Fibromyalgia remains one of the toughest medical condition to be diagnosed. This is because it exhibits different permutation of pain and symptoms in different individuals. Its symptoms aside, experts explain 8 types of fibromyalgia pain.
Hyperalgesia is the most common type of fibromyalgia pain. It refers to the increased sensitivity to pain in fibromyalgia patients. This happens when pain response reaches the brain and increases in volume, thereby making pain signals more severe than normal.
Treatment: Most drugs prescribed to help manage fibromyalgia pain is targeted at alleviating hyperalgesia. This condition is linked to nerve damage or irritation and can be treated with medications such as Gabapentin, SSRI or tricyclic antidepressants, NSAIDS, glucocorticoids, pregabalin, NMDA antagonists or atypical opioids like Tramadol.
Precaution: After administering an opioid drug for 3 to 6 months, another drug should be used as preventive treatment. The addition of NMDA receptor antagonist such as methadone, dextromethorphan or ketamine with opioids can also prevent hyperalgesia from occuring.