One of the problems of Fibromyalgia is that for a long time it was not diagnosed because it was not considered to have an entity by itself.
Sometimes the symptomatology was attributed to other disorders, or to an inspecificity of the same, which impaired the correct diagnosis and treatment.
The lack of appropriate and specific methods and procedures for fibromyalgia has caused patients to wait for years until they have gotten the right diagnosis.
Remember that the problem of evaluating pain is that it has a component both physical and psychological, so the same person in two moments, before the same "level" of physical pain experience different psychological sufferings, and perhaps the only thing that has Varied from one moment to another is the state of mind of the person.
Thus it is often that, before states of mood of happiness or euphoria, the person is not receptive to suffering and that can consider the pain only as a "nuisance"; On the other hand, in the face of a depressed state of mind, even the slightest pain can be experienced as very serious and with great intensity.
This has made that sometimes professionals "trust" more of their "clinical eye" than the results of some tests on pain which are based on the opinion of the patient, but how is the pain evaluated in Fibromyalgia?
— Fibromialgianoticias (@fibromialgianot) February 6, 2019
This is what has been tried to respond with a research conducted from the University of Western Flority (USA) whose results have been published in 2019 in the scientific journal SIS Journal of Projective Psychology & Mental Health.
Piotrowski, C. (2019). Fibromyalgia, Low Back Pain, Osteoarthritis, Myofascial Pain, and Complex Regional Pain syndrome: Predominant Assessment measures in Research. SIS Journal of Projective Psychology & Mental Health, 26 (1).
The study is a bibliometric analysis on articles published since the year 2000 using the PsycINFO database which indicates the methods of measurement of pain before five conditions including fibromyalgia.
The results show that there is no difference in the use of the Visual Analogue Scale; The use of the Anxiety & Depression Scale Hospital and the Beck Depression
Inventory to evaluate Fibromyalgia or other types of pain-related problems.
It also shows how there are tools designed specifically for fibromyalgia that is not applied to another type of problem related to pain as with the case of Fibromyalgia Impact Questionnaire.
With regard to the Pain Catastrophizing Scale together with the Pittsburgh Sleep Quality Index is used both for the case of the study of fibromyalgia and also to evaluate the pain myofascial.
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The results show a massive use of questionnaires and non-specific tests for fibromyalgia, instead of opting for the use of the tools specially designed for it, to the extent that these are used, will be cut the time that late the patient in Get the right diagnosis and you can start your recommended rehabilitation treatment.