Take your health into your own hands

Take your health into your own hands

Take your health into your own hands

Fibromyalgia, a real puzzle of modern medicine

Fibromyalgia syndrome, more commonly known as fibromyalgia, represents a real enigma, as recently pointed out by some authors (Häuser et al, 2019). Over the past three decades, the acceptance, although not always unanimous, of the diagnosis of fibromyalgia has led to an unwarranted increase in the number of cases; in fact, guidelines accepted by the international scientific community are necessary for a correct diagnosis.

The most important complaint is chronic widespread pain along with two so-called major symptoms, fatigue and unrestorative sleep. In the 2016 review (Wolfe et al, 2016), in addition to the above criteria, the need for the patient to undergo careful medical examinations, including a history and objective assessment, was noted. Specifically, this revision combines medical criteria with those on patient-administered questionnaires, minimizes misclassification of regional pain disorders, and eliminates previous confusing recommendations regarding diagnostic exclusions. The importance of self-assessment forms in the clinical diagnosis of the individual patient, on which the previous criteria were based, is also reduced.

Although at present there are no specific laboratory tests for the diagnosis of this syndrome, careful medical examinations, especially in the fields of rheumatology and neurology, and the performance of instrumental and laboratory investigations are essential to rule out other pathologies.

Bibliography

Häuser W et al. Fibromyalgia syndrome: under-, over- and misdiagnosis, Clin Exp Rheumatol 2019; 37 (Suppl. 116): S90-S97

Wolfe F et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum, 2016; 46: 319-329.

Always tired? Here are the most common reasons

It will be the fault of spring, the heat of summer, the gloom of autumn or the cold of winter. Certainly, weather conditions and seasonal changes can contribute in no small way to making us feel tired, slowed down and down in tone. But the reasons behind exhaustion that is not commensurate with the actual daily physical and mental effort and that persists for more than a few days may also be related to the presence of disorders and diseases that require specific therapies. Therefore, protracted fatigue should always be reported to the doctor and deepened with some targeted examination. Unless it is simple sleep debt due to too short nights. A list of the main causes and some pointers to counteract them.

Burnout

There is a lot of talk about burnout, a highly topical phenomenon in the world of work, in companies, but also in other contexts.
The term “burnout” originated in the 1940s in aeronautical engineering, then since the 1970s has been used in psychiatry.
Burnout is not a disease, but a syndrome characterized by extreme fatigue, loss of interest, cynical attitude, decreased performance, and prolongation and chronification of a state of excessive stress.
Which people are at risk? Why are some people affected more than others?Some people are more vulnerable than others for personal reasons, because they are too demanding or too perfectionist, because they have low self-esteem or live in excessive competitiveness. Personalities therefore who have too much control, high professional expectations, and who, when subjected to environmental situations, such as the demand to produce more, become overwhelmed. They cannot say no, have migraines due to the load of thinking, have negative competitiveness, while they should review the management of their priorities.

The clinical picture of burnout, manifests itself at four levels
1. Significant stress: Physical and emotional exhaustion. Depersonalization, cynicism, and indifference. Dead-end feeling and self-loathing.
2. Affective symptoms:depression. Emotional literacy I don’t understand what anxiety means-
3. Cognitive symptoms:Feeling of failure. Loss of trust, guilt.
4. Physical symptoms:Headache, nausea, sleep disturbance. Chronic pain.

It is important, however, by going through a diagnosis, medical history, analysis, and clinical examination, to rule out all somatic causes before arriving at the point of talking about burnout syndrome.

Since this is a common issue that affects employers and employees, it would be helpful to understand what the risk factors are for specific workers so that a prevention system can be set up and the burnout patient does not feel guilty.
In fact, the affected person will experience very difficult times getting back into shape. But even when he returns to work, he will have to integrate again. He will have to deal with the awkwardness of colleagues and the prejudices of management. Because often, in such a situation, there is a lack of communication/information and support from the relevant people or bodies.
The burnout incident can happen to anyone, but it is possible to return to normal life and work with momentum and satisfaction.
The person who has gone through this experience will tend to protect themselves, inevitably focus, remain attentive to themselves, their body’s messages, and pay attention to their emotions (sadness, anger, fear, shame, etc.). She will also see them as important messages, learn to accept them, let them come, but at the same time manage them so that she is not completely invaded or driven by them.
We live in a world that is hyper-connected, we are hyper-stressed, sometimes we live at 100 per hour, never taking breaks, never recharging our batteries. We operate in automatic mode as if we were robots (non-stop).
It is up to us to interrupt this process and let go of what is too much for us. We cannot do everything perfectly!
It is very important to create a vacuum. Downloading the cortex is crucial. Being anchored in the present here and now will give intensity to your daily life.
Let’s pay attention to the words that put us under stress: must, should have, should have been…..
There is a need for a change of perspective, even in language !
In hindsight, letting go, balancing, and working on yourself through attentive and professional help allows us to find ourselves and live life with pleasure.

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NUTRITION AND DIET
 
NATURE, SPORTS, PLACES
 
CULTIVATING HEALTH
 
MENOPAUSE
 
MOM IN SHAPE
 
TRADITIONAL CHINESE MEDICINE
 
HEART SURGERY
 
MEDICINES AND MEDICAL DEVICES
 
PARENTING
 
THE CULTURE OF HEALTH
 
HEALTH UTILITIES
 
GENERAL MEDICINE
 
NATURAL MEDICINE, THERMAL
 
MIND AND BRAIN
 
NEUROVEGETATIVE DYSTONIA
 
WAYS OF BEING
 
HEALTH AND SOCIETY
 
HEALTHCARE AND PATIENTS
 
SEXUALITY
 
OLDER AGE
 
CANCERS
 
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SKIN
 
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EYES
 
EARS, NOSE, AND THROAT
 
BONES AND LIGAMENTS
 
ENDOCRINE SYSTEM
 
NERVOUS SYSTEM
 

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