O que é Síndrome da dor miofascial e como é afiliado com fibromialgia

Fibromialgia e síndrome de dor miofascial, muitas vezes andam juntos. Por causa da frequente sobreposição e alguns sintomas semelhantes, eles são muitas vezes confundido com a mesma condição e, como resultado, as pessoas com ambos são às vezes somente diagnosticados e tratados para um.

resultado de imagem

Isso é um problema real, por três razões principais:

  1. eles exigem um tratamento diferente
  2. pontos de gatilho do MPS pode ser eliminado
  3. dor MPS pode exacerbar FMS, e diminuindo a dor MPS pode acalmar consideravelmente sintomas FMS

Alguns pesquisadores usam o nome de “dor miofascial crônica” (CMP) em vez de síndrome de dor miofascial por causa da evidência que é uma doença, não uma síndrome. (A “síndrome” é um conjunto de sintomas sem causa conhecida.)

Visão geral

Em MPS, músculos e tecidos conjuntivos (que compõem a fáscia) desenvolver o que é chamado um ponto de gatilho (PG). Estes são  não  o mesmo que pontos FMS concurso.

Um ponto de disparo é um pequeno nó, dura que às vezes você pode se sentir sob sua pele. O nó em si pode ser doloroso, especialmente quando picado, mas que muitas vezes causa dor em outra área, que é chamado de dor referida.

Os pontos-gatilho tipicamente formar como resultado de trauma para o tecido. Especialistas não sei por danos que cura normalmente na maioria das pessoas faz com que os PG nos outros. No entanto, estudos sugerem que a lesão muscular em algumas pessoas leva a anomalias onde as células nervosas se conectam às células musculares. Isto sugere MPS é uma doença neuromuscular.

Associação

Por que as pessoas com MPS freqüentemente desenvolvem FMS ainda não está claro, mas um crescente corpo de evidências mostra que, em algumas pessoas, a dor crônica pode fazer alterações no sistema nervoso central, resultando na sensibilização central. Se as teorias estiverem corretas, o tratamento precoce da MPS pode ajudar a prevenir FMS.

Um termo genérico emergente para FMS, MPS, e outras condições que envolvem a sensibilização central é síndromes de sensibilidade centrais.

Os sintomas

Alguns sintomas associados com a MPS são semelhantes aos sintomas associados com a FMS, enquanto outros estão ligados a apenas um.

Os sintomas que têm em comum incluem:

  • dor nos tecidos moles que vão desde ligeira a grave
  • dores de cabeça e / ou enxaquecas
  • sono perturbado
  • problemas de equilíbrio e / ou tonturas
  • tinnitus (zumbido nos ouvidos) e da orelha dor
  • problemas de memória
  • sudorese inexplicável
  • agravamento dos sintomas, devido ao estresse, muda / extremos no tempo, e a actividade física

Os sintomas associados com MPS, mas  não  com a FMS incluem:

  • dormência nas extremidades
  • popping ou clicando articulações
  • gama limitada de movimento nas articulações, especialmente a mandíbula
  • dobrado ou visão embaçada
  • náuseas inexplicadas

Os sintomas associados com FMS, mas  não  com MPS incluem:

  • fadiga
  • ataques de pânico
  • sentindo sobrecarregado devido aos altos níveis de entrada sensorial
  • alergias e sensitivites
  • confusão e desorientação periódica

Para mais sintomas da fibromialgia, veja a lista Monstro de sintomas fibromialgia.

Diagnóstico

dor referida faz MPS especialmente difícil de diagnosticar e tratar. Normalmente, um médico diz: “Onde dói?” E, em seguida, olha para onde você apontar. Para tratar MPS, você e seu médico precisam examinar seus sintomas e descobrir onde seus pontos de gatilho são.

O seu médico pode encontrar pontos de gatilho pelo tato ou com base nos sintomas.

Testes como a elastografia por ressonância magnética e biópsia de tecido podem apresentar alterações em pontos-gatilho, mas seus papéis no diagnóstico de MPS ainda não são claros.

Por outro lado, nenhum teste ou análise indicar anormalidades nos tecidos onde as pessoas com dor FMS experiência.

tratamentos

Você tem várias opções para o tratamento da MPS:

  • Desencadear-Ponto Injeções:  O médico insere uma agulha diretamente em um PG ou em vários lugares ao redor dele para soltar as bandas tensos. O médico pode injectar um medicamento para o alívio da dor, tais como corticosteróides ou lidocaína. (Nota: alguns médicos acreditam corticosteróides podem exacerbar os sintomas da fibromialgia.)
     Quando nenhum medicamento é usado, ele é chamado agulhamento seco.
  • Acupuntura:  A acupuntura é uma prática chinesa antiga semelhante para secar agulhamento. Embora os estudos de seu uso em MPS são limitados eles são promissores, e muitos pacientes e profissionais relatam bons resultados.
  • Fisioterapia:  Um tipo especial de chamada terapia de spray-e-estiramento é comum para o tratamento de MPS. Um fisioterapeuta orienta você através de exercícios de alongamento durante a pulverização de uma substância entorpecente em seu músculo. O terapeuta também pode usar certas técnicas de massagem para relaxar os músculos e os PG. Além disso, um terapeuta pode trabalhar com você em fatores como má postura, que pode contribuir para a MPS.
  • Medicamentos:  drogas comuns para MPS incluem drogas não esteróides anti-inflamatórias (NSAIDs), tais como Aleve (naproxeno) ou medicamentos à base de ibuprofeno como Advil e Motrin, e antidepressivos triclicos, tais como amitriptilina, doxepina, nortriptilina e.

Tratamentos MPS comparada Tratamentos FMS

Aqui, novamente, há alguma sobreposição, mas também diferenças importantes. Os tratamentos usados ​​para ambas as MPS e FMS incluem:

  • acupuntura
  • terapia physcial (embora em diferentes formas)
  • antidepressivos tricíclicos (embora antidepressivos SSRI / SNRI se estão a tornar mais comum para FMS)

Estudos mostram injecções de ponto-gatilho não são eficazes no alívio da fibromialgia pontos tenros, e NSAID não são eficazes no tratamento da dor FMS.

Para saber mais sobre tratamentos de fibromialgia, consulte o tratamento da fibromialgia – uma abordagem multidisciplinar.

Lidar

Com diferenças significativas em seus sintomas, diagnóstico e tratamento, é claro que a fibromialgia e síndrome de dor miofascial não são a mesma condição. No entanto, ele pode ser extremamente difícil determinar qual condição está causando dor que quando uma pessoa tem ambos.

Ao trabalhar tanto em seu próprio país e com o seu médico e / ou fisioterapeuta, você pode ser capaz de descobrir onde você tem pontos de gatilho ea melhor forma de tratá-los sem agravar a sua fibromialgia. Aliviando a dor miofascial é provável para acalmar seus sintomas de fibromialgia, assim que você poderia muito bem ver um duplo benefício.

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