tracks to live better with pain

The fibromyalgia is a chronic disease recognized by the World Health Organization since 2019. Consequently, In France, it would concern between 1.5 and 2 % of the population, including three times more women than men.

Diffuse and prolonged chronic pain (beyond 3 months) is the main symptom. Therefore, Often associated with other signs. Therefore, fibromyalgia alters physical capacities, carrying out activities of daily life, and quality of life in general. In addition, there is significant fatigue, sleep disorders, anxious, depressive or cognitive symptoms. Furthermore, The intensity and combination of these manifestations vary from one individual to another and evolve over time.

A patient recognized in his pain is a patient who cares better – Tracks live better pain new

The High Authority for Health (HAS) has been seized. Consequently, by several patient associations in order to develop recommendations on the diagnostic approach. However, therapeutic options for tracks live better pain new professionals accompanying adults with fibromyalgia (General practitioners, nurses, tracks live better pain physiotherapists, rheumatologists, etc.). Therefore, First objective of this document, helping patients to live better with pain. Moreover, It is also a question of promoting a better understanding of the symptoms. Nevertheless, their repercussions, of the way in which everyone can get involved in their own care path. Similarly, But also to limit the use of ineffective or potentially harmful practices!

10 key points of the recommendations. Moreover, from the point of view of the patients

– the diagnosis of fibromyalgie Based exclusively on the clinic. in the absence of specific biomarkers. No biological or radiological examination allows it to be confirmed. It is therefore based on clinical examination. attentive listening to the patient. the use of standardized evaluation tools (self-questionnaire such as First (Fibromyalgia Rapid Screening Tool), auto-administering questionnaire of fibromyalgia impact (QIF), diagnostic criteria for anxio-depressive disorders, etc.). tracks live better pain new

– the announcement of diagnostic de fibromyalgie allows recognize the suffering expressed and to tracks live better pain legitimize the complaint. The patient must receive clear. individual explanations on the disease. his mechanisms and the treatment possibilities, in order to be able to get involved and co-construct the care path with health professionals;

– the fibromyalgic person may request to benefit fromspecialized psychological interventions In the event of unsuitable adaptation strategies such as catastrophism, obsessive propensity to work or take care without stopping, avoidance behaviors. This makes it possible to act on cognitions (erroneous thoughts. beliefs), emotions and behaviors;

– The therapeutic strategy is based on a graduated and individualized approach. In first intention: thephysical activity for movingassociated with learning autonomy (adapted physical activity. if necessary). personalized self -management strategies (via collective therapeutic education sessions of the patient), support for maintaining employment and support for all vulnerability situations. It is possible to tracks live better pain new simplify daily activities. split them. alternate periods of activity and rest;

– the Occupational prevention and health service doctor tracks live better pain (SPST) is an essential recourse in the event of repercussions of the disease on work or work on the disease (seeking position arrangements, or, if this is not possible, consider training and professional orientation actions, recognition of the quality of disabled worker (RQTH), or even a sometimes transient invalidity request);

– As a second intention, drug treatmentsusual analgesics (paracetamol, or even non-steroidal anti-inflammatory drugs), should be initiated at low doses, with a progressive and prudent increase, to optimize tolerance and limit adverse effects. Classic analgesics are reserved for occasional pains occurring incidentally. Never in prolonged treatment.

– Some Antidepressants and antiepileptics Can be prescribed in background treatment for chronic pain. The use of opioids (tramadol, etc.) for acute pain must remain there too punctual. cautious, and exceptionally extended after specialized tracks live better pain new advice within a coordinated care structure.

– THE Restrictive diets (gluten-free, lactose-free, etc.) as well as taking food supplements (vitamins, minerals, plants, etc.) tracks live better pain have no proven benefit in fibromyalgia, except in the event of diagnosed deficiencies or gastrointestinal disorders. A balanced and varied diet covers real needs. There are no arguments in favor. against a Mediterranean. vegetarian, vegan diet;

– other approaches, without side effects or health risks – such as Thermal care, relaxation, hypnosis or meditation – can be envisaged within the framework of the care project, provided that we respect specific methods, ensure suitable training for practitioners. And to stop care in the absence of a profit.

– Thirdly. neurostimulation techniques Can be offered after specialized advice (transcutaneous electrical neurostimulation. even repeated transcranial magnetic stimulation or transcranial stimulation in direct current).