El doctor Eduardo Mysler, reumatólogo argentino de gran prestigio internacional, explica qué es la fibromialgia y por qué es clave no dilatar la consulta ante ciertos síntomas o diagnósticos.
1.¿Qué es la fibromialgia?
Es una enfermedad crónica que produce dolor muscular y articular y que se localiza en puntos característicos al palparse sobre músculos y tendones. A esto se le suma fatiga y cansancio extremo y dificultades para conciliar el sueño.
2. ¿Tiene diagnóstico claro y reconocimiento como enfermedad?
No, el diagnóstico se realiza descartando otras enfermedades y muchas veces los pacientes recorren muchos médicos antes de obtener el diagnóstico.
3. ¿Qué especialista la diagnostica? ¿A quién hay que consultar?
El diagnóstico lo puede hacer un clínico, pero el mejor especialista para esto es el reumatólogo.
4. ¿Por qué hay tanto debate en torno a este tema?
Porque para muchos es una variante de la depresión, ya que la misma está asociada.
5. ¿Cuáles son los síntomas de la fibromialgia y cómo se diagnostica?
Como dijimos, dolor muscular generalizado con puntos dolorosos localizados por todo el cuerpo, cansancio extremo que no se correlaciona con las tareas realizadas.
6. ¿Crece su prevalencia o crece su reconocimiento? ¿Cuáles son las causas?
No aumenta la prevalencia. Lo que hay es mayor reconocimiento por parte de los médicos en general. Su prevalencia es del 2% en USA y es más frecuente en mujeres que en hombres. Se desconocen las causas aunque hay muchas teorías.
7. ¿Cómo es el tratamiento? ¿Hay medicación?
El tratamiento es multidisciplinario y existen diferentes medicaciones aprobadas para ella desde la Pregabalina, pasando por el Milnacipram hasta la Duloxetina. Estos aprobados por la FDA. También se utilizan anti-inflamatorios, analgésicos y derivados opioides. La terapia no farmacológica incluye la Rehabilitación física, la quiropraxia, los ejercicios aeróbicos y la terapia cognitivo conductual entre otros.
8. ¿Cuál es el pronóstico?
El pronóstico es muy variable. Hay pacientes que evolucionan favorablemente y otros que no parecen responder a nada.
9. ¿Cuáles son las últimas novedades científicas en materia de fibromialgia?
Se han aprobado en los últimos años más medicamentos para tratar la enfermedad, lo que nos permite tener mayor armamento para atacarla.
10. ¿Cómo pueden mejorar su calidad de vida quienes sufren la enfermedad?
Es importante la cooperación del paciente, su fuerza de voluntad para querer mejorar y la comprensión del médico en esta patología crónica y de difícil manejo.
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