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Getbig Main Boards => Gossip & Opinions => Topic started by: calfzilla on March 14, 2013, 09:23:53 PM

Title: Fibromyalgia
Post by: calfzilla on March 14, 2013, 09:23:53 PM
Is fibromyalgia a made up disease?  I tend to think so because everyone I know who has it is a little touched in the head and use the "pain" for attention. Plus from what I know there is no objective way for doctors to diagnose it ie X-ray, blood test etc.

What do getbiggers think of this ailment? 
Title: Re: Fibromyalgia
Post by: arce1988 on March 14, 2013, 09:25:55 PM
  They get great pain meds!
Title: Re: Fibromyalgia
Post by: Radical Plato on March 14, 2013, 09:26:06 PM
Is fibromyalgia a made up disease?  I tend to think so because everyone I know who has it is a little touched in the head and use the "pain" for attention. Plus from what I know there is no objective way for doctors to diagnose it ie X-ray, blood test etc.

What do getbiggers think of this ailment? 
Essentially it is a diagnosis when they can't diagnose why you are in pain.  You could consider it the diplomatic way of doctors saying 'It's all in your head, see a psychiatrist'
Title: Re: Fibromyalgia
Post by: jude2 on March 14, 2013, 09:43:39 PM
Its real. I treat alot of women with it. You can tell if someone is faking by palpating the appropriate trigger points and other symptoms that go with it. The problem is every women with some type of muscular pain think or say they have it. Most do have some mental issues along with it, but don't most anyways? Exercise is very good for these patients, if done correctly and in moderation. They have trouble recovering from intense activities.
Title: Re: Fibromyalgia
Post by: abijahmaniaco on March 14, 2013, 10:15:57 PM
yes, disease made up by women who want to be pitied/feel like the victim. it happens from eating shit. especially a lot of heavily processed/engineered garbage.

i grew up in a church where this fat bitch would attend half the time. the other half she asked her husband to request prayer for her bullshit fibromymadeupshit. he always did that and they would all pray, yet it continued forever. prayer must obviously work. ;) ;) ;)
Title: Re: Fibromyalgia
Post by: usmcdevildoc on March 14, 2013, 10:24:09 PM

Not really a diagnosis. The term refers to a symptom complex. Point is the term should be used once other causes of aches, pains, and cramps have bee excluded. The differential is immense and can include a variety of metabolic myopathies like myoadenylate deaminase deficiency to a disorder like polymyositis- inflammatory myopathy. Myopathy=muscle disease.

Everyone  should be worked up using the term fibromyalgia in an exclusionary way.

DOC
Lift, fuck, make money
Title: Re: Fibromyalgia
Post by: abijahmaniaco on March 14, 2013, 10:25:40 PM
Exercise is very good for these patients, if done correctly and in moderation. They have trouble recovering from intense activities.

translation: they're whiny bitches.
Title: Re: Fibromyalgia
Post by: Master Blaster on March 14, 2013, 10:26:37 PM
I know tis guy, says he got it...
Title: Re: Fibromyalgia
Post by: Big Chiro Flex on March 14, 2013, 11:47:38 PM
Its real. I treat alot of women with it. You can tell if someone is faking by palpating the appropriate trigger points and other symptoms that go with it. The problem is every women with some type of muscular pain think or say they have it. Most do have some mental issues along with it, but don't most anyways? Exercise is very good for these patients, if done correctly and in moderation. They have trouble recovering from intense activities.

Are you a GP?
Title: Re: Fibromyalgia
Post by: BigCyp on March 15, 2013, 01:52:41 AM
Bear in mind the stress load of going from specialsit to specialist and being told there's nothing wrong, add that to financial pressures of medical bills, and maybe even partner/family getting sick of you complaining - by the time your diagnosed with fibromyalgia there's a good reason for phsyciatric issues to go along side it by then.....food for thought.
Title: Re: Fibromyalgia
Post by: NordicNerd on March 15, 2013, 02:29:49 AM
Is fibromyalgia a made up disease?  I tend to think so because everyone I know who has it is a little touched in the head and use the "pain" for attention. Plus from what I know there is no objective way for doctors to diagnose it ie X-ray, blood test etc.

What do getbiggers think of this ailment? 

Fibromyalgia is a stress/depression condition in which perception of minor, common muscular pain is sensitized through attentional focus and through subjective interpretations involving disease and a fragile body.

It is a constructed, made up disease, but the experience of muscular pain is probably real enough.

NN
Title: Re: Fibromyalgia
Post by: Dr.J on March 15, 2013, 03:16:46 AM
Yeah fibro is bullshit....crazy women use it as a form of sympathy and attention.
Title: Re: Fibromyalgia
Post by: Mr Nobody on March 15, 2013, 03:44:01 AM
I had a friend get disability pay for this for a few years.
Title: Re: Fibromyalgia
Post by: Krankenstein on March 15, 2013, 04:22:09 AM
Predominant demographic = female, overweight, depressed, unhappy in marriage

My clinical opinion is that its just a cry for attention
Title: Re: Fibromyalgia
Post by: Marty Champions on March 15, 2013, 04:54:46 AM
i know of a handful of women that have it or heard of have it. its because women generally dont shit enough and eat unhealthy and dont exercise and get this musclepain/"fibromyalgia"
Title: Re: Fibromyalgia
Post by: Necrosis on March 15, 2013, 08:34:40 AM
Not really a diagnosis. The term refers to a symptom complex. Point is the term should be used once other causes of aches, pains, and cramps have bee excluded. The differential is immense and can include a variety of metabolic myopathies like myoadenylate deaminase deficiency to a disorder like polymyositis- inflammatory myopathy. Myopathy=muscle disease.

Everyone  should be worked up using the term fibromyalgia in an exclusionary way.

DOC
Lift, fuck, make money

Nice post, the syndrome however has some objective criteria not found in those illnesses, I believe sufficient enough to remove them from as  DDX.

XMRV has some interesting research as an etiology of CFS/FM. have you looked into that?

Title: Re: Fibromyalgia
Post by: Chadwick The Beta on March 15, 2013, 09:38:41 AM
once some famous people get it, it will be a disease and there will be campaigns to "raise awareness"   ::)
Title: Re: Fibromyalgia
Post by: calfzilla on March 15, 2013, 10:11:36 AM
Fibromyalgia is a stress/depression condition in which perception of minor, common muscular pain is sensitized through attentional focus and through subjective interpretations involving disease and a fragile body.

It is a constructed, made up disease, but the experience of muscular pain is probably real enough.

NN

Nice post. Thanks for all your responses, I just feel this is made up bs disease.
Title: Re: Fibromyalgia
Post by: Necrosis on March 15, 2013, 10:58:09 AM
Nice post. Thanks for all your responses, I just feel this is made up bs disease.

It's definitely not made up. I see several people with fibromyalgia who are in real pain, have reproducible trigger points. 11 out of 18 of the points is needed, I see those with 18 at times. They also have a familial history of the disorder. I do think it is poorly classified as with all syndromes and even functional diseases like IBS, but it exists. The lack of any clear etiology really makes the pattern which may be several disease processes look suspect.
Title: Re: Fibromyalgia
Post by: Chadwick The Beta on March 15, 2013, 11:00:00 AM
It's definitely not made up. I see several people with fibromyalgia who are in real pain, have reproducible trigger points. 11 out of 18 of the points is needed, I see those with 18 at times. They also have a familial history of the disorder. I do think it is poorly classified as with all syndromes and even functional diseases like IBS, but it exists. The lack of any clear etiology really makes the pattern which may be several disease processes look suspect.

you mean ILS

Title: Re: Fibromyalgia
Post by: oldtimer1 on March 15, 2013, 11:34:42 AM
It's another way to collect social security disability checks for life. I'm sure some suffer through pains that can't be tested for but when you see lawyer commercials on tv saying get your social security disability checks for fibromyalgia if you have been denied you know the majority of cases are bull.
Title: Re: Fibromyalgia
Post by: Donny on March 15, 2013, 11:37:34 AM
It's another way to collect social security disability checks for life. I'm sure some suffer through pains that can't be tested for but when you see lawyer commercials on tv saying get your social security disability checks for fibromyalgia if you have been denied you know the majority of cases are bull.
funny you said the same thing about war vets.. why are you so bitter ?
Title: Re: Fibromyalgia
Post by: calfzilla on March 15, 2013, 12:13:20 PM
It's definitely not made up. I see several people with fibromyalgia who are in real pain, have reproducible trigger points. 11 out of 18 of the points is needed, I see those with 18 at times. They also have a familial history of the disorder. I do think it is poorly classified as with all syndromes and even functional diseases like IBS, but it exists. The lack of any clear etiology really makes the pattern which may be several disease processes look suspect.

If it does exist which I am not sure it does, I feel it is over diagnosed and lots of people who "have it" are mental cases. Like others said it also may be a method for obtaining social security.

I just find it odd that this illness is often found in mentally ill people and they are just the type to come down with it because they don't want to contribute to society.
Title: Re: Fibromyalgia
Post by: calfzilla on March 15, 2013, 12:21:16 PM
Just a little odd I never see any healthy well adjusted people with fibro.
Title: Re: Fibromyalgia
Post by: Donny on March 15, 2013, 12:22:44 PM
Just a little odd I never see any healthy well adjusted people with fibro.
and your point ?
Title: Re: Fibromyalgia
Post by: calfzilla on March 15, 2013, 12:28:03 PM
and your point ?


It's all in their head.
Title: Re: Fibromyalgia
Post by: Necrosis on March 15, 2013, 12:28:45 PM
Just a little odd I never see any healthy well adjusted people with fibro.

I have.

However, it has a component of mental illness such as anxiety or depression, insomnia is often linked as well.

It is simply an aggregate of symptoms that occurs in a reliable pattern like IBS.
Title: Re: Fibromyalgia
Post by: Parker on March 15, 2013, 12:30:17 PM
It's definitely not made up. I see several people with fibromyalgia who are in real pain, have reproducible trigger points. 11 out of 18 of the points is needed, I see those with 18 at times. They also have a familial history of the disorder. I do think it is poorly classified as with all syndromes and even functional diseases like IBS, but it exists. The lack of any clear etiology really makes the pattern which may be several disease processes look suspect.
I know of several women with it, and all are "looped" in the head. I believe that it is real, but they always talked like this, "the air conditioning was on and it caused my Fibromyalgia to start acting up", and everybody goes "awww"
And it's odd, that everything that goes wrong in their lives, it's somebody else's fault, or out of their control...and they just "happened" to be diagnosed with this...

I wish that there was a male exclusive counterpart, like Blue Testicle Disease, and we could get instant sympathy and a quick "release".
Title: Re: Fibromyalgia
Post by: Donny on March 15, 2013, 12:30:38 PM

It's all in their head.
thank you for sharing your illness and being so open
Title: Re: Fibromyalgia
Post by: Necrosis on March 15, 2013, 12:33:35 PM
I know of several women with it, and all are "looped" in the head. I believe that it is real, but they always talked like this, "the air conditioning was on and it caused my Fibromyalgia to start acting up", and everybody goes "awww"
And it's odd, that everything that goes wrong in their lives, it's somebody else's fault, or out of their control...and they just "happened" to be diagnosed with this...

I wish that there was a male exclusive counterpart, like Blue Testicle Disease, and we could get instant sympathy and a quick "release".

Men do have it, woman in general are more susceptible to immune mediated illnesses (if it is even immune mediated) like MS, lupus etc.
Title: Re: Fibromyalgia
Post by: Parker on March 15, 2013, 12:37:18 PM
Men do have it, woman in general are more susceptible to immune mediated illnesses (if it is even immune mediated) like MS, lupus etc.
yeah, I was just being facetious.
Title: Re: Fibromyalgia
Post by: abijahmaniaco on March 15, 2013, 02:09:20 PM
thank you for sharing your illness and being so open

translation: my wife pretends to have it and i pretend with her.
Title: Re: Fibromyalgia
Post by: calfzilla on March 15, 2013, 02:48:49 PM
I know of several women with it, and all are "looped" in the head. I believe that it is real, but they always talked like this, "the air conditioning was on and it caused my Fibromyalgia to start acting up", and everybody goes "awww"
And it's odd, that everything that goes wrong in their lives, it's somebody else's fault, or out of their control...and they just "happened" to be diagnosed with this...

I wish that there was a male exclusive counterpart, like Blue Testicle Disease, and we could get instant sympathy and a quick "release".

Spot on post Parker, well said. Not sure why "Donny" is being so sympathetic to these scumbags but to each their own.
Title: Re: Fibromyalgia
Post by: jude2 on March 15, 2013, 06:45:20 PM
Just a little odd I never see any healthy well adjusted people with fibro.
I have seen a few, but not common.
Title: Re: Fibromyalgia
Post by: dustin on March 15, 2013, 06:49:38 PM
There's a lot that we don't know about inflammatory diseases. I think being riddled with this for years on end just makes it worse psychologically too. I've seen people with it who handle it gracefully and others who bitch and make it seem worse than it is, and that probably does make it worse in the end for them.

Don't let a few whiners make you think it's a fabrication. People try playing it like a victim and it's real easy to get sick of their shit. I have chronic migraines and if I'm a whiny bitch, they seem to last a lot longer and become more painful. But if I motor through them and keep a positive attitude, it makes a real big difference. Definitely not faking it either. You can see the veins pulsing and throbbing like crazy when I get a bad string of them. Best thing to do is sleep it off if that happens. Bitching about whining about it only makes it worse!
Title: Re: Fibromyalgia
Post by: oldtimer1 on March 16, 2013, 05:08:00 AM
Migraines are real. Who would deny that? I believe fibromyalgia is real and probably related to a nerve problem but so many who complain about this are full of it. Where were the the victims of this affliction 30 years ago? There weren't any. Now every other woman has it.
Title: Re: Fibromyalgia
Post by: abijahmaniaco on March 16, 2013, 07:44:46 AM
Migraines are real. Who would deny that?

i would. i've never had one. :-\
Title: Re: Fibromyalgia
Post by: dustin on March 16, 2013, 09:57:16 AM
i would. i've never had one. :-\

The pain can become so brutal that you nearly faint. Hypoglycemia and nausea can go with it, same with photo- and stereophobia, making one of the only options to curl up in a dark room and pray for sleep.

I finally discovered triptan medications and they can abort a migraine with no side effects. They cost like $25 per pill in some cases but my coverage takes care of it now. First prescription I filled was $1000, but now they make generics.
Title: Re: Fibromyalgia
Post by: NordicNerd on March 16, 2013, 10:06:24 AM
It's definitely not made up. I see several people with fibromyalgia who are in real pain, have reproducible trigger points. 11 out of 18 of the points is needed, I see those with 18 at times. They also have a familial history of the disorder. I do think it is poorly classified as with all syndromes and even functional diseases like IBS, but it exists. The lack of any clear etiology really makes the pattern which may be several disease processes look suspect.

They have real pain, but it is a sensitization phenomenon. In other words- the pain is mostly in the mind- not directly related to peripheral neural pain signals.

Another point: In Norway, the disease got really big when the "Fibromyalgia organization" started handing out leaflets and such, describing the symptoms. People then knew what to tell their doctor to get the diagnosis.

NN
Title: Re: Fibromyalgia
Post by: MAXX on March 16, 2013, 10:55:44 AM
white trash fake disease so they can live on health insurance.
Title: Re: Fibromyalgia
Post by: slate on March 16, 2013, 02:50:52 PM
They have real pain, but it is a sensitization phenomenon. In other words- the pain is mostly in the mind- not directly related to peripheral neural pain signals.

Another point: In Norway, the disease got really big when the "Fibromyalgia organization" started handing out leaflets and such, describing the symptoms. People then knew what to tell their doctor to get the diagnosis.

NN

what a tool you are

so you think that there is a peripheral nervous system (PNS) and a central nervous system (CNS) and they are totally independent  ::)

there is one nervous system fukwitt -and it works as a single system with all kinds of feedbacks that no one knows anything about

yes peripheral neurons are different from neurons that are wholly in the spine's dorsal horn, both are different from neurons who mediate (in both directions) between dorsal horn and the brain, which again are different from neurons wholly located in the brain


Title: Re: Fibromyalgia
Post by: abijahmaniaco on March 16, 2013, 06:19:45 PM
The pain can become so brutal that you nearly faint. Hypoglycemia and nausea can go with it, same with photo- and stereophobia, making one of the only options to curl up in a dark room and pray for sleep.

I finally discovered triptan medications and they can abort a migraine with no side effects. They cost like $25 per pill in some cases but my coverage takes care of it now. First prescription I filled was $1000, but now they make generics.

cool story, but what's this have to do with fibromyalgia? ???
Title: Re: Fibromyalgia
Post by: dustin on March 16, 2013, 06:24:03 PM
cool story, but what's this have to do with fibromyalgia? ???

It's another inflammation-related disease that involves neurological pain, something which is very misunderstood and vague. There are also a lot of people who claim to have these issues and don't, which leads a lot of people to write the diseases off completely.
Title: Re: Fibromyalgia
Post by: NordicNerd on March 17, 2013, 06:18:33 AM
what a tool you are

so you think that there is a peripheral nervous system (PNS) and a central nervous system (CNS) and they are totally independent  ::)

there is one nervous system fukwitt -and it works as a single system with all kinds of feedbacks that no one knows anything about

yes peripheral neurons are different from neurons that are wholly in the spine's dorsal horn, both are different from neurons who mediate (in both directions) between dorsal horn and the brain, which again are different from neurons wholly located in the brain


Cool it- you don't seem to know much about the nervous system at all.

We are gradually getting to know more about pain, and attentional mechanisms are very important in mediating pain sensation. Take a look at this paper for a review paper about pain sensitization, the phenomenon I was talking about:

http://www.sciencedirect.com/science/article/pii/S0304395910005841


NN
Title: Re: Fibromyalgia
Post by: slate on March 17, 2013, 04:35:23 PM

Cool it- you don't seem to know much about the nervous system at all.

We are gradually getting to know more about pain, and attentional mechanisms are very important in mediating pain sensation. Take a look at this paper for a review paper about pain sensitization, the phenomenon I was talking about:

http://www.sciencedirect.com/science/article/pii/S0304395910005841

NN

I have read my share of Woolf review papers

He has been writing the same stuff for years siting on his fat harvard chair, doing no research.
 Look at the actual research papers, not the review papers and then think.

It is clear that no one really knows  how chronic pain develops and maintains itself. The system is so complex and so full of opportunities for feedback effects that almost certainly there will be different types of molecular mechanisms underlying different types of pathologies

Separating the nervous system into PNS and CNS is an anatomical simplification from the past which has outlived its usefulness beyond the introductory level, when you think at the molecular level and understand that the nervous system is fully bidirectional and acts as a loop (or several loops). It is not about a PNS nerve ending in say your skin, sending an electrical impulse up to brain neurons via the dorsal horn, as u know

Intra cellular signalling (both molecular and 'electrical') in neurons is bidirectional. What goes on in the dorsal horn end of a PNS neuron can change the activity of the other end of the PNS neuron that terminates in a muscle, organ etc, and what goes on in that dorsal horn end depends on what is coming down from the brain, which depends on what is coming up to the brain from the dorsal horn etc etc

the problem is that there is no way to currently understand the system as a whole. nobody even knows how long term potentiation between 2 neurons is maintained

anyway now that i wrote this shit i am wondering i did i bother



Title: Re: Fibromyalgia
Post by: NordicNerd on March 18, 2013, 01:08:43 AM
...
Separating the nervous system into PNS and CNS is an anatomical simplification from the past which has outlived its usefulness beyond the introductory level, when you think at the molecular level and understand that the nervous system is fully bidirectional and acts as a loop (or several loops). It is not about a PNS nerve ending in say your skin, sending an electrical impulse up to brain neurons via the dorsal horn, as u know

Intra cellular signalling (both molecular and 'electrical') in neurons is bidirectional. What goes on in the dorsal horn end of a PNS neuron can change the activity of the other end of the PNS neuron that terminates in a muscle, organ etc, and what goes on in that dorsal horn end depends on what is coming down from the brain, which depends on what is coming up to the brain from the dorsal horn etc etc

the problem is that there is no way to currently understand the system as a whole. nobody even knows how long term potentiation between 2 neurons is maintained

anyway now that i wrote this shit i am wondering i did i bother


No, I get your point and I appreciate that you wrote this, hence I understand why you were critical. I intentionally tried to make a simple point with regard to Fibromyalgia, but of course it was an oversimplification. Nevertheless, I have worked with several manual therapists, such as chiropractors, who have been very naive about how the brain/mind can moderate and mediate pain perception. Some believe there is a 1-to-1 relationship between mechanical damage and pain.

NN
Title: Re: Fibromyalgia
Post by: Necrosis on March 18, 2013, 07:07:47 AM
They have real pain, but it is a sensitization phenomenon. In other words- the pain is mostly in the mind- not directly related to peripheral neural pain signals.

Another point: In Norway, the disease got really big when the "Fibromyalgia organization" started handing out leaflets and such, describing the symptoms. People then knew what to tell their doctor to get the diagnosis.

NN

what you have just said is contradictory. Nerve pain is not in your head, it is not psychosomatic as the etiology is not mental. A similar mechanism occurs in migraines, tension headaches, would you suggest that is all in their heads?

It's not in their mind in any form or fashion. It's real pain caused by some CNS mediated disease.
Title: Re: Fibromyalgia
Post by: dustin on March 18, 2013, 08:55:33 AM
Damn, Necro. What is your day job? You know your shit!
Title: Re: Fibromyalgia
Post by: Kolchak on March 18, 2013, 10:41:28 AM
Yup, 'made up' disease which cannot be diagnosed objectively and relies on the veracity of the patient.  It's a favorite diagnosis of chiropractors.
Title: Re: Fibromyalgia
Post by: NordicNerd on March 18, 2013, 10:54:32 AM
what you have just said is contradictory. Nerve pain is not in your head, it is not psychosomatic as the etiology is not mental. A similar mechanism occurs in migraines, tension headaches, would you suggest that is all in their heads?

It's not in their mind in any form or fashion. It's real pain caused by some CNS mediated disease.

The evidence indicates that there is a strong behavioral/mental component in Fibromyalgia. Of course "mental" is a poor term, as everything "mental" is mediated by the body/ nervous system.

But Fibromyalgia is not caused by muscular pathology in any direct fashion. As Slate said, my description originally is too simplistic, as there are two-way mechanisms at all levels in the nervous system, but Fibromyalgia happens mostly  to women in their 40s or older, doing low-paid, manual work and who are usually depressed/dysthymic.

This fact, combined with the lack of consistent, verifiable muscular causes, leads me and many others to believe that the "disease" to a some part is a construction. The pain is real, but it a very complex condition that is not easy to treat.

NN
Title: Re: Fibromyalgia
Post by: The Abdominal Snoman on March 18, 2013, 04:37:48 PM
^^^Massive amounts of chemicals in the Air-Land-Sea by the Hierarchy that not all people are able to tolerate. These chemicals get ingested and prime the cancer cells we all have in our body. Cancer cells might not grow but they send out jolts of activity that goes through the body^^^