The subject I brought them seemed interesting to me and I share them with you, so I go into the subject; We all have an idea that what we have is called fibromyalgia (FM) , but it’s possible we do not all know that science has so far differentiated fibromyalgia into 4 types; This categorization makes it easier for specialists to identify the most relevant course of treatment for each case, as well as the most common symptoms.
According to the website rheumatology clinica.org of fibromyalgia, there are 4 subclasses of classification:
- Fibromyalgia pumps (composed of FM I).
- Associated with rheumatic diseases and chronic autoimmune diseases (FM type II).
- Associated with a serious alteration of the psychopathological sphere (FM type III).
- Simulator patients (type FM IV).
This means that type I fibromyalgia or the same pure fibromyalgia is pure fibromyalgia, such as lupus, diabetes, arthritis, etc., as in type II and fibromyalgia. Fibromyalgia) type III; FM (fibromyalgia) type IV, which, according to the experts, is somaticized by the patient, that is to say that the patient unconsciously believes to have and develops it (this is still under study and could be reevaluated ).
This classification is descriptive and helps the doctor to identify the course of medical procedures to follow. The experts must therefore identify the heterogeneous symptom that fibromyalgia presents for those who directly or indirectly concern it. In the future, this classification will probably change, but it will also be stimulated by more and more precise information, which will allow us to determine once and for all the pharmacological and therapeutic treatments best adapted to each patient.
Where does this classification come from? Apparently, the result is due to a study that has emerged from the psychiatric practice web actasiquitria.es we can show the parameters that have been taken into account and have served as a basis for other medical specialties to correctly identify cases of fibromyalgia .
But I want to dwell a little on FM (fibromyalgia) type IV which says that it is the product of the somatization of the patient, but we can not say that this classification is conclusive. In fact, it still can not be decisive, as we know from experience, that someone has been “invented”, the symptoms can be discussed in person, and that’s my opinion, I do not think Simulators’ incidence is important enough to be considered in a classification, but the injury of the doctors has a new disease like fibromyalgia (FM) that reveals their fears and worries in some valid cases, but not all who diagnose a patient wrongly. Go ahead safely by allowing patients to invent FM (fibromyalgia) because there are some.
But for us patients, how useful is it to know this classification? It’s nothing and it’s not a lot, because knowing that, we can not take advantage of it, it’s not a treatment, it’s information reserved for doctors and researchers, but it also serves a lot in the sense of knowing that they have already set themselves the task of studying it, and at least classifying it.
According to Dr. Joaquín Fernández Solá (Senior Consultant, Internal Medicine Coordinator of the Chronic Fatigue Hospital Clinic, Barcelona), fibromyalgia also presents gradations. FM can distinguish 3 degrees of vital involvement, such as the impact of the disease on the quality of life of patients:
Grade 1 Lower Life Impairment : Clinical assessment scales with scores less than 50% and without interference in function or work.
Grade 2 Moderate impairment in life: Stages of clinical evaluation between 50 and 75% and interference with function or work (partial loss of activity).
Grade 3 Severe impairment: Clinical assessment scale greater than 75% and marked interference in function or work (inability to perform work or sick leave).
As can be seen in these three types of gradation, it depends on the patient’s mobility status, whether the patient can perform his daily activities almost normally even in the presence of pain (grade 1), with moderate involvement and with certain functional limitations. (grade 2) and with a critical and disabling immobility that definitively limits their daily activities (note 3). In other studies, this grade has reached 4 degrees, but I think that they can perfectly demonstrate what is taken into account to determine what FM does in the quality of life of those who suffer.