Les douleurs articulaires de la fibromyalgie sont souvent confondues avec l’arthrite

La fibromyalgie est l’un des troubles musculo-squelettiques les plus courants, qui comprend des douleurs musculaires et articulaires généralisées.

La douleur articulaire causée par la fibromyalgie est souvent confondue avec la polyarthrite rhumatoïde (PR) car elle présente également des symptômes similaires. Une articulation est une intersection où deux os se rencontrent.

La plupart des articulations sont composées de cartilage, espace articulaire, capsule fibreuse, synoviale et ligaments. Les articulations aident à fournir un soutien et vous aident également à vous déplacer.

Tout dommage aux articulations causé par une maladie ou une blessure peut gêner les mouvements et causer beaucoup de douleur.

L’inflammation des articulations dans la polyarthrite rhumatoïde est l’un des principaux symptômes de la fibromyalgie. Toutefois, des douleurs peuvent survenir aux articulations et aux muscles, mais elles ne peuvent pas être causées par une inflammation.

Par conséquent, la fibromyalgie n’endommage pas les articulations, contrairement à l’arthrite. Il ne semble pas non plus endommager les muscles ou autres tissus mous.

Causes Les 
chercheurs, comme les médecins, ne savent pas encore ce qui cause la fibromyalgie, mais il est fort probable que plusieurs facteurs agissent de concert. Certaines des causes attribuées à la fibromyalgie peuvent inclure:

Génétique 
Ceci est dû au fait que la fibromyalgie a tendance à fonctionner dans les familles et qu’il peut exister certaines mutations génétiques qui peuvent vous rendre plus susceptible au développement de la maladie.

Infections 
Certaines maladies semblent déclencher ou exacerber la fibromyalgie.

Traumatisme physique ou émotionnel 
On pense également que le syndrome de stress post-traumatique peut conduire au développement de la fibromyalgie. Les chercheurs pensent également que la stimulation nerveuse répétée peut modifier le cerveau des personnes atteintes de fibromyalgie. Ce changement crée une augmentation anormale des niveaux de certaines substances chimiques dans le cerveau qui signalent la douleur (neurotransmetteurs).

Traitement des douleurs articulaires 
dues à la fibromyalgie On ne connaît pas encore de traitement pour la fibromyalgie. Cependant, diverses options peuvent faire une différence dans la qualité de votre vie, notamment des changements de mode de vie et des médicaments.

Bien que la fibromyalgie soit souvent considérée comme une affection liée à l’arthrite, il ne s’agit pas vraiment d’une forme d’arthrite (une maladie des articulations) car elle ne provoque pas d’inflammation ni de lésion des articulations, des muscles ou d’autres tissus.

À l’instar de l’arthrite, cependant, la fibromyalgie peut causer une douleur et une fatigue considérables et nuire à la capacité d’une personne à effectuer ses activités quotidiennes.

En outre, tout comme l’arthrite, la fibromyalgie est considérée comme une affection rhumatismale, une affection médicale qui endommage les articulations et / ou les tissus mous et provoque une douleur chronique.

Il y a beaucoup de médecins, internistes et rhumatologues (médecins spécialisés dans l’arthrite et d’autres conditions qui affectent les articulations et les tissus mous) qui peuvent traiter la fibromyalgie.

Il faut aussi essayer des cliniques spécialisées dans les cliniques de la douleur et spécialiste de la douleur dans l’arthrite rhumatologique et d’autres maladies rhumatismales, y compris la fibromyalgie.

À ce jour, il n’existe que trois médicaments approuvés par la Food and Drug Administration (FDA) des États-Unis pour le traitement de la fibromyalgie. Ce sont la duloxétine, le milnacipran et la prégabaline.

La duloxétine a été développée à l’origine pour le traitement de la dépression et est toujours utilisée à cette fin.

Le milnacipran est similaire à un médicament utilisé pour traiter la dépression, mais il est approuvé par la FDA uniquement pour la fibromyalgie.

La prégaballine est un médicament développé pour le traitement de la douleur neuropathique (douleur chronique causée par des lésions du système nerveux).

La fibromyalgie est-elle traitée avec le temps? 
La fibromyalgie est une maladie chronique, ce qui signifie qu’elle durera longtemps, voire toute la vie. Cependant, il peut être réconfortant de savoir que la fibromyalgie n’est pas une maladie évolutive, qu’elle n’est jamais mortelle et qu’elle ne causera pas de dommages aux articulations, aux muscles ou aux organes internes. Chez de nombreuses personnes, la maladie s’améliore avec le temps.

Qu’est-ce que la fibromyalgie peut vous faire? 
La douleur et le manque de sommeil associés à la fibromyalgie peuvent nuire à la capacité de fonctionner à la maison ou au travail. La frustration de devoir faire face à une condition souvent mal comprise peut également conduire à une dépression et à une anxiété liées à la santé.

Existe-t-il d’autres options que des médicaments? 
En plus de prendre les médicaments prescrits par votre médecin, vous pouvez également prendre de nombreuses mesures pour réduire au minimum l’impact de la fibromyalgie sur votre vie.

Dormez bien la nuit 
Une personne devrait avoir le bon type et suffisamment de sommeil pour soulager la douleur et la fatigue liées à la fibromyalgie. De nombreuses personnes atteintes de fibromyalgie ont des problèmes de sommeil dus à la douleur, au syndrome des jambes sans repos ou à des irrégularités des ondes cérébrales.

Il est donc important de discuter de tout problème de sommeil avec votre médecin, qui peut vous prescrire ou vous recommander un traitement.

Exercice 
délicat Bien que la douleur et la fatigue puissent rendre l’exercice et les activités quotidiennes difficiles, il est important d’être actif physiquement dès que possible. Des études ont montré que l’exercice régulier est l’un des traitements les plus efficaces contre la fibromyalgie.

Il est également important de noter que les personnes qui ont trop de douleur ou de fatigue et qui font un exercice vigoureux devraient commencer par la marche ou d’autres exercices délicats, puis développer lentement leur endurance et leur intensité.

Changer votre environnement de travail Les 
personnes atteintes de fibromyalgie ont tendance à travailler même après avoir été diagnostiquées. Cela devrait changer ou devriez-vous apporter des modifications.

Il y a différentes façons de le faire. Vous pouvez simplement réduire le nombre d’heures travaillées, accéder à un travail moins exigeant ou adapter un travail en cours.

Vous pouvez demander à votre employeur de procéder à des ajustements vous permettant de conserver votre emploi si vous rencontrez des obstacles au travail, par exemple une chaise de bureau inconfortable qui vous laisse mal au dos ou qui vous empêche de soulever de lourdes boîtes ou des dossiers.

Il est également recommandé qu’un ergothérapeute vous aide à concevoir un poste de travail plus confortable ou à trouver des moyens de levage plus efficaces et moins douloureux.

Manger sainement, c’est toujours mieux 
Aucune étude n’a été menée sur un régime alimentaire spécifique pour les personnes atteintes de fibromyalgie, mais des personnes se sont senties mieux lorsqu’elles ont tendance à manger ou à éviter certains aliments.

Quoi qu’il en soit, il est important d’avoir une alimentation saine et équilibrée dans laquelle une bonne nutrition vous donne plus d’énergie et vous permet généralement de vous sentir mieux. Cela vous aidera également à éviter d’autres problèmes de santé.

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