Advanced Interventional
Spine & Orthopaedic Consultants

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Welcome

Advanced Interventional Spine & Orthopaedic Consultants objectively treats and evaluates both acute and chronic spine injuries, including symptoms resulting from longterm dieases and conditions, as well as short-term such as auto accident injuries in Largo, Pinellas Park, Bradenton, and Lakeland. We use the latest treatment options to achieve maximum medical improvements, including treatments such as stem cell therapy.

Fibromyalgia

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.

Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event.

Women are much more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.

While there is no cure for fibromyalgia, a variety of medications can help control symptoms. Exercise, relaxation and stress-reduction measures also may help.

Symptoms

The pain associated with fibromyalgia often is described as a constant dull ache, typically arising from muscles. To be considered widespread, the pain must occur on both sides of your body and above and below your waist.

Fibromyalgia is characterized by additional pain when firm pressure is applied to specific areas of your body, called tender points. Tender point locations include:

  • Back of the head
  • Between shoulder blades
  • Top of shoulders
  • Front sides of neck
  • Upper chest
  • Outer elbows
  • Upper hips
  • Sides of hips
  • Inner knees

Fatigue and sleep disturbances
People with fibromyalgia often awaken tired, even though they report sleeping for long periods of time. Sleep is frequently disrupted by pain, and many patients with fibromyalgia have other sleep disorders, such as restless legs syndrome and sleep apnea, that further worsen symptoms.

Coexisting conditions

Many people who have fibromyalgia also may have:

  • Fatigue
  • Anxiety
  • Depression
  • Endometriosis
  • Headaches
  • Irritable bowel syndrome

Causes

Doctors don’t know what causes fibromyalgia, but it most likely involves a variety of factors working together. These may include:

Genetics. Because fibromyalgia tends to run in families, there may be certain genetic mutations that may make you more susceptible to developing the disorder.

Infections. Some illnesses appear to trigger or aggravate fibromyalgia.

Physical or emotional trauma. Post-traumatic stress disorder has been linked to fibromyalgia.

Why does it hurt?

Current thinking centers around a theory called central sensitization. This theory states that people with fibromyalgia have a lower threshold for pain because of increased sensitivity in the brain to pain signals.

Researchers believe repeated nerve stimulation causes the brains of people with fibromyalgia to change. This change involves an abnormal increase in levels of certain chemicals in the brain that signal pain (neurotransmitters). In addition, the brain’s pain receptors seem to develop a sort of memory of the pain and become more sensitive, meaning they can overreact to pain signals.

Risk Factors

Risk factors for fibromyalgia include:

Your sex. Fibromyalgia is diagnosed more often in women than in men. Female reproductive hormones may play a part in how women experience pain.

Family history. You may be more likely to develop fibromyalgia if a relative also has the condition.

Rheumatic disease. If you have a rheumatic disease, such as rheumatoid arthritis or lupus, you may be more likely to develop fibromyalgia.

Tests and diagnosis

In 1990, the American College of Rheumatology (ACR) established two criteria for the diagnosis of fibromyalgia:

  • Widespread pain lasting at least three months
  • At least 11 positive tender points — out of a total possible of 18

But fibromyalgia symptoms can come and go. And many doctors were uncertain about how much pressure to apply during a tender point exam. While the 1990 guidelines may still be used by researchers studying fibromyalgia, less stringent guidelines have been developed for doctors to use in general practice. These newer diagnostic criteria include:

  • Widespread pain lasting at least three months
  • No other underlying condition that might be causing the pain

Blood tests
While there is no lab test to confirm a diagnosis of fibromyalgia, your doctor may want to rule out other conditions that may have similar symptoms. Blood tests may include:

  • Complete blood count
  • Erythrocyte sedimentation rate
  • Thyroid function tests

Dr. Chowdhury is the leading objective auto injury doctor and personal injury doctor in Largo and the surrounding area (including Pinellas Park, Bradenton, and Lakeland) and is very experienced in the diagnosis and treatment of all auto-related injuries. For more information about our other services, such as stem cell therapy Largo, stem cell therapy Tampa, stem cell therapy Bradenton, stem cell therapy Pinellas Park, and stem cell therapy Lakeland, please contact Dr. Chowdhury directly at our objective accident clinic in Largo, which is open for patients Monday – Friday: 8:00 A.M. – 4:00 P.M.

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