Fibromyalgia syndrome is common in women, and the most common onset age is 25-45 years. Its clinical manifestations are varied, but mainly include the following four groups of symptoms:
1. Main symptoms: generalized pain is a symptom of all fibromyalgia patients. Although some patients complained of only one or several aches and pains, a quarter of the patients had more than 24 pain points. The disease is common throughout the body, especially in the axial skeleton (neck, thoracic vertebra, lower back) and shoulder girdle and pelvic girdle. Other common areas are knee, head, elbow, ankle, foot, upper back, middle back, wrist, hip, thigh and calf. Most patients describe the pain as tingling and upsetting.
All of the patients have symptoms of a widespread tenderness that occurs in tendons, muscles and other tissues, often in symmetrical distribution. At the point of tenderness, the response of the patient to the normal person was different, but not in other parts.
2. Characteristic disease: this group of symptoms includes sleep disturbance, fatigue, and morning stiffness. About 90 percent of the patients have sleep disorders, which are insomnia, wakefulness, dreaminess, and lethargy. Nocturnal electroencephalogram (eeg) shows that there is an alpha wave involved in the non-rem rhythm, suggesting a lack of sleep. Between 50 and 90 per cent of the patients had fatigue, and about half of the patients suffered from fatigue and were “too tired to work”. Morning stiffness is found in 76 to 91 percent of patients, whose severity is associated with sleep and disease activity.
3. Common symptoms: the most common symptom of this group is numbness and swelling. Patients often complained of swelling around the joints and joints, but there was no objective sign. The second is headache, irritable bowel syndrome. Headache can be divided into migraine or non-migraine headache, the latter is a kind of oppressive dull pain in the occipital area or the whole head. Mental abnormalities, including depression and anxiety, are also common. In addition, the patient’s ability to work is down, about a third of the patients need to change jobs, and a few people can’t stick to routine work. The above symptoms are often aggravated by cold weather, mental stress and overwork. Local heat, relaxation, good sleep and moderate activity can reduce the symptoms.
4. Mixed symptoms: primary fibromyalgia syndrome is rare, and most fibromyalgia patients suffer from some form of rheumatism. The clinical symptoms are the interweaving and overlapping of the two symptoms. Fibromyalgia syndrome often causes rheumatic symptoms to appear more serious, which often leads to overtreatment and examination of the latter.
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Post time: Apr-10-2018