El dolor de la fibromialgia podría ser aliviado con inyecciones de la lidocaína analgésico, sugiere un nuevo estudio.

resultado de la imagen de / lidocaína-inyección-may-ayuda de tratar la fibromialgia-investigador-dice /

Las personas con fibromialgia se quejan de dolor crónico a través de su cuerpo, así como un aumento de la sensibilidad al dolor. Los médicos a menudo tienen problemas para el tratamiento de este dolor, ya que no está claro cuál es su causa, los autores del estudio.

En el nuevo estudio, la inyección de lidocaína en los tejidos periféricos – como los músculos de los hombros o las nalgas – reducido efectivamente la sensibilidad al dolor, los investigadores encontraron.

“La hipótesis de que si el dolor proviene de los tejidos periféricos, y podemos tomar este dolor de distancia mediante la inyección de anestésicos locales, entonces esto sería una prueba indirecta de la importancia de los tejidos periféricos para el dolor clínico de estos individuos”, el autor principal del estudio, el Dr. Roland Staud, profesor de medicina en la Universidad de Florida, Facultad de Medicina, dijo en un comunicado de prensa de la universidad.

“Over-the-counter medicamentos y [narcóticos] recetas como los opiáceos no son realmente eficaces para controlar las condiciones de dolor crónico”, agregó. Pero con la nueva terapia, “somos capaces de explicar el dolor de los pacientes crónicos y gestionar mejor que mejor”, dijo Staud. “Estamos avanzando pero tomará tiempo”.

En el estudio participaron 62 mujeres con fibromialgia. Cada mujer recibió cuatro inyecciones: dos en ciertos músculos en sus hombros y dos más en sus nalgas. Algunas de las mujeres recibieron inyecciones de lidocaína, mientras que un “grupo de control” recibió inyecciones de solución salina.

Justo antes de que se les dio las inyecciones y 30 minutos después, las mujeres recibieron estímulos de dolor leve entregados a través de medios mecánicos o por medio de calor.

En comparación con “ficticios” inyecciones de solución salina, la lidocaína alivió significativamente la sensibilidad de las mujeres para el dolor, según el estudio publicado recientemente en la  revista European Journal of Pain .

Los investigadores observaron, sin embargo, que tanto la lidocaína y la placeboresulted en una reducción del 38 por ciento en el dolor en o cerca del punto de la lesión.

Pero el dolor crónico afecta al cuerpo de manera diferente a una lesión específica, como una pierna rota, los autores del estudio señalaron. El dolor crónico, explicaron, de hecho puede alterar la función del nervio a lo largo de la médula espinal.

“La mejor manera de tratar condiciones de dolor crónico es. . . [Por] mirando al daño emocional, sensorial y tejidos “, Michael Robinson, director de la Universidad de Florida Center for Pain Research and Behavioral Health, dijo en un comunicado de prensa de la universidad. “Sabemos que hay componentes centrales y periféricos y sociales y de comportamiento a alguien diciendo:” Ay, me duele.”

Los sobrevivientes de cáncer que experimentan dolor, por ejemplo, puede asociarlo con su enfermedad y los temores acerca de su pronóstico – incluso si ha sido tratada y en remisión.

“Esa sensación también puede sentirse más doloroso que si sólo pensaron que era un músculo pellizcado”, explicó Robinson.

Dos expertos en la fibromialgia no estaban seguros acerca de la importancia de los hallazgos, sin embargo.

“No hubo una diferencia significativa entre la reducción del dolor en el grupo placebo frente al grupo de tratamiento – esto significa que no importa lo que el producto es la inyección, pero el acto de inyección en sí podría ser la causa de la reducción del dolor,” dijo el Dr. Waseem Mir, reumatólogo del hospital Lenox Hill en la ciudad de Nueva York.

“Entonces, uno puede argumentar que la reducción del dolor fue placebo”, dijo. “Para examinar el punto de placebo, otro brazo en el experimento podría ser necesario introducir en donde los pacientes no están recibiendo inyectan pero tomar una píldora de placebo.”

El Dr. Houman Danesh es director de manejo del dolor integradora en el Hospital Mount Sinai de la ciudad de Nueva York. Dijo que “la fibromialgia es un trastorno complejo, donde los pacientes son más sensibles al dolor. Se diagnostica principalmente por un reumatólogo tocando 18 puntos de presión de diagnóstico, y si 11 de ellos son sensibles, a continuación, se hace el diagnóstico,”explicó.

“Este estudio ofrece una visión como a un contribuyente potencial a la fibromialgia y un posible tratamiento”, dijo Danesh. “Es interesante observar que los puntos que se utilizaron fueron los puntos de acupuntura, por lo tanto, lo que sugiere la acupuntura como un tratamiento posible para ayudar a los pacientes con fibromialgia.”


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