Is Fibromayalga Real?

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carvers4math

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I get that the mouth breathers here think it's funny to rag on long covid because it's hard to physically see and is more likely to impact women (especially with autoimmune!) But it is very, very real. A friend lost a long wanted pregnancy, the ability to safely carry a pregnancy again, and is now using a wheelchair as she approaches a year after covid. Her heart was so damaged that standing and walking put tremendous strain on her. It has completely upended her life and people who think it's a funny to joke about it as a made up condition are just outing themselves as ********.
My 29 year old son is still medicated for rapid heart rate and can’t get back much of the weight he lost. Was a perfectly proportioned 165 pounds two and a half years ago and has fought to get back up to 142. Is this what the rest of his life will we like? No one knows, but he feels like his heart is racing frequently.
 

carvers4math

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I saw over the weekend like a third of eastern iowa schools are missing 10% or more of students due to illness. Last winter was especially brutal being the first one back since lockdowns, so all those pent up viruses went crazy. I suspect more of the same this year. I usually get one cold each winter, but my kids have already brought home two this fall.
Southeast Warren cancelled class today
 
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cowgirl836

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My 29 year old son is still medicated for rapid heart rate and can’t get back much of the weight he lost. Was a perfectly proportioned 165 pounds two and a half years ago and has fought to get back up to 142. Is this what the rest of his life will we like? No one knows, but he feels like his heart is racing frequently.

yep, her RHR was in the 120s, 130s. Dysautonomia.
 

KidSilverhair

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Rapids of the Cedar
www.kegofglory.blogspot.com
Many people will claim they have it or gluten intolerance without ever going in for tests and that is almost always due to a lifestyle choice.

Yep, I do have sympathy for those suffering from celiac disease or gluten intolerance, but there sure are a lot of people who “self-diagnose” and call themselves one or the other without any kind of medical confirmation. So many conflate “gluten free” with “healthier” without any real understanding of what they’re talking about.

But on the other hand, even if it’s psychosomatic, if a certain diet makes them “feel” better, more power to them, I suppose. It doesn’t effect me at all, so why would I care?
 

cdface

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Behind Enemy Lines (IC)
i'm only on page 4 right now, SIAP. but here is some data:

Brain imaging in fibromyalgia syndrome​

R Staud 1
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  • PMID: 22243558

Abstract​

Fibromyalgia (FM) is a chronic musculoskeletal pain syndrome which is characterised by clinical pain as well as widespread hyperalgesia/allodynia to mechanical, thermal, electrical, and chemical stimuli. Lack of consistent tissue abnormalities in FM patients has more and more shifted the focus away from peripheral factors and towards central nervous system abnormalities including central sensitisation as well as aberrant pain facilitation and inhibition. Besides quantitative sensory testing, functional brain imaging has been increasingly utilised to characterise the abnormal pain processing of FM patients. Whereas initial work in FM patients identified abnormally increased pain-related brain activity within the thalamus, insula, anterior cingulate, S1, and prefrontal cortex (so-called 'pain matrix'), more recent research focused on altered 'connectivity' between multiple interconnected brain networks in these patients. Additionally, magnetic resonance spectroscopy studies demonstrated high concentration of the excitatory neurotransmitter glutamate in FM patients in pain-related brain areas which correlated not only with experimental but also with clinical pain ratings. Overall, functional brain imaging studies have provided compelling evidence for abnormal pain processing in FM, including brain activity that correlated with patients' augmented pain sensitivity (hyperalgesia/allodynia), temporal summation of pain, and prolonged pain aftersensations. Future imaging work needs to focus on identifying the neural correlates of FM patients' abnormal endogenous pain modulation which will likely not only shed more light on this important pain regulatory mechanism but may also provide useful information for future treatments of FM symptoms.


The somatosensory link in fibromyalgia: functional connectivity of the primary somatosensory cortex is altered by sustained pain and is associated with clinical/autonomic dysfunction​

Jieun Kim 1 2, Marco L Loggia 1 3, Christine M Cahalan 3, Richard E Harris 4, Florian Beissner Dr Phil Nat 1 5, Ronald G Garcia 1 6, Hyungjun Kim 1 2, Ajay D Wasan 7, Robert R Edwards # 3 8, Vitaly Napadow # 1 3 9
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Free PMC article

Abstract​

Objective: Fibromyalgia (FM) is a chronic functional pain syndrome characterized by widespread pain, significant pain catastrophizing, sympathovagal dysfunction, and amplified temporal summation for evoked pain. While several studies have demonstrated altered resting brain connectivity in FM, studies have not specifically probed the somatosensory system and its role in both somatic and nonsomatic FM symptoms. Our objective was to evaluate resting primary somatosensory cortex (S1) connectivity and to explore how sustained, evoked deep tissue pain modulates this connectivity.
Methods: We acquired functional magnetic resonance imaging and electrocardiography data on FM patients and healthy controls during rest (the rest phase) and during sustained mechanical pressure-induced pain over the lower leg (the pain phase). Functional connectivity associated with different S1 subregions was calculated, while S1(leg) connectivity (representation of the leg in the primary somatosensory cortex) was contrasted between the rest phase and the pain phase and was correlated with clinically relevant measures in FM.
Results: During the rest phase, FM patients showed decreased connectivity between multiple ipsilateral and cross-hemispheric S1 subregions, which was correlated with clinical pain severity. Compared to the rest phase, the pain phase produced increased S1(leg) connectivity to the bilateral anterior insula in FM patients, but not in healthy controls. Moreover, in FM patients, sustained pain-altered S1(leg) connectivity to the anterior insula was correlated with clinical/behavioral pain measures and autonomic responses.
Conclusion: Our study demonstrates that both somatic and nonsomatic dysfunction in FM, including clinical pain, pain catastrophizing, autonomic dysfunction, and amplified temporal summation, are closely linked with the degree to which evoked deep tissue pain alters S1 connectivity to salience/affective pain-processing regions. Additionally, diminished connectivity between S1 subregions during the rest phase in FM may result from ongoing widespread clinical pain.
© 2015 American College of Rheumatology.
 

cowgirl836

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That whole thing about male willingness leaves out a whole lot of potential variables, including those. Guy is painting plenty of things with very broad brushes in this thread.

Men tend to be less averse to health risk taking - however - they may have fewer care taking responsibilities, easier to do on site stays, whatever and etc. And then as a study coordinator, how do you do a study in a way that removes some of those obstacles.
But that doesn't solve for the fact that you can get female rats just as easily as male rats.
 

clonefreek

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Jun 24, 2009
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Ok so lets clear a couple things up on fibro and why it has such a weird stigma in the medical community.

1. Fibro is an official diagnosis however it is an extremely hot topic in the medical community, it is not really covered in the DSMV and there is a lot of debate on if this is a mental health concern or an actual neurological problem. A large part of this confusion stems from the fact that there are no real tests to determine Fibro and it is often a diagnoses of exclusion, meaning it is what happens when all other possibilities for the pain have been exhausted.

2. Another major problem with Fibro, as many have pointed out, it is is a diagnosis that is overwhelmingly represented by middle age women. Especially middle age white women, so you get a lot of the "karen" stereotypes. Women historically have had to fight to get their voices heard in the medical community and for their pain to be taken seriously. All physicians have bias and unfortunately fibro often brings those biases to the forefront. Unfortunately Fibro patients are often horrible to to deal with, which makes sense because they are in pain, but helps build the stereotype.

3. Part of the reason Fibro gets a bad rep for treatment, especially in the emergency department, is there is almost nothing we can do to help and people present with major pain seeking behavior. It doesn't help that due to the pain many of these individuals have very unhealthy lifestyles that go against medical advice to manage fibro. You get into a little chicken/egg of is it the lifestyle causing the symptoms or is it the fibro causing the lifestyle to change. No one really knows 100%

4. Finally many of my fellow physicians, mid level providers, and nurses of a wide variety of specialties believe Fibro is made up. It has become way over diagnosed as something insurance companies will accept and physicians will often put it in the chart because they almost have to put something in for billing purposes. So while the OP might have phrased it weird if you polled 100 physicians regardless of background I bet you would find a lot of people that have the same take.
Exactly, anyone can walk into an ER and say they are in pain but are they actually in pain or are they just looking for pills. Thanks to companies like Purdue Pharma and Pfizer, they made pills so addictive that its almost impossible to tell the difference between an addict and a person with real issues. So with someone who thinks they have fibro they are probably in the ER a lot and it shows up on their charts they want pills for pain management.
 

carvers4math

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Mar 15, 2012
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Yep, I do have sympathy for those suffering from celiac disease or gluten intolerance, but there sure are a lot of people who “self-diagnose” and call themselves one or the other without any kind of medical confirmation. So many conflate “gluten free” with “healthier” without any real understanding of what they’re talking about.

But on the other hand, even if it’s psychosomatic, if a certain diet makes them “feel” better, more power to them, I suppose. It doesn’t effect me at all, so why would I care?
Both of my husband’s sisters have been tested and diagnosed with Celiac. They said there is a genetic link so recommended testing our sons. Was almost hoping long haul Covid son had it as people with undiagnosed Celiac have trouble keeping on weight sometimes. All five boys however do not have Celiac.
 
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cowgirl836

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Both of my husband’s sisters have been tested and diagnosed with Celiac. They said there is a genetic link so recommended testing our sons. Was almost hoping long haul Covid son had it as people with undiagnosed Celiac have trouble keeping on weight sometimes. All five boys however do not have Celiac.

The friend I mentioned has diagnosed Celiac's. Decade + ago on that.
 

MushroomPinball

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Between this thread the the Beard thread I feel like I can just skip med and law school and become a Dr Lawyer hybrid. Thanks CF!
If that fails then become an offensive line coach for a football team or an assistant basketball coach that specializes in perfect minute allocations and rotations!
 
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