Fibromyalgia Expert Forum
fibromyalgia
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fibromyalgia

Dear doctor ,
i am happy to find atlast a doctor from india.I am from A.P. I am 35 yrs old  female.At present we are living in Muscat.i have been suffering from chronic pain and sleeplessness,anxiety,severe fatigue for about 2 yrs now. It started with sleeplessness, i had depression also without any apparent reason.I believe it must be fibro.

I met several doctors here in muscat.(endoc,neuro,psychiatric,ortho etc).everyone said it is in your head.but i am sure it is not.one doc prescribed me with amytryptiline.it improved my sleep,fatigue,pain by 25%,but no complete relief. last year when i visited india one psychiatrist prescribed cipralex.amichlor(amytryptiline12.5,chlordiazpoxide5mg).i have been using these for about 8 months now.all the symptoms are some what improved.but still daily i am using atleast one painkiller along with these medicines.now i can not exercise anymore because later i have to suffer from severe pain.
this December we are going to visit Hyderabad.i am very desperate to meet you there.pls give me your clinic details and address.I will be very grateful to you.
with regards,
madhurima.
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Avatar_dr_m_tn
Hi Madhurima,

How are you? Welcome to the forum! It’s nice to know that you are visiting Hyderabad in Dec.
Let’s discuss about your symptoms. Chronic pain, Sleeplessness, Anxiety and Fatigue may be symptoms of  Fibromyalgia or other conditions like Chronic Fatigue syndrome. There are many other conditions that mimic the symptoms of Fibromyalgia.  
Diagnosis of Fibromyalgia is based on the presence of tender points. These tender spots are particularly located in the neck, back, shoulders and hips.
There are 18 points on body for tenderness in patients of this condition. Diagnosis  criteria is that pain at 11 of the points may indicate fibromyalgia. The tenderness in these points is worse in the mornings and has been described as flu-like, burning, throbbing, aching, or stabbing. Please correlate your symptoms to the classic findings of Fibromyalgia.  
Although there is no cure for fibromyalgia, home treatment can relieve some of the symptoms.
Fibromyalgia pain is muscle pain and the most important therapy for muscle pain is regular, gentle and low-impact exercise. It keeps muscles conditioned and healthy and decreases the amount of discomfort. It is very important to try low-stress exercises such as walking, swimming, water aerobics, and biking rather than straining exercises such as weight training. Heavy exercises worsen the symptoms. Besides helping with tenderness and conditioning muscles, regular exercises can also boost energy levels and help with sleep. Please do not stop exercises. You may feel discomfort initially but you will get a great relief gradually.
No single ************** will relieve all the symptoms of fibromyalgia. But most people do get some relief from a combination of medications . Here are some of the treatment options - Lyrica, Cymbalta, and Savella are the only three drugs approved by the U.S. FDA for the treatment of fibromyalgia. Lyrica is an antiseizure medication, while Cymbalta and Savella are antidepressants. All three have been known to reduce the pain of fibromyalgia significantly. Other drugs that are usually combined with these are-
Flexeril (this muscle relaxant not only decreases muscle pain but also improves sleep),
Mirapex (used in the treatment of Parkinson's disease. When used to treat fibromyalgia, it reduced pain in 80% of patients), Low doses of antidepressant medication(improve sleep,  decrease pain and eliminate depression), relaxation techniques (besides lessening pain, these therapies also decrease the number of tender points), Acupuncture, Application of warm compresses and Tender point injections( Steroid or lidocaine injections into a painful area may provide temporary relief ). Please discuss these treatment modalities with your doctor and try the home care techniques. I sincerely hope you get relief from your symptoms soon!
I do not have a private practice. I work as an Emergency physician at EMRI Hyderabad. However you can contact me at ***@****. Hope this answer helps you. Take care and regards!


5 Comments
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Avatar_dr_m_tn
Hi,
There is some problem.Some gaps came in sentences while posting. Please read the gap in the sentence as- no single **************. My Id ***@****.
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Avatar_dr_m_tn
No single treatment or medication.
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Avatar_n_tn
I am very thankful for your prompt reply.

I have all the symptoms you have mentioned. Pain is allover the body which gets worse after physical activity.

I have heard about Lyrica&Cymbalta as treatment options. Here our medical insurance will not be covered for psychiatry . SO I have to try Lyrica as it does not come under psychiatry.
I am sorry to say I could not read your ID.It is showing all stars(***).
I will follow your home remedy suggestions for pain relief.
once again thank you very much.
regards
Madhurima.
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Avatar_dr_m_tn
Hi Madhurima,

How are you? I found out that it is against the policy of the site for the doctors to leave their personal contact information. Whatever communication between the patient and the doctor takes place, it has to  be through the site only. So I am extremely sorry not to be able to give you my contact details but you are always welcome to post as many times on the forum as you want. I'll definitely reply your posts. Take care!
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Avatar_m_tn
A related discussion, I have found some solution for fibromyalzia was started.
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