#fibromyalgia #chronicpain #anesthesia

How real is fibromyalgia, and how does it affect your body under anesthesia? Learn how anesthesiologists manage fibromyalgia in surgery and how you can find healing.

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Fibromyalgia is characterized by "centralized pain," which differs from nociceptive or neuropathic pain. This means that conventional pain management techniques like opioids, NSAIDs, and injections are less effective. In patients with Fibromyalgia, the sensory processing "volume" is turned up, leading to heightened sensitivity to pain, pressure, and even auditory perception. However, it is crucial to understand that sensitivity is not synonymous with fragility.

We will explore the concept of impaired descending analgesia and its role in Fibromyalgia, as well as the effects of the condition on patients under anesthesia. The use of Nabilone, a medication shown to improve sleep disturbances and pressure allodynia, will be discussed, along with the potential mechanisms that lead to central nervous system sensitization, such as serotonin, dopamine, and glutamate pathways.

Additionally, we'll touch upon the link between Fibromyalgia and autonomic dysregulation, including conditions like Postural Orthostatic Tachycardia Syndrome (POTS), and how sleep disturbances (e.g., α-spindles in non-REM sleep) and insomnia may contribute to the development of the condition.

The video will also cover the benefits of Nabilone in managing Fibromyalgia-related pain and offer practical anesthetic management tips for patients with this condition. Some recommendations include using magnesium and lidocaine, ensuring vitamin B12 is replete pre-operatively, and optimizing nutrition due to the common coexistence of leaky gut or IBS. It's essential to continue medications like pregabalin and amitriptyline/duloxetine, and consider nerve blocks, as opioids are less effective in these patients. Melatonin may also be helpful.

Join us as we unravel the complexities of Fibromyalgia and provide valuable insights into understanding and managing pain in chronic conditions. Don't forget to like, share, and subscribe for more informative content!

References:
https://journals.lww.com/anesthesia-a...

https://www.ncbi.nlm.nih.gov/pmc/arti...

This video/speech/channel DOES NOT CONSTITUTE MEDICAL ADVICE. Patients with medical concerns should contact their physician. If your concern is an emergency, immediately call 911. This information is not a recommendation for ANY THERAPY. Some substances referenced in this content may be illegal, and this content is not a recommendation for, or endorsement of, their use in any way.