Fibromyalgia. Etiology and pathogeny

Abstract

The denomination of fibromyalgia (FM) has changed during the elapsing of the century XX. Finally the American Academy of Rheumatology in 1990 defines the syndrome and the criteria for its diagnostic. Exist serious doubts on the etiology of the disease. The controversy faces to different specialists and scientific.

It is not clear that this disorder will be primary or secondary to psychiatric diseases. Many of the alterations neuroendocrines of the FM are present in the depression. Female patients present high rates of somatization and some authors have proposed that the disease could be considered a depression somatized, and other approach the disease the conversion disorders; the boldest include it between the disorders facticios.

In any case, the most effective therapies combine the triciclics antidepressants with a soft and progressive physical therapy, cognitive-conductual psychotherapy, maneuvers of easing and central analgesia soft and controlled. The results seem to confirm that exist psychological factors involved in the development of the FM. In spite of all, the treatment is insufficient and it does not avoid that yet we continue with many doubts on its etiology. The future will have to clarify many questions.