La fibromyalgie, un rhumatologue nous donne 10 réponses

Le Dr Eduardo Mysler, rhumatologue argentin de grand prestige international, explique ce qu’est la fibromyalgie et pourquoi il est essentiel de ne pas retarder la consultation avec certains symptômes ou diagnostics.

La fibromyalgie, un rhumatologue nous donne 10 réponses

1. Qu’est-ce que la fibromyalgie?

C’est une maladie chronique qui provoque des douleurs musculaires et articulaires. Elle est localisée aux points caractéristiques lorsqu’elle est palpée sur les muscles et les tendons. A cela s’ajoute 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 fait en écartant 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 meilleur spécialiste est le rhumatologue.

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

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

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

Comme nous l’avons dit, la douleur musculaire généralisée avec des points douloureux situés dans tout le corps, 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. Ce qu’il y a, c’est une plus grande reconnaissance de la part des médecins en général. Sa prévalence est de 2% aux Etats-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 at-il des médicaments?

Le traitement est multidisciplinaire et il existe différents médicaments approuvés à partir de la prégabaline, à travers le milnacipram à 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 réadaptation physique, la chiropratique, les exercices aérobiques et la thérapie cognitivo-comportementale, 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 répondre à rien.

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

Au cours des dernières années, plus 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 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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