Fibromyalgia is a pain-amplification syndrome characterised by
widespread stiffness & aching.
About 20% of lupus patients have fibromyalgia, but it can occur
on its own.
Symptoms
Muscle aches
Stiffness
Sleep problems
Irritable bowel syndrome
Fatigue
Cognitive dysfunction (memory problems)
Diagnosis
To be diagnosed with fibromyalgia, one must have tender points
in at least 11 of 18 designated points on the body. Changes in steroid
doses can aggravate fibromyalgia, & also patients who are taking
corticosteroids develop increased sensitivity to pressure applied
to their skin. Therefore it is important to differentiate active
lupus from fibromyalgia.
Treatment
Treatment consists of getting restful sleep, pacing yourself,
moist heat, gentle massage & gentle exercise. Medications such
as NSAIDs, muscle relaxants & tricyclic antidepressants can
also be used.
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