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Home » Health Articles » Is Fibromyalgia Real My Doctors Make Me Feel Like Im Crazy

Is Fibromyalgia Real?... My Doctors Make Me Feel Like I’m Crazy...

Fibromyalgia (FM) is a condition characterized by chronic, widespread pain in muscles and soft tissues accompanied by fatigue. It is an extremely common condition that is often underdiagnosed or misdiagnosed because it does not cause any structural damage in an organ and there are no specific laboratory tests that point towards its presence.

Fibromyalgia, affects approximately 2% of the US population. It is considered the prime example of a group of diseases that are called central sensitization syndrome (CSS).

These diseases are based on neurochemical abnormalities and include irritable bowel syndrome, irritable bladder syndrome, migraine headache, Persian Gulf Syndrome, and restless legs syndrome.

FM occurs when the central nervous system (spinal cord and brain) becomes sensitized in different areas of the body, so that even mild pressure or touch will cause much pain. Such hypersensitivity may also be associated with other symptoms such as poor sleep and fatigue.

Recent research has documented changes using both PET and MRI scanning in neurochemical reactions within the brains of patients suffering from FM.

It is important to approach the patient in a standard diagnostic fashion so that conditions that can mimic FM be excluded. These include rheumatoid arthritis, systemic lupus erythematosus, inflammatory muscle disease, osteoarthritis, and hypothyroidism.

Once the diagnosis has been made, then the patient needs to be informed as to the need for specific treatment measures. These include a combination of cognitive behavioral therapy, non impact aerobic exercise, and medication. Without the integration of all of these modalities, optimal results will not be achieved.

The patient needs to realize that they must be an active participant tin their treatment. This permits them to avoid the "victimization" situation that often thwarts the ability to get better.

Cognitive behavioral therapy consists of strategies such as time management, goal setting, guided visualization, and so forth. Non-impact aerobic exercise includes such activities such as swimming, using a stationary cycle, or using an elliptical trainer.

Medications such as tricyclic antidepressants, selective serotonin reuptake inhibitors, selective serotonin reuptake and norepinephrine inhibitors can be useful. Muscle relaxants such as cyclobenzaprine have their advocates. Recent interest in the use of GABA stimulators such as gabapentin and pregabalin also are helpful.

Complementary therapies such as acupuncture, acupressure, low level laser (cold laser), ultra high frequency electrical stimulation, and trigger point injection can also be useful.

Investigational drugs such as milnacipran may be a welcome addition to our arsenal.

A term that has been coined by Dr. Muhammad Yunus, a pioneer in FM treatment, is the biopsychosocial model of disease.

He advocates further critical studies to fully test this concept which seems to have important significance for new directions for research and patient care involving physician and patient education. He states, "Each patient, irrespective of diagnosis," says Dr. Yunus, "should be treated as an individual, considering both the biological and psychosocial contributions to his or her symptoms and suffering."

It is important that the physician be supportive but at the same time be empowering and not let the patient fall into the miasma of self-pity.

Truer words have never been said.

And here is another random article you might be interested in...

Management Features Of Sales Force Automation

Sales force automation, or SFA, is a term that refers at its most basic to automating critical sales functions like lead and account management. Sales force automation uses software to automate sales tasks like order processing, lead generation, information sharing, contact management, customer management, and employee evaluation.

It also keeps track of customer preferences, buying habits, demographics, and performance management. Sales force automation tools improve field sales productivity and open whole new realms of possibility for companies. With an on-demand architecture that allows effective sales force management and CRM, managing sales information is easy on even the largest scales. Essentially, customers and sales employees can manage and share any type of information.

There are a number of benefits and features that come with sales force automation technology, and these features comprise the backbone of the SFA system. They include:

Lead management

Lead management allows companies to keep better track of leads by ensuring they don't get cold. This can reduce or eliminate the need for manual routing and lead assignment duplication, clearly defines opportunity assignments, and is able to automatically assign leads to the correct individual based on territory, product expertise or user-defined rules. Thus SFA allows for automatic load leveling across sales territories, and better relationships between team members.

For example, with automatic lead management, you can set security controls that ensure teams or partners can access only their own leads, increase lead conversion rates and improve sales response times.

Opportunity management

Opportunity management allows sales teams to work better as units by standardizing sales methods and systems, identifying bottlenecks, and tracking deal closures. It also allows employees to focus their resources on strengthening key partnerships and dominating key competitors instead of competing with each other. More organized sales teams allow managers to delegate tasks and set up automatic reminder emails for themselves and their team.

Most importantly, the opportunity management feature allows companies to centrally track custom information like partner and customer communications and milestones while simultaneously monitoring myriad sales processes like sales channels, service effectiveness or product lines.

Account management

An account management system ensures that your company is able to attain full knowledge of your customer accounts. Accurate knowledge of customer account equals better collaboration amongst your sales teams and retains lasting customer relationships. Additionally, account management allows a company to defines and evaluate all those involved with the account, from the project manager to the executive sponsor.

With account management, you can set up online access to all customer account information, like organization charts and current partners-across the entire company. No one is left in the dark and everyone knows the account status and history.

Territory Management

On-demand, advanced territory management capabilities allow you to adjust to rapid changes within your company. An easy point-and-click interface ensures your company can automatically route accounts and opportunities to the correct territories.

A solid territory management system also decreases lag time in lead assignments by ensuring a lead never gets cold; lead assignments are easily queued and automatically sent to the correct territory. In essence, territory management allows companies to easily monitor, set up, gather, transfer, assign, re-assign, and change accounts across territories.

Contract Management

Contract management is another integral feature in sales force automation. Essentially, it allows companies to manage a contract's lifespan by shortening approval cycles for contracts, renewing contracts sooner, and reducing administrative costs.

This SFA feature improves tracking and management of contract information, such as value, conditions, terms, evaluations, and more.

Traditionally, most companies have had to build, buy and sustain an IT software system all on their own; however, this leads to extremely high maintenance fees and myriad other costs. Today, the advent of automated sales force technology allows businesses to subscribe to already built, on-demand, customizable services that provide everything a traditional IT software does and more.

The architecture of sales force automation allows for a decrease in the total cost of ownership, reduction of risk factors, a decrease in wasted time, and a new focus on business and management rather than technology.