La fibromyalgie aujourd’hui: 10 réponses clés d’un rhumatologue

Buena Vibra a interviewé le Dr Eduardo Mysler, prestigieux rhumatologue argentin, pour faire la lumière sur une maladie dans laquelle les doutes règnent.


1. Qu’est-ce que la fibromyalgie?

C’est une maladie chronique qui produit des douleurs musculaires et articulaires et se situe à des points caractéristiques lorsqu’elle est palpée sur les muscles et les tendons. À cela s’ajoutent la fatigue et une fatigue extrême et des difficultés à s’endormir

2. Avez-vous un diagnostic clair et une reconnaissance en tant que maladie?

Non, le diagnostic est posé en éliminant d’autres maladies et plusieurs fois, les patients passent par de nombreux médecins avant d’obtenir le diagnostic.

3. Quel spécialiste le diagnostique? Qui devrait être consulté?

Le diagnostic peut être posé par un clinicien, mais le rhumatologue est le meilleur spécialiste.

4. Pourquoi y a-t-il tant de débats autour de cette question?

Parce que pour beaucoup c’est une variante de la dépression, car elle est associée.

5. Quels sont les symptômes de la fibromyalgie et comment est-il diagnostiqué?

Comme nous l’avons dit, des douleurs musculaires généralisées avec des points douloureux exquis, une fatigue extrême qui ne correspond pas aux tâches effectuées.

6. Votre prévalence augmente-t-elle ou votre reconnaissance augmente-t-elle? Quelles sont les causes?

La prévalence n’augmente pas. Il y a une plus grande reconnaissance de la part des médecins en général. Sa prévalence est de 2% aux États-Unis et elle est plus fréquente chez les femmes que chez les hommes. Les causes sont inconnues bien qu’il y ait beaucoup de théories.


7. Comment est le traitement? Y a-t-il des médicaments?

Le traitement est multidisciplinaire et différents médicaments ont été approuvés à partir de la prégabaline, en passant par le milnacipram et la duloxétine. Ceux-ci sont approuvés par la FDA. Des anti-inflammatoires, des analgésiques et des dérivés opioïdes sont également utilisés. La thérapie non pharmacologique comprend la rééducation physique, la chiropratique, les exercices aérobiques et la thérapie comportementale cognitive, entre autres.

8. Quel est le pronostic?

Le pronostic est très variable. Il y a des patients qui évoluent favorablement et d’autres qui ne semblent rien réagir.

9. Quels sont les derniers développements scientifiques dans le domaine de la fibromyalgie?

Ces dernières années, davantage de médicaments ont été approuvés pour traiter la maladie, ce qui nous permet d’avoir plus d’armes pour l’attaquer.

10. Comment les personnes atteintes de la maladie peuvent-elles améliorer leur qualité de vie?

Il est important que la coopération du patient, sa volonté de vouloir améliorer et la compréhension du médecin dans cette pathologie chronique et difficile à gérer.


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