FROM OUR EXPERTS
Fibromyalgia has brought many challenges and limitations into my life, not the least of which is finding clothes that are not painful to wear. The hypersensitivity brought on by fibromyalgia can manifest itself in many forms and may vary with each individual. Some are hypersensitive to light, sound, scents, chemicals, medications, heat and/or cold. We frequently have many allergies, which is also a type of hypersensitivity. In my case, one of my biggest hypersensitivities is my skin. There are very few lotions, soaps, facial products, etc. that don't cause me to break out in a rash. But what is even more difficult to deal with is the fact that most clothing hurts me. However, since society and personal modesty dictate that I be covered, I'm forced to do the best I can.Although for some reason it is rarely discussed, I suspect many of you have a similar problem. So I thought I would share with you the things I've found that work best for ...
My shoulder hurts...is it osteoarthritis?
Osteoarthritis is a very common problem. Most people know someone who is dealing with arthritis of at least one joint. Spine, hips, knees, and hands are the most common places for osteoarthritis to cause symptoms. However, any joint can be affected and a common question I hear when a patient presents with shoulder pain is: Do I have arthritis?
First, a bit of anatomy -- the shoulder is composed of two separate joints:
(1) the acromioclavicular joint where the collarbone meets the shoulder bone(2) the glenohumeral joint where the ball of the humerus articulates with the shoulder blade (scapula). Both joints can be affected by osteoarthritis. It is relatively uncommon for osteoarthritis to develop in the glenohumeral joint without a history of trauma or previous injury. We'll discuss that in a minute. First, let's review the acromioclavicular joint.
Causes of Shoulder Pain Besides ArthritisThe glenohumeral joint is the most mobile j...
DiagnosisThere is no obvious, objective method (such as laboratory or imaging tests) for diagnosing fibromyalgia. The criteria used to study fibromyalgia are very helpful, particularly if the patient does not have another disorder, such as depression or arthritis, which could complicate the diagnosis. Failure to meet the criteria, however, does not rule out fibromyalgia. Fibromyalgia should be suspected in any person who has muscle and joint pain with no identifiable cause.Because many patients do not meet the current fibromyalgia criteria, the American College of Rheumatology (ACR) has proposed a new set of diagnostic criteria that take into consideration symptoms such as fatigue, sleep disturbance, and cognitive problems, in addition to pain.Criteria for Classifying FibromyalgiaIn 1990, the ACR set the following criteria for classifying fibromyalgia:A. Widespread pain must be present for at least 3 months. This pain must appear in all of the following locations:Both sides of the bod...
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