The fibromyalgia syndrome ("fibro" for the tendons, "myo" for muscle, "algia" for the pain), which affects 2 to 6% of the population in industrialized countries, is recognized by WHO under N° M 79.0 (International Statistical Classification of Diseases) "undefined rheumatism''.
Other terms more or less cover this notion as muscular rheumatism, soft tissue rheumatism, abarticular rheumatism, fibrositis.
It is a syndrome of deep musculoskeletal pains, of chronic nature, with localization mainly symmetrical and accompanied by stiffness and a variety of systemic manifestations such as sleep disturbance, fatigue, nonspecific tingling, functional disorders such as irritable bowel, tension headaches,...
Still badly known, fibromyalgia is the subject of controversy in the scientific community, its causes are still not clearly identified. It was considered until recently as a psychiatric illness.
Today, besides a particular psychological profile (depressive states, pessimism, fatigue, lassitude), we finger-pointing the physiological factors (metabolic disturbances, hormonal, etc.) And a context of life (stress, food, physical inactivity) which predisposes it.
While it is important not to underestimate the depression when it results in complaints that are especially reminiscent of a somatic problem, it is equally important not to label depression "in the head" all expressions of an imbalance of organic (especially toxic) underlying.
Clinically, the syndrome is characterized by typical sensitive points (tender points), located in soft tissues. Various physical and psychological factors can aggravate symptoms.
Among the various tables of the proposed criteria, the criteria for the ACR (American College of Rheumatology) seem to offer the highest sensitivity and the strongest specificity.
1. 3 months anamnesis of diffuse pain.
We consider the pain as widely diffuse if it is reported at once at the level of halves left and right of the body, above and below the waist and at the level of the axial skeleton (cervical spine, anterior thorax, dorsal and lumbar spine).
2. Pain on digital palpation in 11 of 18 tender spots defined.
Before a sensitive point is evaluated positively, the patient has to indicate a pain and not only a sensibility to the palpation.
Tender points (always bilateral). Both criteria must be met. A second clinical disorder does not exclude the diagnosis of fibromyalgia.
We still don't know the etiology, nor the pathogenesis of the FMS.
Researches have identified some factors that predispose to fibromyalgia :
- Disturbances of neurotransmitters in the brain: a serotonin deficiency (link known with depression, migraine and gastrointestinal disorders) and a metabolic disorder of the P protein, which increase sensitivity to pain and whose association with stress, anxiety and depression is also known - a disorder of the sympathetic nervous system: there would be a decrease in sympathetic activity system (low blood pressure, slow heartbeat, increased of the bowel movements, etc..) A sensitivity to cold, sometimes a phenomenon of Raynaud's, fluid retention, bladder sensitivity in some patients.
- The patients with FMS often report sleep disturbances accompanied by tiredness upon waking. These complaints have been correlated with an abnormality on the EEG, namely the presence of alpha-delta waves in stage IV, not REM, which corresponds to a phenomenon of awakening. The alpha-delta sleep would interfere with the secretion of pituitary hormones such as somatomedin-C linked to growth hormone. But this hormone plays a critical role in homeostasis and muscle recovery.
- If we have not yet found a viral etiology, patients often attribute the onset of their illness to infectious syndromes especially the upper respiratory tracts.
• Sleep disorders
• Wet and cold weather
• Obesity, hyperlaxity, postural abnormalities
• Factors metabolic, neurohormonal
• Anxiety, stress
• Physical inactivity, muscle weakness
• Physical hyperactivity, trauma
• Unfavorable social environment
• Negative attitudes of doctors
• Muscle spasm, paresthesia
• Diffuse muscular pains and specific points of the body sensitive to touch (see the diagram), which often persist for months and are accompanied by stiffness.
• A restless sleep with fatigue and stiffness on rising. It seems that people who suffer from fibromyalgia do not reach the stage of deep, restorative sleep.
• A persistent fatigue (all day), which sometimes prevents from working everyday, not relieved by rest.
• Headaches or severe migraines, probably caused by muscle tensions in the neck and shoulders.
• Irritable bowel syndrome (diarrhea, constipation and abdominal pain are frequent).
• Depressive states or anxiety (for approximately one third of people with fibromyalgia).
• Difficulties of concentration.
• An increase in the acuity of the senses, a heightened sensitivity to odors, light, noise and temperature changes (in addition to the sensitivity of touch).
• Numbness and tingling in hands and feet.
• The painful menstruation (dysmenorrhea).
• Irritable bladder syndrome.
• Chest pains.
• A frequency of FMS of 14.6% was reported in a rheumatology practice in the USA
• 30 % of patients aged under 50 years presenting for the first time in rheumatology
• In general medicine, rates of 4 to 5 % and it is certain that what we see represent only the visible part of the iceberg.
• Also in children (6.2% of a population of Israeli pupils)
• The women. They are more likely to suffer from fibromyalgia than men in a ratio of about four to one.
Among women, the disease occurs between 30 to50 years, and usually around the age of menopause, a period characterized by a decrease in estrogen. In some women, the menopause facilitates a depressive state conducive to the onset of fibromyalgia.
• People older than 50 years.
• People with a family member who has suffered from fibromyalgia.
• People who have sleeping disorders due to night-muscle spasms or restless legs syndrome.
The cause of fibromyalgia has not been formally identified, no way to prevent it is recognized. The following measures can help to reduce its severity.
In some cases of fibromyalgia syndrome, it has been highlight the hypersensitivity or food intolerance.
Food intolerance is, broadly, a reproducible adverse reaction towards one or more food components, unrelated to a psychiatric disorder (Sullivan, 1999 ; David, 2000), which may be caused by immunological mechanisms (hypersensitivity) or non-immunological (lactase enzymatic deficiencies, peptidases,...).
These food hypersensitivities based on late immunological responses to igg, which occur in the digestive system as well as on the extra-intestinal organs (CNS, endocrine, articular ,...) can be identified by a method of quantitative dosage specific igg, the test Imupro 300.
Dr. Andrew Weil has some diet recommendations for people with fibromyalgia
- Eliminate from his diet hydrogenated vegetable oils (such as some margarines remaining solid at room temperature) and foods with trans fatty acid content is high (such as fried foods, pastries and cookies)
- Increase your intake of omega-3 fatty acid, an essential for the proper functioning of the body. Flaxseed, flax oil and fish oils (found in fatty fish like wild salmon and mackerel) are important source
- Eat enough fruits and vegetables (5 to10 portions according to the Canadian food guide);
- Incorporate into his dishes ginger and turmeric.
The stress represents a series of controls and alignments constituting a mechanism of adaptation to the change.
It is the accumulation of pressures, normal or abnormal, related to everyday life, seeking the individual's ability to cope.
The stress is therefore a combined action of body and mind, involving the perception of aggression and an immediate modulation of the reaction that follows.
The state of stress reaction seems to be governed primarily by three major systems of the brain integration :
• The activation system of the reticular formation
• The limbic system
• The hypothalamus
The reaction related to the stress follows two associated pathways but essentially distinct: autonomic nervous system and neuroendocrine system.
Physiologically, the endurance of a determined individual is solicited when he perceives some event as a threat.
It is thus the perception of the individual that establishes the trigger mechanism and not the event itself. An event which represents an evident threat for such person, can very well push another one to surpass itself, or simply pass unnoticed. From a technical point of view, the stimulus thus becomes a stress, whatever its importance, if the individual who answers it, receives it as a threat.
In addition, each person has a reaction threshold of its own, and depends on :
• The temperament
• Past experiences
• The personality
• Changes that have occurred recently in the existence of the subject
• In the social support emanating from family, friends, professional relationships.
We differ considerably by the way react the various systems of our body. Indeed, each person present a kind of organ-target privileged when subjected to the stress.
All these individual factors contribute to determining the adaptive or nonadaptive character of the stress. In cases of non-adaptation to a stressful situation, we find :
• Anxiety or depression interfering with the normal functions of the individual
• Functional disorders (gastrointestinal problems, fatigue, tension headaches, insomnia)
• Exacerbation of preexisting organic disorder
• Irritability - lowering the threshold of anger or frustration
• Regression or dependence
• Cognitive dysfunction such as unreal perceptions, depersonalization, obsessions
• Nightmares of a traumatic nature
• Antisocial behavior, criminal or deviant.
The trace elemental needs vary from one individual to another and in the same individual, depending on the physiological context, to the genetic program, ethnicity and the pathological situation.
The functional oligotherapy of Menetrier and his concept of diathesis allows us to prescribe with a reliability entirely appropriate :
• Manganese : morning asthenia with instability and nervousness.
• Manganese Copper : fatigue with difficulties of concentration, pessimism, the diathesis hyposthenic
• Manganese Cobalt : progressive fatigue in the elderly, emotional, anguished with memory loss, diathesis dystonic
• Copper Gold Silver : intellectual asthenia, periodic or global languor, discouragement, insomnias, suicidal ideas of the anergic diathesis
• Zinc Nickel Cobalt or Copper Zinc : cyclic asthenia (11-17 h) or seasonal (spring-fall) with transient depression and periodic obtundation.
The mouth and teeth have a fundamental role in energy balance of the whole body. We know that several metal of different potential of oxydo-reduction (fillings, crowns, pivots) bathed in the conductive middle of saliva develop effects of batteries (oral electrogalvanic) that may affect health.
In addition, the mercury of amalgam (1 g / amalgam) is massively released by the electrolysis process, but also by chewing, the pH, the heat. Under vapor form, it passes directly barriers or phospholipid cells or in the blood and is found in toxic concentration in various organs like kidney and brain.
A devitalized tooth can be a real time bomb and represent an infection or toxic foci, sometimes redoubtable.
The hypersensitivity to nickel associated to CFS or FMS with or without autoimmunity is described for the first time by Dr. Stejskal in 1999 (www.melisa.org), by examining the hypersensitivity to heavy metals in patients with various diseases complicated of CFS and/or FM.
Although we ate, we always absorb only proteins, lipids and carbohydrates. To transform these three basic food groups in biochemical materials usable by our body, three groups of enzymes are needed: the proteases, lipases and amylases. This enzymatic reorganization begins from the first bite and ends at the small intestine where there are the absorption, after a whole series of equally important step, and following a very precise sequence.
The failure of one of these intermediate steps will result in an incomplete transformation of our food and a lack of absorption of one or other of the basic constituents of our life.
The substances not absorbed and not valorisables stay in the intestine and are concentrated and dehydrated in the large intestine, ending in saddles in the rectum. There may still be in the colon some exploitation of these food incompletely digested by the presence in the digestive tract of indigenous microbial flora (Lactobacillus, Bacillus bifidus) which find enough food to live in these reliefs.
Some of these microorganisms are going to generate accessories products of which our body will use (vitamins B, vit. K, transformation of the cobalt food in vit. B12). Certain foreign bodies, (coli pathogenic, streptococcus, salmonella, candida albicans) are also going to benefit from this wastes to develop and provoke by their presence in excess and the massive release of toxin, not only gastrointestinal problems but also important repercussions at the level of the immune and neuro-endocrine systems.
Indeed, 80 % of our immune system is distributed along the digestive tract. We can only insist on the fatal effects of an intestinal dysbiotic microflora and in contrario, the beneficial effects of a supplementation of alive and viable probiotics in humans.
and the useful complementary action ...
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They are relative in particular in the terms of ...
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