Moi canso, ça me fait mal, j’oublie, ça me brûle, ça me pique = fibromyalgie

Émotion et douleur: la fibromyalgie
C’est un diagnostic qui se répète dans les cabinets du médecin et qui touche principalement les femmes.

Nous vous disons ce que c’est et ce qui peut être fait. 
L’association entre dépression et douleur est connue depuis un certain temps. 
Les statistiques estiment que 20 à 30% des patients souffrant de dépression ont des épisodes de douleur, et jusqu’à 50% des patients souffrant de douleur chronique se développer, tout au long de leur maladie, un trouble dépressif, un chiffre qui augmente si, en plus , d’autres maux sont ajoutés, tels que le stress, les attaques de panique, les phobies, les obsessions, etc., toutes les images cliniques qui supposent une mauvaise gestion de l’anxiété.

Dans ce contexte, un mot est devenu fréquent dans les bureaux: la fibromyalgie. 
De quoi parlons nous?

La fibromyalgie est l’un des troubles qui certifie la relation entre les émotions et la douleur désagréables.

Est considéré comme un ensemble de symptômes et signes (syndrome *), caractérisé par la présence de la douleur chronique sévère (plus de 3 mois de durée), avec des points spécifiques dans le col de l’utérus, lombaire et (souvent) aussi dans les mains, genoux, chevilles, pieds, etc.

Parallèlement à ces symptômes, il y a d’autres symptômes de nature psychologique: insomnie ou sommeil non réparateur, fatigue facile, perte de concentration et d’attention, troubles de la mémoire, diminution de la libido (intérêt sexuel) et un état de préoccupation constant il tourne autour du phénomène de la douleur.

Les personnes touchées par le syndrome se sentent “que les muscles sont tordus”, “durs comme des pierres” ou que “ils sont percés par un couteau”, toutes les images qui accompagnent les sensations douloureuses.

Le syndrome est plus fréquent chez les femmes, dans une proportion approximative de 7 à 10 femmes pour chaque homme.

On estime qu’ils souffrent entre 3 et 4% de la population générale. 
La fibromyalgie peut commencer après une situation traumatique de nature diverse: accidents, infections virales, conflits familiaux, couple, travail, etc. 
Les causes profondes de la fibromyalgie sont inconnues, bien que l’hypothèse la plus acceptée est la modification du système nociceptif, à savoir, les voies du système nerveux qui produisent la douleur dans notre corps.

Ce système distingue les différents stimuli (physique, température, plaies) et nous prépare à faire face à une situation douloureuse (comme aller chez le dentiste).

Chez les personnes en bonne santé, il existe un seuil qui les préserve, donnant le ton précis et réel au stimulus désagréable.

En revanche, les personnes atteintes de fibromyalgie ont un seuil très bas par rapport à ces stimuli, convertissant les événements minimaux, sans implication clinique, en symptômes gênants et invalidants.

Finalement, la participation augmente, et l’interprétation pathologique des facteurs de l’environnement sont exacerbées, ce qui rend difficile de résoudre les problèmes quotidiens ou les relations sociales difficiles: fatigabilité, la vision catastrophique de la vie, l’irritabilité, l’impatience, faible estime,

, etc.

Une fois que le système nerveux est sensibilisé (phénomène de sensibilisation central), tous les symptômes se développent en cascade sans qu’il y ait, ou que le patient reconnaisse, une raison de déclenchement. 
Y a-t-il un traitement? 
Jusqu’à présent, la fibromyalgie n’a pas de traitement pour la guérir, mais les symptômes peuvent être atténués, améliorant la qualité de vie. 
C’est un syndrome qui nécessite une évaluation profonde, à la fois physique (médecins cliniciens, rhumatologues, neurologues) et psychologique / psychiatrique.

Il est nécessaire de traiter les symptômes douloureux et leur interprétation anormale, ainsi que de modifier les habitudes de vie, de réduire le stress et le sentiment d’incapacité à faire face à la vie quotidienne. 
Il y a actuellement approuvés traitements médicamenteux pour soulager les symptômes de la fibromyalgie, mais les indications et la posologie, doivent toujours être contrôlés par le rhumatologue et / ou Neurologue.


51 thoughts on “Moi canso, ça me fait mal, j’oublie, ça me brûle, ça me pique = fibromyalgie

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