Beijing Daily Client | Reporter Wang Dan
Zhu Yuelan, chief physician of the Department of Rheumatology at Oriental Hospital of Beijing University of Traditional Chinese Medicine, and Ma Weiguo, deputy chief physician, introduced that they often encounter such patients in outpatient clinics, and the symptoms described are very similar: the pain in the arms, legs, and waist; poor sleep, fatigue, bad bowel movements, and prone to irritability. In a word, it is "all over the body is uncomfortable", but when I went to the hospital to draw blood and take a video, no problems were found. These patients were eventually diagnosed with fibromyalgia syndrome .
Systemic diffuse pain is the main feature
Fibromyalgia syndrome is a common non-articular rheumatism. The clinical manifestations are systemic diffuse myalgia and muscle tenderness in multiple local lesions, and are mostly accompanied by non-specific symptoms such as fatigue, sleep disorders, , gastrointestinal dysfunction, and emotional disorders. This disease is more common in women and is more common in people over 40 years old. The cause and pathogenesis are not yet clear, and may involve central nervous system , autonomic nervous system, neurotransmitters, hormone secretion, immune system, genetics , psychiatry and other aspects.
The clinical manifestations of fibromyalgia syndrome are mainly concentrated in five aspects.
Pain Diffuse pain throughout the body is the main feature, and the pain is spread all over the body, involving multiple parts of the neck, shoulders, limbs, spine, and hips. When investigating the nature of chronic persistent musculoskeletal pain in Chinese fibromyalgia patients, researchers found that 80.4% of the patients described as soreness and other patients described as a crash.
Fatiguness Most patients say they are prone to fatigue and feel obvious fatigue after waking up in the morning. Some patients may experience varying degrees of labor capacity reduction and may even be unable to engage in ordinary housework.
Sleep disorders are manifested as difficulty falling asleep, light sleep, easy to wake up, dreaming, no recovery sleep, and lack of energy.
Neuropsychiatric symptoms are manifested as depression, irritability, excessive attention to one's condition, and even serious anxiety and depression. Many patients also experience cognitive impairment, such as difficulty in concentration, memory loss, and loss of execution ability.
Accompanied symptoms Most patients have symptoms of fear of cold and wind. When the ambient temperature is low or when it blows cool, the condition worsens. Some patients will have irritable bowel syndrome, bladder irritation symptoms, restless leg syndrome (indescribable discomfort in both lower limbs during rest, which forces the patient to have a strong desire to move his legs), etc. In addition, dizziness, onset dizziness, numbness, soreness, swelling, tingling, and ants flowing are also common accompanying symptoms.
For diffuse pain with symptoms lasting ≥3 months and no other reason to explain, the possibility of fibromyalgia syndrome should be suspected.
diagnosis has no clear indicators, mainly based on symptoms
At present, the diagnosis of this disease is mainly based on symptoms, and there are no specific laboratory indicators for diagnosis, but related laboratory projects are conducive to excluding other diseases, such as blood conventional , biochemical, erythrocyte sedimentation rate , C-reactive protein , rheumatoid factor , anti-nuclear antibody and anti-cyclic citrulline polypeptide antibody , etc.
treatment method is mainly drug treatment, supplemented by non-drug treatment, which can significantly improve the efficacy and reduce adverse drug reactions.
Drug treatment: Use medication for the symptoms that trouble patients the most. Currently, commonly used in my country include pregabalin , deloxetine , etc.
Non-drug treatment: Give the patient timely comfort and explanation after diagnosis, which is conducive to disease control. Exercise, cognitive behavioral therapy, acupuncture, exercise therapy ( Tai Chi , Ba Duan Jin , Qigong), etc. are all conducive to symptoms relief.
In recent years, traditional Chinese medicine treatment has had clear effects on improving pain, fatigue, sleep disorders and mood disorders in patients with fibromyalgia syndrome. Common methods include Chinese medicine stains, wax medicine therapy, acupoint patches, microcomputer pain treatment, etc., and can be applied according to the doctor's advice.
(Photo provided by: IC photo)
