Fibromyalgia

Zeljko Kojadinovic, MD- Neurosurgeon and Pain Specialist

Fibromyalgia

Zeljko Kojadinovic, MD- Neurosurgeon and Pain Specialist

Online consultation: Do you have severe pain and fibromyalgia? Solve your problems with a successful online consultation via e-mail and by talking to an expert. The consultations are based on the principles of telemedicine. They determine the exact origin and causes of your pain which can happen in addition to fibromyalgia. If you have fibromyalgia you can have other causes of pain too. When we determine that cause, we can prescribe a combination of modern medications tailored specifically to you with an excellent result in over 80% of cases. To receive this, please first contact us by e-mail on the contact page or WhatsApp. Be sure to include a short description of the problem, and when you have scheduled an appointment, send a detailed description of the disease and medical records, if available, to NSandPTT@aol.com. WhatsApp +1(619) 432 0395.

Fibromyalgia is a chronic condition or painful syndrome characterized by muscle, ligament and tendon pain accompanied by fatigue. It is also common to have certain points in the body that are very painful to the mild finger pressure.

Fibromyalgia is more common in women. Usually, the problems start to appear between 30 and 50 years of age.
Often people with sleep apnea or leg cramps have fibromyalgia. Fibromyalgia is more common in people suffering from rheumatoid arthritis, lupus, ankylosing spondylitis, and other autoimmune or rheumatic diseases (in which case it is known as secondary fibromyalgia).

SYMPTOMS: The symptoms are different and depend on the weather, exposure to stress, and may depend on the time of day/night.

The most common problems are the following:

Widespread / diffuse pain. Specific points on the body, which are painfully sensitive to touch, include the neck, shoulders, chest, elbows, hips and knees. The pain is often present for months and is accompanied by a feeling of stiffness in the joints.
Fatigue and sleep disturbance. People suffering from fibromyalgia often wake up tired even after sleeping 7-8 hours a night. Leg cramps and “restless legs” also disrupt sleep in fibromyalgia.
Irritable bowel syndrome (also known as the spastic colon). This often involves constipation, diarrhea accompanied by bloating, and abdominal cramps.
Headaches and dysfunction of the lower jaw joint. Many have tension headaches, neck and shoulder stiffness, and tenderness of the temporomandibular joint.
Increased sensitivity to odors, sound, light and touch.

The following are also common: depression; tingling in the arms and legs; difficulty concentrating; dry mouth, eyes and skin; painful menstruation; anxiety; chest pain; dizziness; mood swings.

Fibromyalgia is not easy to diagnose because there is no specific clinical test or blood test that can prove it for sure. Fibromyalgia is a DIAGNOSIS BY EXCLUSION. In addition to the examination, the following are performed: laboratory analyses, X-rays of painful places, mainly to exclude diseases such as rheumatoid arthritis, multiple sclerosis, or systemic lupus.

It is very important to emphasize that fibromyalgia does not lead to disability, and that patients can function quite normally with timely diagnosis and therapy.

Often 1 or 2 regions in the body have more pain than others. In that case there is an indication to find a source of the pain in those regions. Patients with fibromyalgia have the right to have any other pain like other people. It is a mistake that every severe pain in patients with fibromyalgia is always considered to be a part of that illness and no additional treatment is not ordered.

Precise diagnosis of additional pain first involves determining which anatomical structure (specific joint, muscle, tendon, nerve, etc.) is the source of pain in these regions. After that, the question is which pathological process takes place in it, in order to treat it. This can be achieved only by getting all relevant information about patients’ pain and all other symptoms. Only experts know what information is relevant and how to interpret it. Over 50% of sources of pain are not detectable by any recordings. Therefore, the most common mistake is to persistently look for the cause of pain on repeated MRI scans, X-rays, CT scans, etc. It is either not found on them or some changes are interpreted wrongly as a source of the pain. For each region described on this website, there are 10-20-30 possible sources of pain. Due to the complexity of the clinical picture and the type of pain, it is often only by excluding possible sources of pain one by one that we can detect from which structure the pain really starts (which particular nerve, muscle, joint, ligament, etc. is the source of pain). Only then can treatment be adequate.

After determining the real cause of the pain, an individual combination and dosages of medication can be prescribed.