1. Is fibromyalgia a true disease or is it only psychological?
Since the 1980s, fibromyalgia has been recognized as a “real disease”. It is now known that the brain of patients with fibromyalgia are more sensitive to information coming from outside, recognizing as pain stimuli that the brain of most people recognize as not painful.

2. Is there any visible or detectable lesion in any organ of patients with fibromyalgia?
No, so the disease is so difficult to diagnose.

3. What are the causes of fibromyalgia?
We do not know exactly. It is currently accepted that the disease has a genetic origin, since first-degree relatives are eight times more likely to have fibromyalgia. However, it has not yet been possible to identify any gene that could be held responsible.

4. How is fibromyalgia diagnosed?
There is no laboratory or imaging test that provides a diagnosis of fibromyalgia. These tests are requested most of the time just to rule out other diseases.

Currently the most commonly used mode is through the identification of at least 11 of the 18 painful points typical of fibromyalgia, exemplified in the illustration already provided in this text.

5. What are the symptoms of fibromyalgia?
Generalized pain, of the musculoskeletal type, mainly in the spine, neck, arms and legs; fatigue, even without having made any recent physical effort; weak memory and difficulty concentrating, difficulty sleeping; Chronic headache and sensitivity to temperature changes are the most common symptoms.

6. Fibromyalgia has a cure?
No, be careful with the famous promises of healing and miraculous or revolutionary remedies. Most are charlatans who take advantage of the patient’s desperation to earn money.

There are already treatments that help in the control of symptoms, but none of them is considered miraculous. The current treatment of fibromyalgia includes several factors such as lifestyle changes, exercises, relaxation therapies and psychological help.

7. What is the treatment for fibromyalgia?
The treatment is divided into several directions. One of them is pain control; another is the optimization of sleep. Regular exercises and stretching help. It is also important a food reeducation, avoiding alcohol and caffeine. No smoking also helps.

The treatment of associated diseases, such as depression, improves the quality of life of patients with fibromyalgia.

8. What are the diseases that are usually associated with fibromyalgia?
Depression, anxiety, irritable bowel syndrome, migraine, chronic pelvic pain, temporomandibular joint dysfunction and interstitial cystitis.

9. What is the specialist doctor who treats fibromyalgia?
Rheumatologist However, a general practitioner who has experience in the subject can also treat fibromyalgia.

10. Does fibromyalgia worsen with the passage of time?
It depends. About 25% of cases become worse over the years; another 25% improve. The evolution depends on the existence of other associated diseases and the adherence and response of the patient to the treatment proposed by the doctor.

In a scientific study that accompanied patients with fibromyalgia for 14 years, it could be perceived that the majority of patients did not report significant improvement in symptoms, but more than 75% maintained a normal productive life despite having fibromyalgia.

11. Can fibromyalgia kill?
No, but if it is not treated correctly, it can greatly harm the quality of life and make the patient unproductive.

12. Is there a special diet for fibromyalgia?
No, but avoiding fats, alcohol and caffeine seems to help in the treatment.

13. What are the complications of fibromyalgia?
Chronic pain and sleep disorders can interfere with the social, academic and professional functioning of the individual. In addition, the frustration of having to deal with a condition often misunderstood by friends, relatives and employers can also result in depression and anxiety crises.

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