‘Every joint, muscle, nerve started aching’: People share their struggles living with fibromyalgia | Canada News Media
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‘Every joint, muscle, nerve started aching’: People share their struggles living with fibromyalgia

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In 2018, Hina Arora, a software engineer, experienced widespread pain in her neck and shoulders, which gradually spread throughout her body. The excruciating pain affected her daily activities, and was often accompanied by episodes of anxiety attacks, mood swings, and periods of feeling low, “which worsened during the menstrual cycle”. “All this, in the absence of any understanding and support from others, led me to feel extremely isolated,” she told indianexpress.com.

Eventually, she joined physiotherapy sessions, which provided some relief. She also incorporated exercise into her daily routine and tried to prioritise rest and self-care, which helped her manage her ailment, which was diagnosed as fibromyalgia.

Similarly, Arushi Lohiya, a marketing and branding consultant, developed fibromyalgia in 2015, after she felt intense headaches multiple times a day, which “incapacitated me”. “There was acute pain in my hip, which made it impossible for me to sit in one place. Subsequently, every joint, muscle, and nerve started aching and rendered me immobile. I had to quit my job as I was unable to perform even basic tasks like writing, brushing my teeth, and combing my hair,” she recollected.

However, her condition only made her stronger, and she decided to help others with the condition setting up India Fibromyalgia Foundation, which is dedicated to creating awareness and advocating for patients with the illness.

What is fibromyalgia?

According to a study published in the Dialogues in Clinical Neuroscience, fibromyalgia is characterised by chronic widespread pain, unrefreshing sleep, physical exhaustion, and cognitive difficulties. It occurs in all populations throughout the world with a prevalence between 2-4% in general populations.

Elucidating, Dr Ilavaran S, Orthopaedic Surgeon, Apollo Spectra Hospital, Chennai said that the brain and spinal cords of fibromyalgia patients change as a result of ongoing nerve stimulation. “This alteration entails an aberrant elevation of specific pain-signaling molecules in the brain. As a result, the brain’s pain receptors appear to form a kind of painful memory and grow more sensitive, causing them to overreact to both painful and nonpainful signals. An event that results in either physical stress or emotional (psychological) stress is frequently what sets off fibromyalgia,” he told indianexpress.com.

Along similar lines, Vishnu Priya Bhagirath, Counselling Psychologist said that the pain associated with fibromyalgia is often described as a deep, persistent ache that is accompanied by tenderness in specific points on the body known as “trigger points”. “Cognitive dysfunction or ‘fibro-fog’ can cause difficulty in concentrating, memory issues and trouble with word recall,” she said.

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Other factors which can lead to fibromyalgia are a family history of the condition, psychological stress and trauma, musculoskeletal conditions and fatigue.

However, Saumya Pahwa, Consultant Clinical Psychologist, said, “Fibromyalgia is a contested diagnosis and many health professionals believe it does not exist as a true disease, and that it is in the patient’s minds, making it psychological or psycho-somatic in nature. ” She added that fibromyalgia is more commonly seen in women than men, possible due to the way both genders feel and react to pain as well as societal expectations. “It can also be triggered due to past trauma, abuse and domestic violence, especially in women,” she continued.

Adding to this, Vishnu Priya said, “One possible cause of fibromyalgia is abnormal pain processing in the brain and spinal cord, which can result in an exaggerated response to pain signals.”

Diagnosis of fibromyalgia

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Even a modest amount of pressure on tender spots causes discomfort. (Source: Freepik)

Physicians typically rely on a combination of patient history, physical examination, and laboratory tests to make an accurate diagnosis.

“Typically, the disease is accompanied by 18 painful spots. Even a modest amount of pressure on tender spots causes discomfort. A doctor will use their fingertip to push the spots on the body to perform a tender point examination. They’ll use enough force and inquire as to whether the patient is in pain. They will also rule out associated conditions such as tension and migraine headaches, irritable bowel syndrome, restless leg syndrome, chronic fatigue, lupus and rheumatoid arthritis,” said Dr Ilavaran.

While there is no known cure for fibromyalgia, quality treatment can provide significant relief and remission from pain. This includes a combination of medication and lifestyle modifications such as:

*Get plenty of sleep: People with fibromyalgia frequently experience daytime fatigue and a drowsiness in the morning. One can improve sleeping patterns by avoiding coffee at night, keeping the room at a cool, comfortable temperature and turning off electronic devices before sleeping.

*Exercise regularly: Although fibromyalgia can make exercise challenging, maintaining an active lifestyle is an excellent way to manage the condition. One does not have to undertake strenuous activity. Start out by swimming, strolling or engaging in low-impact aerobics, and gradually increase the length and intensity of the workouts.

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*Medications: Pain relievers such as acetaminophen, ibuprofen and antidepressants like Duloxetine have been shown to be helpful. Anti-seizure medications such as Gabapentin are known to bring relief in some patients.

*Therapies: Physical therapy which included exercises to condition and strengthen muscle groups, occupational therapy and psychotherapy such as cognitive behavioral therapy helps with mental health.

 

*Self-care strategies: A healthy diet, meditation and yoga can help.

 

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Whooping cough is at a decade-high level in US

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MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

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AP data journalist Kasturi Pananjady contributed to this report.

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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Scientists show how sperm and egg come together like a key in a lock

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How a sperm and egg fuse together has long been a mystery.

New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.

“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.

The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.

Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.

It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.

Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.

Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.

The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.

The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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Turn Your Wife Into Your Personal Sex Kitten

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