Fibromyalgia is a chronic medical condition in which there is long term body pain in the body parts which includes mainly muscles, joints, tendons, ligaments and tissues. There is deep aching pain which ranges from mild to severe pain. There is not just chronic widespread pain but also a heightened pain response to pressure. Other symptoms include tiredness to a degree that normal activities are affected, sleep problems and troubles with memory. It is most common in middle aged women; risk factor in males is less. People with rheumatoid arthritis are at increase risk. Sleep disorder, extreme fatigue and stiffness of joints are the most common feature of Fibromyalgia. It is commonly associated with psychic disorders such as anxiety, stress, depression etc.
Symptoms associated with Fibromyalgia
- Chronic widespread pain
- Muscular spasm
- Weakness in limbs
- Insomnia or sleep disorders
- Chronic facial muscle pain
- Tenderness over affected region
- Numbness and tingling
- Lack of muscular power etc
Cause of Fibromyalgia
The exact cause of fibromyalgia is not known. It is often known to run in families but there is always a combination of genetic and environmental factors.
Stress is often an important precipitating factor in the development of fibromyalgia. It is frequently associated with stress-related disorders like chronic fatigue syndrome, posttraumatic stress disorder, irritable bowel syndrome and depression. There is strong evidence that major depression is associated with fibromyalgia as with other chronic pain conditions.
Conditions associated with Fibromyalgia
- Rheumatoid arthritis
- Sleep disorder
- HIV infection
- Chronic fatigue syndrome
- Lyme disease
- Irritable bowel syndrome etc
Diagnosis of Fibromyalgia pain
Diagnosis entirely depends upon cause and symptoms. It is usually a clinical diagnosis made after ruling out other possible causes of pain. The American College of Rheumatology has the following diagnostic criteria:
- A history of widespread pain lasting more than three months – affecting all four quadrants of the body, i.e., both sides, and above and below the waist.
- Tender points – there are 18 designated possible tender points (although a person with the disorder may feel pain in other areas as well). Diagnosis is no longer based on the number of tender points.
Treatment of Fibromyalgia pain
There is no universally accepted treatment or cure for fibromyalgia, and treatment typically consists of symptom management. Integrated treatment plans that incorporate medication, patient education, aerobic exercise and cognitive behavioral therapy have been shown to be effective in alleviating pain and other fibromyalgia related symptoms. A small number of people benefit from the SNRIs duloxetine and milnacipran and the tricyclic antidepressants (TCAs), such as amitriptyline. The anti-convulsant drugs gabapentin and pregabalin are also used to reduce pain.
Homeopathic treatment of Fibromyalgia pain
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat Fibromyalgia pain but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for Fibromyalgia pain treatment that can be selected on the basis of cause, location, sensation, modalities and extension of the symptoms. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Following homeopathic medicines cover the symptoms of Fibromyalgia pain:
Morgan Pure By Paterson (Bowel Nososde)
Sycoccus Bacillus By Paterson (Bowel Nosode)
Calcarea Carbonica Hahnemanii
Gelsemium : This drug has marked action on muscular system and it ranges from muscular weakness to complete relaxation of entire muscular system. General prostration; slow pulse, tired feeling and mental apathy are the common symptoms. Patient is very apathetic, dazed and wants to be alone. He is not able to withstand any exciting or bad news easily. Very apprehensive, esp before exams. Similarly on physical plane, he is not able to exert more, gets fatigue easily. Slight exertion causes pain in the neck, back, hips and lower extremists, mostly deep seated myalgia. Lack of muscular coordination and cramps are also there. Excessive trembling and weakness after fatigue or slight exercise.
Lactic acid: Lactic acid is found in sour milk and it was introduced in homeopathic material medica by Areisig. Lactic acid is a wonderful homeopathic remedy for nausea, diabetes and rheumatism. Weakness and trembling in diabetic patients with morning sickness. Rheumatic inflammation of elbow, knees and small joints, profuse and offensive sweating of feet, nocturnal aggravation are some indication to prescribe it in cases of firomyalgia.
Ruta: Like Arnica and rhus- tox, this drug has a special affinity for fibrous tissues and periosteum. Bruised feeling all over the body, from head to toe. Soreness everywhere in the body and he finds it difficult to lie on any side. Scalp, thighs, eyes ankles, wrist feel as if they have been beaten up. Unable to bend on account of pain in all joints. The ankles feels dislocated and hamstrings feel shortened and weak.
Phosphoric acid: phosphoric acid is best suited to young people, whose system has been weakened by bad effects of sexual excess or masturbation. Listlessness, apathy and indifference are characteristic mental features of a patient requiring phosphoric acid. It is very useful in ailments brought about by care, chagrin, grief, sorrow and home-sickness. Exhaustion and fatigue after a debilitating illness, like Typhoid fever.
Paralytic weakness along spine. Back and extremities feel heavy. Formication; along spine and limbs. Pain at night as if bones were scraped. Stumble easily and makes mis steps. Periosteal and intersticial inflammation of the bones respond readily to this drug.
Arnica: Arnica is the king of traumatic remedies in homeopathy. Trauma, whether physical or mental, and its effects, recent or remote, are met with this remedy. Mentally, patient has fear; fear of being struck or touched, of instant death from cardiac arrest, sudden fear that rouses him from sleep at night after an accident. Mentally there is apathy but physically patient is very restless.
Arnica patient is sore, lame and bruised all over, as if beaten. His whole body aches and pains. He is very restless, dislikes lying down because everything on which he lies seems hard and uncomfortable. He constantly changes his place from bed to bed in search for soft comfortable spot. This is an often verifying symptom in cases of typhus and typhoid fevers. Pain in arms,> hanging down. Cramps in fingers. Cannot walk erect on account of bruised pain in pelvis.
Arsenic album: it is a very deep acting polycrest remedy. Best suited to persons who are anxious, nervous and restless. Prostration is out of proportion to his illness. Pains are always maddening for him; burning like fire, but get relief from heat. Mentally the patient is very fearful; he has great fear of death and of being alone. Pain in limbs due to any cause, always associated with marked prostration. It is also a very good remedy for peripheral neuritis.
Bellis perennis: It is a great remedy for muscular soreness and lameness. Not only superficial muscles but deeper tissues also get affected with this drug. Muscles become sore and bruised; pains are hard, aching , squeezing and throbbing. It is a suitable remedy for old labourers and commercial travelers. Trauma of pelvic organs, due to mishandling or accident with sore bruised feeling of the pelvis. Pain in the anterior part of thigh. Near and remote effects of blow, fall and injury are covered with this drug.
Cocculus indicus: Cocculus indicus was first introduced to our material medica by Sammuel Hahnemann himself. This drug has marked action on cerebrospinal system, where it produces paralysis kind of symptoms; paralytic muscular relaxation. He is too weak to hold up his head, stand or even speak. Numbness is also very marked, limbs go to sleep. The cocculus patient constantly complains about his back as if paralyzed. Unwieldiness of lower extremities; they cannot lift their legs while walking but drag them along.
Helonias dioica: Helonias is pre-eminently a female remedy. So all symptoms of fibromyalgia like pain and muscular soreness, are associated with some uterine trouble. Females, who are over exhausted from frequent pregnancies, abortions or over domestic work, come into its sphere. Such females are mentally irritable and gloomy. There is always a consciousness of womb, it is key symptom of this medicine. Pain and weight in back, aching between scapulas with dragging down in sacrum down to buttock.
Iridium Metallicum: Weakness, Exhaustion, spinal paresis and pain in lower extremities, especially in old people and after some diseases are the main indication for this drug.
Kali phos.: Best suited to people who are nervous, depressed physically and mentally and with neurasthenia. The cause of such conditions are usually excitement, overwork or worry. It corresponds to state of adynamia where patient needs some nerve power. Paralytic lameness of the back and extremities is there, which aggravates from exertion.