Diagnóstico y manejo integral del paciente con fibromialgia

Abstract

Introduction: Both adults, children and adolescents can present fibromyalgia, but it is much more frequent that it begins in adults after the age of 20, as well as it occurs more frequently in women than in men. It is known that about 2.1% of the world population is affected by this pathology. In Ecuador there are no statistical data on this disease, most patients report not feeling heard by medical personnel, as well as that their relatives think that the symptoms are invented by the patients. Development: Since the criteria were proposed by the American College of Rheumatology in 2010, fibromyalgia has been diagnosed by measuring generalized sensitivity, plus the psychological problems that may occur. Patients should be evaluated by a multidisciplinary team that covers all the symptoms reported by the patient, in order to recommend the best treatment. The most recommended physical exercise is the one that connects the body, mind and breath, examples of which are Tai Chi Chuan. The exercise for each patient will depend on the patient and on what the general practitioner or physical activity technologist recommends. Conclusions: Fibromyalgia is a syndrome that does not have a defined etiology, that is why the treatment that is initially established is non-pharmacological, emphasizing the importance of physical activity, later if psychological symptoms such as depression and sleep disturbances are considered a persistent problem, it is recommended with the initiation of drug therapy.