Understanding The Pain Of Fibromyalgia
Fibromyalgia is a fairly common condition characterized by long-term, body-wide pain and tender points in joints, muscles, tendons and other soft tissues. Fibromyalgia has also been linked to fatigue, morning stiffness, sleep problems, headaches, numbness in hands and feet, depression and anxiety.
Many people know what fibromyalgia is, but its causes have yet to be identified and confirmed in definite terms. But recent research has generally found that fibromyalgia is most likely a result of what scientists call central sensitization or unusual responses in the nervous system with regard to pain perception.
According to Dr. Bruce Solitar, clinical associate professor of medicine in the division of rheumatology at NYU Medical Center/Hospital for Joint Diseases in New York, “The [current] consensus is that fibromyalgia is not a problem with the muscles, joints or tendons, but rather a problem with the central nervous system.”
While it’s easy to think that pain felt by someone who has experienced no physical damage to the body might be categorized as “all in their head,” the sensations that someone with fibromyalgia experiences are as real as any other pain. Scientists aren’t sure what triggers fibromyalgia but a number of conditions have been linked to the development of it. These include:
• Infection. The Epstein-Barr virus, influenza, and hepatitis B and C have all been implicated in the development of fibromyalgia. According to Dr. Solitar, These viruses may have long-term effects on the immune system. It’s also possible that viral particles attach to glial cells, which are cells within the brain that affect neurotransmission and influence the pain response. Additionally, there is a well-established connection between Lyme disease and fibromyalgia: Some patients who have been treated for Lyme—and appear to have recovered from it—continue to experience the unusually high frequency of unprovoked pain that characterizes fibromyalgia.