Vertigini, scarso equilibrio e cadute durante le riacutizzazioni della fibromialgia

Vertigini, mancanza di equilibrio e cadute sono disturbi molto comuni di chi soffre di fibromialgia.

Per alcune persone, sono un fastidio minore che si presenta occasionalmente e non dà loro molta importanza, ma per altri possono essere gravemente invalidanti, causando lesioni su base regolare.

Le cadute, soprattutto quando sono frequenti, sono un problema serio. L’ultima cosa di cui una persona ha bisogno quando è già in costante dolore è ferirsi di più.

Queste cadute e problemi di equilibrio possono anche portare alla paura di cadere, e quella paura a sua volta può farti spaventare da molte attività, comprese alcune che non comportano alcuno sforzo.

Vertigini, scarso equilibrio e cadute durante le riacutizzazioni della fibromialgia

Secondo uno studio in Clinical Rheumatology, il 73% delle persone con fibromialgia ha paura dell’attività fisica e quasi il 75% ha problemi di equilibrio.

La caduta non è un sintomo, è più una conseguenza di vertigini e mancanza di equilibrio.

In questa malattia, cadute e problemi di equilibrio possono anche essere correlati a cambiamenti nel modo in cui camminiamo.

Allora perché la fibromialgia coinvolge questi problemi e cosa possiamo fare al riguardo?

Fibromialgia e vertigini

Nella fibromialgia, le vertigini si verificano più spesso quando la persona si alza rapidamente. L’improvvisa comparsa di vertigini può farti oscillare in piedi, vacillare o persino farti cadere o svenire.

Vertigini e svenimenti in questa malattia possono essere correlati a un particolare sottogruppo, secondo uno studio del 2017 pubblicato sull’European Journal of Pain.

Oltre a vertigini e svenimenti, questo sottogruppo presentava anche livelli più elevati di dolore, nonché una varietà di sintomi e malattie sovrapposti, tra cui disfunzione cognitiva “fibro-nebbia”, vescica irritabile, vulvodinia e sindrome delle gambe senza riposo.

La ricerca suggerisce che questo sintomo è dovuto alla disfunzione del sistema nervoso autonomo ANS, che si chiama disautonomia.

L’ANS è coinvolto in molte funzioni critiche nel tuo corpo, tra cui frequenza cardiaca, pressione sanguigna, frequenza respiratoria, temperatura corporea, metabolismo e digestione.

Le vertigini causate dalla disautonomia possono essere indicate come ipotensione neurologica o sindrome da tachicardia ortostatica posturale.

In sostanza, queste cose significano che il cuore e il cervello non comunicano correttamente tra loro.

Quello che dovrebbe accadere è che quando ti alzi da una posizione sdraiata o seduta, l’ANS aumenta la pressione sanguigna per combattere la gravità e mantenere un sufficiente apporto di sangue al cervello.

Con la disautonomia, questo non accade come dovrebbe. Invece, la pressione sanguigna può effettivamente scendere quando ti alzi e il risultato sono vertigini o stordimento. La tua frequenza cardiaca accelera quando la pressione sanguigna scende.

Le vertigini possono essere associate a palpitazioni cardiache, visione offuscata, aumento della frequenza cardiaca, dolore toracico e un tipo di svenimento chiamato sincope vasovagale.

Tuttavia, non tutte le persone con vertigini correlate alla fibromialgia svengono.

In uno studio del 2008, i ricercatori affermano che le vertigini e le palpitazioni erano più comuni dello svenimento.

Problemi di equilibrio e andatura nella fibromialgia

Oltre alla possibilità di cadute, la ricerca suggerisce che le persone con fibromialgia camminano in modo diverso rispetto alle persone sane. Uno studio del 2009 ha rilevato che circa il 28% delle persone con questa malattia ha un’andatura anormale (andatura).

In uno studio sulle prestazioni funzionali del 2017, i ricercatori hanno affermato che l’andatura e l’equilibrio erano gravemente compromessi in questa condizione.

Le differenze includono:

-Lunghezza del passo notevolmente più corta.

-Ritmo più lento.

-Il modo in cui il corpo oscilla quando si cammina.

I ricercatori hanno scoperto che le differenze di andatura e equilibrio erano peggiori nelle persone che avevano più dolore, rigidità, affaticamento, ansia e depressione.

Hanno raccomandato ai medici di valutare l’andatura e la postura dei loro pazienti con fibromialgia, per trovare il miglior tipo di riabilitazione e prevenzione delle cadute per loro.

La valutazione e il trattamento di questi sintomi potrebbero non essere una priorità per il medico. Se sei preoccupato, assicurati di menzionarli al tuo prossimo appuntamento.

Alleviare le vertigini e il rischio di cadute nella fibromialgia

Se il trattamento per la fibromialgia sta andando bene, questi sintomi non dovrebbero essere un problema. Tuttavia, se hai bisogno di più cure o se non sei stato in grado di trovare trattamenti efficaci per la fibromialgia, hai diverse opzioni.

Per vertigini, ipotensione ortostatica o ipotensione neurologica, il medico può raccomandare farmaci che aiutano. Questi possono includere benzodiazepine e beta bloccanti. Alcuni di questi farmaci possono anche aiutare ad alleviare altri sintomi della fibromialgia. Il medico può anche raccomandare cambiamenti nello stile di vita.

Se fumi, una ricerca pubblicata sulla rivista di reumatologia congiunta, Bone, Spine suggerisce che smettere di fumare può aiutare ad alleviare lo svenimento e altri sintomi della fibromialgia.

Quando si tratta di equilibrio e andatura, la terapia fisica è un trattamento comune. Puoi anche chiedere al tuo medico se qualcosa come yoga, tai chi o qigong è sicuro per te.

Fino a quando non trovi modi per migliorare questi sintomi, vale la pena fare attenzione.

I dispositivi di assistenza, come un bastone o un deambulatore, possono aiutarti a muoverti in modo più sicuro.

Fai gli esercizi in posizione seduta, potrebbero essere l’opzione più sicura e sono sicuramente un’opzione migliore che non fare assolutamente nulla per paura.

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