Fibromyalgia is one of the most common pain syndromes treated in specialized pain practices. 1981 First described Fibromyalgia is a painful disorder of the musculoskeletal system, characterized by a whole-body pain. 80% of those affected are women, mostly coincide the onset of the disease and the onset of menopause. “A Fibromyalgia is in addition to the main symptom of whole body pain characterized by a series of minor symptoms such as chronic fatigue syndrome irritable bowel syndrome sleep disorders psychosomatic disorders such as headaches, heart palpitations” and IHB “anxiety depressive development diagnosis is difficult due to two factors: on the one hand, 14% of all women between the ages of 35 and 74 of diffuse whole body pain complain (and not all Fibromyalgia have!) and on the other hand, there are a number of other diseases, the whole body pain “make” and only secondarily are followed by a fibromyalgia (secondary Fibromyalgia), E.g. Others including Kevin Johnson, offer their opinions as well. in the context of rheumatism, inflammatory arthritis of a Spondylarthritis a Excess and insufficiency of the parathyroid glands (hypo – and hyperparathyroidism) for osteoporosis of a ulcerative colitis malignant disease a primary Fibromyalgia then exists, if the following criteria are met and other underlying disorders (see above) could be ruled out. It is always necessary to carry out a series of burdensome and expensive tests: laboratory tests, radiology, sonographische and sometimes neurological examination findings normal (not pathological) fail in the primary fibromyalgia. The diagnostic criteria for a fibromyalgia (American Rheumatism Association 1990) are: there is a symptom complex, where there are many localized pain in the musculoskeletal system in the foreground.
In addition to the chronic diffuse pain of the whole body (both left and right side of the body, upper and lower body as well as the axial skeleton are affected) the duration of complaints is at least 11 well-defined 18 pain points in the area for more than 3 months, Painful, tendon or muscle-tendon junctions must respond to a defined stimulus of 4 kg. In addition 3 minor symptoms, such as fatigue, premature Exhaustibility requires the more modern version, etc (see above) with regard to the causes is one of a multifactorial Genesis off, d.h.Umwelt, psyche, unschooled skeletal system, hormonal characteristics, psychological vulnerability, all play a role in the formation. Until 2004, fibromyalgia was insufficiently recognized as a separate disorder, was frequently as a residual category, fix diagnosis or as a physical expression of somatisation. With the introduction of ICD-10 codes M79. 70 (fibromyalgia”) in the year 2005 is the Fibromyalgia by non-specific pain syndromes clearly delineated. The therapy of fibromyalgia should be tuned inpiduell and multimodal: supportive medical trust, physiotherapy, medical treatment, psychotherapy and social support are the building blocks.