Fibromyalgia syndrome: The indicator of multiple pain in young men's body is negative

Xiao Xu is a handsome sunny boy, life is simple he lives a happy and simple life every dayBut one day four years ago, this life was broken by the God of DestinyThat afternoon, when he returned home from work as usual, he was preparing to do housework when he suddenly had a strange pain on his body, and many bursts: including his cervical joints, shoulder joints, shoulder blades, double jaw joints; chest, chest, chest, hip joints; lower legs, biceps, etc., which forced him to stop doing his own housework and give ibuprofen painkillersbut the pain didn't go away from himSince then, the pain has been on schedule and more frequent lying after activity or when the weather gets coldThis had a serious impact on his work and life, and he began to become anxious and depressed, sleep disorders, and social activities were affecteda day before June, he was completely unable to bear, began to accept a series of standardized examination, he went to a hospital in Ningbo, after rheumatic four, supplements,immuno
globulin, anti-nuclear antibody 17,immunityeight and other examinations, the results are very disappointing, full negative results, which makes him very frustrated, forced by economic reasons, he returned to my hometown, came to my departmentin my department, we in accordance with the 1990 American Rheumatology Society'sdiagnosisstandards of Xiao Xu carried out a detailed physical examination, and his spine carried out a comprehensive MRI scan, in the exclusion of rheumatoid arthritis, spinal arthritis and other diseases, based on the final diagnosis of fibromyalgia syndromeWhat exactly is fibromyalgia syndrome? Why is it so secretive and torturous? what'sfibromyalgia syndrome? fibromyalgia syndrome, also known as fibromyalgia, is a disease characterized by diffuse pain throughout the body, which seriously affects the physical and mental health of patients The disease is more common, good in the 40-year-old female population, according to the 1990 American Rheumatology Association issued classification standards, the ratio of men and women is about 1:7, the prevalence rate in Europe and the United States is 2% to 8%, China's Hong Kong region is about 1%, the mainland and Taiwan still lack epidemic reports studies have found that with the age of the disease, the prevalence of the disease will also be higher, 50-60 years of age in women as high as 8% The cause and pathogenesis of the are not clear At present, it is thought to be related to sleep disorders, neuroendocrine changes, immune disorders, changes in the concentration of amino acids and psychological factors that are normal in the body Secondary non-rheumatoids such as trauma, osteoarthritis, rheumatoid arthritis and tumors are called secondary FMS, and are called primary fibromyalgia syndrome if not accompanied by other diseases pathogenesis: unclear The prevailing view is that "central sensitization" is the main pathogenesis of the disease What are the typical manifestations of fibromyalgia syndrome? 1 Characteristic performance: chronic systemic extensive pain, most patients with skin pain, light and heavy 13% of patients had extensive muscle pain, 43% had limited pain, most common lying in the central axis bones (neck, chest, lower back), shoulder straps and pelvic band muscles, while other common areas were knees, head, elbows, ankles, feet, upper back, mid-back, wrists, buttocks, thighs and calves (See 18 anatomical tenderness points in the diagnostic standard) 2 Other performance: about 90% of patients with have sleep disorders, which manifest themselves as insomnia, easy wake-up, multiple dreams and mental depression More than half of patients can experience severe fatigue and even feel unable to work It can also be accompanied by morning stiffness, which is related to sleep and disease activity, and can also be caused by headache, chest pain, dizziness, abdominal pain, abnormal sensation, dyspnea, depression or anxiety fibromyalgia syndrome? fibromyalgia syndrome as a "little-known" disease, in China's medical community and the general public generally do not get enough understanding According to reports, the rate of misdiagnosis of the first disease in China is as high as 87% Because of the variety of symptom symmes and no specific laboratory indicators, and a certain proportion of patients have different degrees of anxiety and depression, leading to the physician, even rheumatism specialists on the understanding of the disease there is a misunderstanding is there a diagnostic standard in ? have The current diagnosis is mainly based on the 1990 American Society of Rheumatology diagnostic criteria: 1 systemic pain lasting more than 3 months, including the left and right sides of the body, the upper, lower and middle shafts of the lumbar (cervical or chest or thoracic or lower back) are all painful 2 Tender points: thumb press, pressure of 4kg, at least 11 of the 18 tender spots, 18 (9 pairs) of the specific location of the tenderness point see Figure 1 those who met both of the above conditions can be diagnosed with fibromyalgia syndrome, which has a sensitivity of 88.4% and a specificity of 81.1% treatment principle
the current treatment of fibromyalgia syndrome should improve the quality of life of patients for the purpose of diagnosis should be timely and accurate, the specific treatment plan should be developed by doctors and patients the begins with educating the patient, i.e providing the patient with a basic and specific introduction, and making a comprehensive assessment of the patient's pain, physical fitness and mental state Treatment, based on practicality, cost, safety and patient willingness Further treatment should be based on the patient's specific situation to consider the following treatment sther: psychotherapy, drug therapy, diversified rehabilitation treatment , fibromyalgia is a chronic disorder that cannot be explained by joints and muscles It is not a disease (with lesions) It is a syndrome (manifested as a symptom) and has many complications Although most patients with fibromyalgia have persistent chronic pain and fatigue, and most patients experience relapse and remission, the disease does not cause damage to the organs and has a good prognosis Therefore, early identification and accurate diagnosis, active treatment, is the most important bee bee source: medical rheumatism and kidney disease channel