Douleur dorsale sévère et fibromyalgie: comment obtenir un soulagement

Lorsque vous souffrez de fibromyalgie, il peut sembler que vous ne pouvez pas vous échapper de la douleur – ce qui peut inclure un mal de dos. Jusqu’à deux tiers des personnes souffrant de lombalgie chronique ont également la fibromyalgie. En regardant les chiffres de l’autre sens, jusqu’à 49 pour cent des personnes souffrant de fibromyalgie ont mal au bas du dos. En fait, le mal de dos est si répandu chez les personnes atteintes de fibromyalgie qu’il était l’un des symptômes que les médecins cherchaient à faire un diagnostic de fibromyalgie.

Il ne fait aucun doute que vivre avec la fibromyalgie est assez difficile en soi, et encore moins lorsque vous souffrez de maux de dos. Mais cela peut vous faire sentir un peu mieux de savoir qu’il y a une explication de l’intensité de la douleur que vous traversez.

“Les maux de dos et la fibromyalgie appartiennent à un groupe de troubles appelés syndromes d’hypersensibilité centrale”, explique le spécialiste de la gestion de la douleur Ronald Staud, MD, professeur de médecine à l’Université de Floride à Gainesville. Bien que les racines des deux conditions diffèrent – par exemple, le mal de dos pourrait être causé par un disque vertébral endommagé – les expériences de douleur des deux conditions présentent certaines similitudes. Parmi eux se trouve le sentiment que ces conditions de douleur chronique font que vous êtes sur une sorte de «haute alerte» (les médecins l’appellent hyperarousel). Et puis, pour couronner le tout, la douleur vous fatigue, causant de la fatigue, de la dépression et de l’anxiété qui rendent la vie avec la fibromyalgie et les maux de dos d’autant plus épuisants.

“L’hyperarousie est vraiment une réponse normale”, explique le Dr Staud. Normal, oui, mais il jette une clé de singe dans la recherche de la bonne combinaison de traitements pour soulager deux problèmes très douloureux.

Un essentiel est d’obtenir un diagnostic précis de votre mal de dos. Selon Staud, de nombreux médecins qui traitent la fibromyalgie peuvent également évaluer les causes possibles du mal de dos. Cependant, demandez une référence à un spécialiste de la douleur si vous avez des préoccupations au sujet de la capacité de votre médecin à analyser les facteurs qui contribuent à votre mal de dos et prescrire le traitement médical approprié.

Résultat de l'image pour mal de dos

Traiter la fibromyalgie et les maux de dos

Les médicaments contre la douleur font généralement partie de la prescription de symptômes de la fibromyalgie, mais souvent, ils ne suffisent pas pour la plupart des gens, en particulier si une affection du dos est en cause. Mettre en place un plan de douleur multipart est un must, dit Staud. C’est encore plus vrai si vous avez besoin d’une thérapie spécifique pour votre dos. Considérez ces idées supplémentaires pour créer une stratégie de traitement complète qui peut combiner des approches traditionnelles et alternatives:

  • Changements de style de vie. Les symptômes du mal de dos et de la fibromyalgie peuvent s’améliorer au fur et à mesure que vous travaillez sur un mode de vie plus sain – en ajustant votre alimentation, en augmentant l’exercice et en perdant du poids si nécessaire.
  • Traitement de santé mentale. L’anxiété, la dépression et les troubles du sommeil peuvent tous aggraver la douleur. Selon Staud, les stratégies thérapeutiques globales peuvent inclure une thérapie et des médicaments ciblant la dépression et l’anxiété.
  • Thérapie physique. “Le mal de dos est le pilier des kinésithérapeutes”, explique Staud. Les physiothérapeutes peuvent vous apprendre comment passer votre journée plus efficacement et vous montrer des étirements pour soulager les maux de dos et peut-être faciliter la vie avec la fibromyalgie.
  • Approches de traitement alternatif. L’acupuncture, le biofeedback et la musicothérapie peuvent aider à soulager les maux de dos. Selon Staud, les spécialistes de la gestion de la douleur connaissent bien la complexité du traitement de la douleur et seront ouverts à toutes les questions que vous pourriez avoir sur les approches alternatives. Parler avec votre équipe des options que vous envisagez vous aidera également à éviter toute interaction entre les traitements alternatifs et les médicaments sur ordonnance.
  • Éducation.  Enfin, un peu de connaissances peut grandement contribuer à atténuer l’anxiété que vous ressentez. Discutez avec votre équipe médicale de la physiologie de la douleur et des facteurs complexes qui influencent votre perception de la douleur lorsque vous faites face à des conditions liées à l’hypersensibilisation.

Lorsque vous souffrez de douleurs au bas du dos et de fibromyalgie, vous pourriez avoir l’impression de combattre deux fois. Mais une combinaison de thérapies – certains visant à la fibromyalgie, certains visant à la douleur au dos, et certains visant à la fois – est plus susceptible de vous apporter un soulagement des symptômes.

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