General (involves multiple body parts)
Last month I was diagnosed with fibromyalgia syndrome. Since then, I've gotten lots of advice from many friends and family about what to do for this problem. What do the experts say is best?
Posted May 8th, 2008 by MattEarly diagnosis and a comprehensive management plan for fibromyalgia syndrome (FMS) are advised. With the right program of care, many patients with this condition are free of symptoms or have their symptoms under good control within two years of their diagnosis.
I haven't been feeling well for quite some time. I was told I had a thyroid problem (low thyroid). Now they say I have fibromyalgia. Are these two problems connected somehow?
Posted May 8th, 2008 by MattMany experts are investigating the cause and effects of fibromyalgia syndrome. It is called a syndrome because it isn't a disease, but a group of symptoms that occur together.
What is septic arthritis?
Posted May 8th, 2008 by MattThe word septic means infected; septic arthritis is an infection in the joint. Somehow, the joint becomes infected and can cause severe pain. Although it can happen in any joint, the knee is the one that is most often affected.
What is the difference between osteoarthritis and rheumatoid arthritis?
Posted May 8th, 2008 by MattOsteoarthritis (OA) is often called the wear-and-tear arthritis. OA most often affects the hips, knees and spine, although it can affect other joints as well.
With time, the joints wear down and can cause bone-on-bone rubbing. This causes pain and, unless the joint is replaced, will continue to deteriorate.
Update on Fibromyalgia
Posted May 8th, 2008 by MattThere still remains many things we don't know about the condition called fibromyalgia syndrome (FMS). It's not a disease, but rather, a group of symptoms that occur together. Pain is the most distressing symptom but patients can have a wide range of other problems. These may include poor sleep, joint and/or muscle pain, headaches, and fatigue (to name just a few).
Ok, I'm grossed out. I heard that you could have a tapeworm set up residence in your body and form a cyst in the muscles. Please tell me that's not true?
Posted May 1st, 2008 by MattI'd love to tell you that it's not true, but some parasites can get into the human body and set up residence. This happens in certain parts of the world where hygiene may make it easier for the parasites to affect humans.
One example is the tapeworm. As the tapeworm works its way through the body, it usually settles in the liver or lungs, although more rarely, it can settle just about anywhere else.
I met someone the other day who had his leg amputated after an accident. He said that he sometimes has feelings in his missing leg. How is this possible? Is it his imagination?
Posted May 1st, 2008 by MattUp to 80 percent of people who have an amputation feel either phantom pain or stump pain (or both). Stump pain is easily understood for the most part as it is caused by the nerves where the limb was amputated.
Stump pain can include pain from rubbing against a prosthesis, swelling, wounds, infection, or many other problems. Phantom pain, on the other hand, is not well understood and does not seem to have a particular issue that can be pinpointed.
Is there a test to see if someone is faking an illness?
Posted May 1st, 2008 by MattIn 1980, a screening tool was developed by Waddell et al to assess nonorganic behaviors and signs. Nonorganic behaviors are thought to be driven by emotional or psychological distress, not necessarily underlying pathology. It also does not necessarily mean someone is purposefully faking an illness, but the behaviors are an expression of the underlying emotional or psychological distress. Some clinicians do not feel this screening tool is reliable however.
A. Apeldoorn et al.
It is my understanding that some people can benefit from some drugs, while others do not. What causes this?
Posted May 1st, 2008 by MattScientists are finding that because of genetic differences, usually in the ability of the body to breakdown or bind certain molecules, some people can respond to a drug when others do not. Those who are able to benefit from a drug are called responders. Those that do not are called non-responders.
H.J. McQuay et al. Enriched enrolment with randomised withdrawal (EERW): Time for a new look at clinical trial design in chronic pain. Pain 2008. Volume 135. Pp. 217-220.
I have flare ups of gout off and on. They seem to be triggered by taking the medication (Zyloprim) prescribed by my doctor.
Posted April 10th, 2008 by MattZyloprim is the brand name of a group of drugs used to treat gout called Allopurinol. Other allopurinol drugs on the market include Allohexal, Allosig, Progout, and Zyloric.
Allopurinol is a drug used to treat conditions arising from excess uric acid. The most common of these is chronic gout. Zyloprim does not take away the acute attacks of gout. But it is useful in preventing recurrence.
