Chandola H C, Chakraborty Arunangshu
Professor and Head, Department of Anaesthesiology and Critical Care, M.L.N. Medical College, Allahabad, India.
Indian J Anaesth. 2009 Oct;53(5):575-81.
Pain and fatigue associated to the musculoskeletal system are among the leading causes of patients to visit their physicians and nearly one-third of such patients suffer from fibromyalgia. Fibromyalgia syndrome (FMS) is a chronic debilitating disorder characterized by widespread pain with tenderness in specific areas, leading to fatigue, headache and sleep disorder. Myofascial Pain Syndrome (MPS), is also a localized musculoskeletal pain producing condition whose diagnostic and management criteria differ from FMS but still considered by many only a subtype of FMS. Till date no exact cause has been held responsible for these painful conditions, therefore treatment of these disorders is always a challenge. The therapies are not precise but multimodal including pharmacological and alternative approaches. This article describes the existing knowledge pertaining to these conditions in regard of causative factors diagnosis and management.
与肌肉骨骼系统相关的疼痛和疲劳是患者就医的主要原因之一，近三分之一的此类患者患有纤维肌痛。纤维肌痛综合征（FMS）是一种慢性衰弱性疾病，其特征是全身疼痛并伴有特定部位压痛，导致疲劳、头痛和睡眠障碍。肌筋膜疼痛综合征（MPS）也是一种导致局部肌肉骨骼疼痛的病症，其诊断和管理标准与FMS不同，但许多人仍认为它只是FMS的一个亚型。迄今为止，尚未确定导致这些疼痛病症的确切原因，因此对这些疾病的治疗始终是一项挑战。治疗方法并不精确，而是多模式的，包括药物治疗和替代疗法。本文介绍了有关这些病症在病因、诊断和管理方面的现有知识。
