The subject that I bring to them seemed interesting to me and for that reason I share them with you, so I go into the subject; We all have an idea that what we have is called Fibromyalgia (FM), but it is possible that not all of us know that science to this day, has differentiated fibromyalgia into 4 types; This categorization makes it easier for the experts to identify the most pertinent course of treatment for each case, as well as the most prevalent symptoms.
According to the website rheumatology clinica.org in fibromyalgia there are 4 classifying subgroups:
- Pure fibromyalgia (FM type I).
Associated with chronic rheumatic and autoimmune diseases (FM type II).
Associated with serious alteration in the psychopathological sphere (FM type III).
Simulant patients (FM type IV).
This means that FM (Fibromyalgia) type I or pure fibromyalgia itself, is one that is not derived from any preceding disease such as lupus, diabetes, arthritis etc, as if it occurs in FM (Fibromyalgia) type II and FM ( Fibromyalgia) type III; FM (Fibromyalgia) type IV is the one that according to the experts is somatized by the patient, that is, unconsciously the patient believes to have it and develops it (it is still under study and could be re-evaluated).
This classification is descriptive and helps the physician to identify the course of medical procedures to be followed, that is why experts need to identify the heterogeneous symptom that fibromyalgia has to those that relate to it directly or indirectly, in In the future, this classification is likely to change but also to be nurtured with more and more accurate information and thus be able to once and for all clearly determine the pharmacological and therapeutic treatments that are most convenient for each patient.
Where did this classification come from? It seems that as a result of a study that has arisen from psychiatric practice, on the website actasiquitria.es we can show the parameters that were taken into account and these have been the basis for other specialties doctors who try to correctly identify cases of fibromyalgia.
But I want to stop a bit in the FM (Fibromyalgia) type IV that says it is a product of patient somatization, still can not say that this classification is conclusive, it is more, can not be yet determinant because as we know from experience , to say that someone “invents” the symptoms is something that can be discussed, personally and this is my opinion, I do not think that the incidence of simulators is big enough to be considered in a classification, but the prejudice of the Doctors in the face of a new disease such as FM (Fibromyalgia) show their fears and concerns, in some cases valid but not all, of wrongly diagnosing a patient, so they are safe leaving the possibility that there are patients who invent FM (Fibromyalgia), because there are some.
But to us patients, what is the use of knowing this classification? It is nothing and not much, because knowing it we can not take advantage of it, it is not a treatment, this is information exclusively for doctors and researchers, but it also serves of much in the sense of knowing that they have already set themselves the task of studying it and at least classifying it.
The FM (Fibromyalgia) also has gradations, according to Dr. Joaquín Fernández Solá (Senior Consultant of Internal Medicine Coordinator of the Chronic Fatigue Unit Hospital Clínica, Barcelona), in the FM you can differentiate 3 degrees of vital affectation, according to the impact of the disease in the quality of life of patients:
Grade 1 Minor vital impairment: Clinical assessment scales with scores below 50% and without interference with function or work.
Grade 2 Moderate life impairment: Stages of clinical assessment between 50 and 75% and interference with function or work (partial loss of activity).
Grade 3 Severe vital impairment: Clinical assessment stairs greater than 75% and marked interference with function or work (inability to perform work or sick leave situation).
As we can see in these three types of gradation, it depends on the state of the patient’s mobility, if the patient can perform her daily activities almost normally even with the presence of pain (grade 1), with moderate involvement and with certain functional limitations (grade 2) and with a critical and incapacitating immobility that definitely limits their daily activities (grade 3). In other studies this classification has reached up to 4 degrees, but I think that with these we can perfectly and broadly demonstrate what is taken into account to determine what FM does in the quality of life of those who suffer from it.