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HPC | Hertfordshire Pain Consultants

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  • I wanted to write a letter to you because I'm so grateful to you and your team at the pain management clinc. After spending over 15 years with the most horrendous headaches and seeing dozens of different doctors and therapists finally you have managed to get them under control. Thanks you for taking the time to genuinely listen to me and my problems. Much appreciated.

    K. R
    Hertfordshire
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Content

What is Fibromyalgia ?

Fibromylagia is a central nervous system disorder that presents with widespread body pain, sleep disturbance and mood disturbance. Although classified by the American College of Rheumatologists, this disorder is not a form of arthritis and represents an abnormality in the way the spinal cord and brain processes pain signals.

The specific cause of the disease is still not fully understood, however from research we do appreciate now that there is an alteration in the chemicals within the spinal cord and brain, and increased activity in certain areas of the brain that are involved in processing pain signals.

Diagnosis

  • On examination there should be tenderness in 11 out of the 18 tender points shown
  • Blood tests are commonly required to exclude illnesses that can mimic fibromylagia.  These include a rheumatological screen, thyroid function tests and a muscle enzyme test

Treatments

  • Medications:
  • Duloxetine:  An antidepressant medication which is useful for pain and mood symptoms
  • Pregablin:  An anti-eplipsy derived medication useful in treating nerve related symptoms
  • Tramadol : A pain medication with anti-nerve properties
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