chronic pain doesn’t impact it negatively. But is being in chronic pain itself dangerous?  Some in the medical profession give chronic pain short shrift.

They assert that it’s the result of a false alarm from your central nervous system; i.e. while it’s uncomfortable, it doesn’t constitute a threat to you physiologically.

The pain in FM is certainly different from normal pain.  Continue reading

Opioids Recommended for Fibromyalgia With PTSD

Nighttime Opioid Combination to Treat Fibromyalgia With PTSDBrandon May – September 07, 2017

Patients with PTSD may present with underlying and undiagnosed fibromyalgia, which contributes to poor sleep and further pain amplification.

Persisting fibromyalgia can intensify associated fibrocytic symptoms resulting in worsening of the underlying primary condition, even if that primary condition is not pain associated”

Dr Figueroa recommends a nighttime administration of 50 mg tramadol and 4 to 8 mg tizanidine at 7 pm for patients with fibromyalgia and PTSD.

What? He’s recommending not only an opioid but also a muscle relaxant – together!  Continue reading

Skin punch biopsy in fibromyalgia patients

Routine use of punch biopsy to diagnose small fiber neuropathy in fibromyalgia patients – Clin Rheumatol  2014 Dec – free full-text /PMC4348533/

Recent work has demonstrated that approximately 50 % of patients diagnosed with fibromyalgia have damage to their small unmyelinated nerve fibers

A skin punch biopsy is a sensitive and specific diagnostic test for this damage as a reduction in nerve fiber density allows for the diagnosis of small fiber neuropathy.

Small fiber neuropathy is a disease with symptoms similar to fibromyalgia, but it often has a definable etiology Continue reading

Small fiber neuropathy in fibromyalgia

Many Fibromyalgia Patients Have Small-Fiber Polyneuropathy – October 18, 2012 – medscape.com – Daniel M. Keller, PhD

In a small study of patients labeled as having fibromyalgia, almost half actually had small-fiber polyneuropathy (SFPN), a potentially treatable condition.

Dr. Oaklander noted that despite an emphasis on central mechanisms as the cause of fibromyalgia, these findings suggest that a specific — and sometimes treatable — type of peripheral neuropathy is a common cause of the condition.

It seems like quite a leap to assume the neuropathy is the *cause* of fibromyalgia. Another article from 4 years later (summarized below) suggests the opposite: that fibromyalgia is the cause of the peripheral neuropathy.  Continue reading

Autoimmunity Causes Exertion Problems in CFS, FMS, POTS

Exercise Tests Suggest Autoimmunity Causes the Exertion Problems in Chronic Fatigue Syndrome, Fibromyalgia and POTS – Health Rising – by Cort Johnson | Aug 16, 2017

Researchers and doctors get interested in ME/CFS in different ways. Many have a personal connection, but for David Systrom,  a pulmonologist, it was all about demand.

He didn’t seek chronic fatigue syndrome patients out – quite the contrary.  When Systrom was given control of a clinical cardiopulmonary lab, he started doing invasive cardiopulmonary exercise tests (iCPET’s) on people with exercise intolerance. 

Invasive Cardiopulmonary Exercise Testing (iCPET)   Continue reading

Chronic Pain Causes Cognitive Interference

Increased neural noise and impaired brain synchronization in fibromyalgia patients during cognitive interference | Scientific Reports | July 2017

Abstract:
Fibromyalgia (FM) and other chronic pain syndromes are associated with cognitive dysfunction and attentional deficits
, but the neural basis of such alterations is poorly understood

Dyscognition may be related to high levels of neural noise, understood as increased random electrical fluctuations that impair neural communication; however, this hypothesis has not yet been tested in any chronic pain condition.

Here we compared electroencephalographic activity (EEG) in 18 FM patients -with high self-reported levels of cognitive dysfunction- and 22 controls during a cognitive control task.   Continue reading

Lyrica Study Uncovers Brain Problems in Fibromyalgia

The Lyrica Effect: Lyrica Study Uncovers Key Brain Abnormalities in Fibromyalgia – Health Rising by Cort Johnson | Sep 30, 2013

Lyrica’s success – despite issues with side effects and efficacy in a significant number of fibromyalgia patients – highlights the tremendous need for drugs that relieve neuropathic pain.  

Fifteen years in development, Lyrica was originally developed to reduce seizures by increasing GABA levels, but was later found to reduce glutamate, substance P and norepinephrine levels instead.

Researchers know the pharmacological effects Lyrica has, but they don’t know what parts of the brain it’s affecting.   Continue reading

Pain and Distress Circuit in Fibromyalgia Identified

Connections: the Pain and Distress Circuit in Fibromyalgia Identified – Health Rising – by Cort Johnson | Feb 6, 2015

This article points out the further consequences of pain in Fibromyalgia patients, which are different than in normal people.

Fibromyalgia (FM), of course, is much more than about pain.  

Called the “prototypical functional pain syndrome,” people with fibromyalgia often experience problems thinking (fibro-fog), sleep and autonomic nervous system problems, depression and catastrophizing.  

The multidimensional aspects of fibromyalgia suggest that more than one part of the brain must be  involved.   Continue reading

Response to Pregabalin with Antidepressants

Response to Pregabalin for Fibromyalgia-Related Pain in Patients Taking Antidepressants – Tori Rodriguez, MA, LPC– June 09, 2017

In a post hoc analysis of a pregabalin trial, researchers identified characteristics associated with pain improvement in patients with fibromyalgia who take antidepressant medications. Their findings were reported in Pain Medicine.

Alhough there is currently no gold-standard therapy for the treatment of fibromyalgia, a number of medications have shown modest efficacy in managing fibromyalgia-related pain, including

  • pregabalin,
  • duloxetine,
  • milnacipran, and
  • amitriptyline.2

However, these “do not necessarily provide a clinically meaningful improvement in FM-related pain for every patient,  Continue reading