![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/08\/cauze-fibromialgie.jpg\" "\\"\\"")
<\/p>\n
Toate aceste cauze \u0219i factori generatori interac\u021bioneaz\u0103, cre\u00e2nd o afec\u021biune \u00een care organismul proceseaz\u0103 semnalele durerii \u00een mod diferit, duc\u00e2nd la o sensibilitate sporit\u0103 [8].<\/p>\n
Cum se manifest\u0103 leg\u0103tura dintre creier \u0219i durerile cronice?<\/h2>\n
Leg\u0103tura dintre creier \u0219i durerea cronic\u0103 \u00een fibromialgie este centrat\u0103 pe sensibilizarea central\u0103, un fenomen \u00een care sistemul nervos central devine hipersensibil la stimulii durero\u0219i. Aceasta \u00eenseamn\u0103 c\u0103 \u0219i stimulii non-durero\u0219i pot fi percepu\u021bi ca fiind durero\u0219i, iar semnalele reale ale durerii sunt amplificate [9].<\/p>\n
\u00cen plus, perturb\u0103rile axei hipotalamo-hipofizo-adrenale (care guverneaz\u0103 r\u0103spunsul organismului la stres), contribuie la persisten\u021ba durerii [10].<\/p>\n
Aceast\u0103 perturbare creeaz\u0103 o bucl\u0103 de feedback \u00een care percep\u021bia accentuat\u0103 a durerii \u0219i stresul emo\u021bional se consolideaz\u0103 reciproc, intensific\u00e2nd simptomele fibromialgiei [11].<\/p>\n
Mecanismele naturale care suprim\u0103 semnalele durerii pot fi sl\u0103bite, duc\u00e2nd la senza\u021bii de durere persistente [12].<\/p>\n
Durerea cronic\u0103 se suprapune adesea cu probleme precum anxietatea, depresia \u0219i cea\u021ba mental\u0103 [13], subliniind interac\u021biunea complex\u0103 dintre s\u0103n\u0103tatea mintal\u0103 \u0219i percep\u021bia durerii [14]. Altfel spus, leg\u0103tura dintre creier \u0219i durerile cronice se manifest\u0103 prin:<\/p>\n
- \n
- C\u0103i hiperactive de durere;<\/li>\n
- Inhibi\u021bie redus\u0103 a durerii;<\/li>\n
- Impact cognitiv \u0219i emo\u021bional.<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/08\/legatura-creier-dureri-cronice.jpg\" "\\"\\"")
<\/p>\nStudiile de imagistic\u0103 cerebral\u0103 func\u021bional\u0103 au eviden\u021biat o activitate modificat\u0103 \u00een zonele creierului responsabile de percep\u021bia durerii, cum ar fi cortexul prefrontal \u0219i amigdala oferind o \u00een\u021belegere mai clar\u0103 a acestei conexiuni [15].<\/p>\n
Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n
Dac\u0103 ave\u021bi dureri cronice musculare \u0219i b\u0103nui\u021bi c\u0103 ar putea fi vorba de fibromialgie, programa\u021bi-v\u0103 acum la o consulta\u021bie\u00a0<\/span>contact\u00e2nd recep\u021bia Institutului RoNeuro<\/strong> la num\u0103rul de telefon<\/span> 0374 46 2222<\/a><\/b>, luni \u0219i mar\u021bi \u00eentre orele 08:00 – 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 – 18:00<\/strong>.\u00a0<\/span><\/p>\n
La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate.\u00a0<\/span><\/p>\n
Program\u0103ri online neurologie<\/a><\/p>\n
Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? Institutul RoNeuro ofer\u0103 \u0219i op\u021biunea de <\/span>telemedicin\u0103<\/a>.<\/b><\/p>\n
Cum se stabile\u0219te diagnosticul de fibromialgie?<\/h2>\n
Diagnosticarea fibromialgiei poate fi dificil\u0103 din cauza lipsei unor teste de laborator sau imagistice definitive. Cu toate acestea medicii folosesc o evaluare clinic\u0103, pe baza unor criterii de diagnostic stabilite [16].<\/p>\n
Criteriile Colegiului American de Reumatologie (ACR) pun accentul pe durerea generalizat\u0103 care dureaz\u0103 cel pu\u021bin trei luni \u0219i prezen\u021ba punctelor sensibile la examinarea fizic\u0103. \u00cen ultimii ani, accentul s-a mutat pe identificarea durerii generalizate \u00een combina\u021bie cu alte simptome, cum ar fi oboseala, tulbur\u0103rile de somn \u0219i dificult\u0103\u021bile cognitive (adesea denumite \u201ecea\u021b\u0103 fibro\u201d) [17].<\/p>\n
Diagnosticarea cuprinde istoricul medical complet, examen fizic, studii imagistice \u0219i teste de laborator. Acestea sunt necesare \u00een vederea excluderii altor afec\u021biuni care ar putea imita simptomele fibromialgiei, precum cum ar fi artrita reumatoid\u0103, lupusul sau tulbur\u0103rile tiroidiene [18].<\/p>\n
A\u0219adar, diagnosticul de fibromialgie se stabile\u0219te \u00een func\u021bie de rezultatele urm\u0103toarelor investiga\u021bii:<\/p>\n
- \n
- Istoric medical;<\/li>\n
- Examen fizic;<\/li>\n
- Studii imagistice;<\/li>\n
- Teste de laborator.<\/li>\n<\/ul>\n
Procesul de diagnostic este centrat pe pacient \u0219i necesit\u0103 o observare atent\u0103 \u00een timp.<\/p><\/blockquote>\n
Cum se poate trata fibromialgia?<\/h2>\n
Gestionarea eficient\u0103 a fibromialgiei necesit\u0103 o abordare multidisciplinar\u0103 adaptat\u0103 individului. Strategiile de tratament se concentreaz\u0103 pe ameliorarea simptomelor \u0219i \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii, mai degrab\u0103 dec\u00e2t pe vindecarea afec\u021biunii [19].<\/p>\n
Medicamente precum analgezicele, antidepresivele \u0219i anticonvulsivantele pot ajuta la modularea durerii \u0219i la \u00eembun\u0103t\u0103\u021birea somnului [20].<\/p>\n
Interven\u021biile non-farmacologice, inclusiv terapia cognitiv-comportamental\u0103<\/a>, kinetoterapia<\/a> \u0219i tehnicile de gestionare a stresului, sunt esen\u021biale \u00een abordarea aspectelor psihologice \u0219i fizice ale afec\u021biunii [21].<\/p>\n
Modific\u0103rile stilului de via\u021b\u0103, cum ar fi practicarea regulat\u0103 a exerci\u021biilor fizice cu impact redus, cum ar fi yoga sau \u00eenotul, men\u021binerea unei diete echilibrate \u0219i stabilirea unor rutine de somn constante, sunt, de asemenea, benefice [22].<\/p>\n
Terapiile alternative, masajul<\/a>, inclusiv practicile de mindfulness \u0219i biofeedback, ofer\u0103 c\u0103i suplimentare pentru ameliorarea simptomelor, subliniind importan\u021ba unei abord\u0103ri holistice a \u00eengrijirii [23].<\/p>\n
Astfel, tratamentul fibromialgiei \u00ee\u0219i propune s\u0103 gestioneze simptomele \u0219i s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 calitatea vie\u021bii printr-o combina\u021bie de abord\u0103ri precum:<\/p>\n
- \n
- Interven\u021bie farmaceutic\u0103<\/strong> (analgezice, antidepresive, anticonvulsive);<\/li>\n
- Interven\u021bii non-farmaceutice<\/strong>:\n
- \n
- Kinetoterapie<\/a> \u0219i exerci\u021bii fizice regulate (pentru \u00eembun\u0103t\u0103\u021birea mobilit\u0103\u021bii \u0219i reducerea durerii [24]),<\/li>\n
- Terapie cognitiv-comportamental\u0103<\/a> (pentru gestionarea stresului emo\u021bional),<\/li>\n
- Modific\u0103ri ale stilului de via\u021b\u0103 (diet\u0103 echilibrat\u0103<\/a>, somn regulat<\/a>),<\/li>\n<\/ul>\n<\/li>\n
- Terapii alternative<\/strong> (acupunctur\u0103<\/a>, masaj<\/a>, mindfulness, yoga, etc).<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/08\/tratament-fibromialgie.jpg\" "\\"\\"")
<\/p>\nConcluzii<\/h2>\n
Fibromialgia este o afec\u021biune complex\u0103 \u0219i multifa\u021betat\u0103 ale c\u0103rei cauze exacte r\u0103m\u00e2n evazive. Cu toate acestea, cercet\u0103rile sugereaz\u0103 c\u0103 o combina\u021bie de factori genetici, de mediu \u0219i psihologici joac\u0103 un rol semnificativ \u00een debutul acesteia.<\/p>\n
Planurile de tratament trebuie s\u0103 fie foarte bine individualizate, necesit\u00e2nd colaborarea dintre pacien\u021bi \u0219i furnizorii de servicii medicale pentru a aborda aspectele fizice, emo\u021bionale \u0219i sociale ale afec\u021biunii.<\/p>\n
Prin combinarea acestor metode, majoritatea pacien\u021bilor cu fibromialgie pot ob\u021bine o ameliorare semnificativ\u0103 a simptomelor, tr\u0103ind o via\u021b\u0103 normal\u0103.<\/p>\n
Referin\u021be<\/h2>\n
- \n
- Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D. Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update. Int J Mol Sci. 2021 Apr 9;22(8):3891. doi: 10.3390\/ijms22083891. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/33918736\/<\/a><\/li>\n
- Bhargava J, Goldin J. Fibromyalgia. 2025 Jan 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan\u2013. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/31082018\/<\/a><\/li>\n
- Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D. Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update. Int J Mol Sci. 2021 Apr 9;22(8):3891. doi: 10.3390\/ijms22083891. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8068842\/<\/a><\/li>\n
- Bellato E, Marini E, Castoldi F, Barbasetti N, Mattei L, Bonasia DE, Blonna D. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat. 2012;2012:426130. doi: 10.1155\/2012\/426130. Epub 2012 Nov 4. Erratum in: Pain Res Treat. 2013;2013:960270. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/23213512\/<\/a><\/li>\n
- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Fibromyalgia: Learn More \u2013 What is known about the causes of fibromyalgia? [Updated 2022 May 24]. Available at: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK492983\/<\/a><\/li>\n
- Furness PJ, Vogt K, Ashe S, Taylor S, Haywood-Small S, Lawson K. What causes fibromyalgia? An online survey of patient perspectives. Health Psychol Open. 2018 Sep 25;5(2):2055102918802683. doi: 10.1177\/2055102918802683. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6158621\/<\/a><\/li>\n
- Bazzichi L, Giorgi V, Di Franco M, Iannuccelli C, Bongiovanni S, Batticciotto A, Pellegrino G, Sarzi Puttini P. Environmental factors and fibromyalgia syndrome: a narrative review. Clin Exp Rheumatol. 2024 Jun;42(6):1240-1247. doi: 10.55563\/clinexprheumatol\/4e091z. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/38855963\/<\/a><\/li>\n
- Buskila D, Atzeni F, Sarzi-Puttini P. Etiology of fibromyalgia: the possible role of infection and vaccination. Autoimmun Rev. 2008 Oct;8(1):41-3. doi: 10.1016\/j.autrev.2008.07.023. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/18706528\/<\/a><\/li>\n
- Walters ET, Crook RJ, Neely GG, Price TJ, Smith ESJ. Persistent nociceptor hyperactivity as a painful evolutionary adaptation. Trends Neurosci. 2023 Mar;46(3):211-227. doi: 10.1016\/j.tins.2022.12.007. Epub 2023 Jan 5. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/36610893\/<\/a><\/li>\n
- Crofford LJ, Pillemer SR, Kalogeras KT, Cash JM, Michelson D, Kling MA, Sternberg EM, Gold PW, Chrousos GP, Wilder RL. Hypothalamic-pituitary-adrenal axis perturbations in patients with fibromyalgia. Arthritis Rheum. 1994 Nov;37(11):1583-92. doi: 10.1002\/art.1780371105. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/7980669\/<\/a><\/li>\n
- Griep EN, Boersma JW, Lentjes EG, Prins AP, van der Korst JK, de Kloet ER. Function of the hypothalamic-pituitary-adrenal axis in patients with fibromyalgia and low back pain. J Rheumatol. 1998 Jul;25(7):1374-81. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/9676772\/<\/a><\/li>\n
- Jensen KB, Kosek E, Petzke F, Carville S, Fransson P, Marcus H, Williams SC, Choy E, Giesecke T, Mainguy Y, Gracely R, Ingvar M. Evidence of dysfunctional pain inhibition in Fibromyalgia reflected in rACC during provoked pain. Pain. 2009 Jul;144(1-2):95-100. doi: 10.1016\/j.pain.2009.03.018. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/19410366\/<\/a><\/li>\n
- Reyes Del Paso GA, Pulgar A, Duschek S, Garrido S. Cognitive impairment in fibromyalgia syndrome: the impact of cardiovascular regulation, pain, emotional disorders and medication. Eur J Pain. 2012 Mar;16(3):421-9. doi: 10.1002\/j.1532-2149.2011.00032.x. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/22337559\/<\/a><\/li>\n
- Bordoni B, Escher AR, Cannadoro G, Tobbi F. The Cognitive and Emotional Aspect in Fibromyalgia: The Importance of the Orofacial Sphere. Cureus. 2023 Mar 19;15(3):e36380. doi: 10.7759\/cureus.36380. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10025772\/<\/a><\/li>\n
- Passarelli M, Rizzi L, Casetta L, Guerrieri V, Rocco D, Perrella R. Pain in the brain: Psychological correlates of chronic pain and fibromyalgia. PLoS One. 2025 Jun 11;20(6):e0324457. doi: 10.1371\/journal.pone.0324457. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/40498867\/<\/a><\/li>\n
- Clauw DJ, Arnold LM, McCarberg BH; FibroCollaborative. The science of fibromyalgia. Mayo Clin Proc. 2011 Sep;86(9):907-11. doi: 10.4065\/mcp.2011.0206. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3258006\/<\/a><\/li>\n
- Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB, Yunus MB. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken). 2010 May;62(5):600-10. doi: 10.1002\/acr.20140. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/20461783\/<\/a><\/li>\n
- Winslow BT, Vandal C, Dang L. Fibromyalgia: Diagnosis and Management. Am Fam Physician. 2023 Feb;107(2):137-144. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/36791450\/<\/a><\/li>\n
- Kwiatek R. Treatment of fibromyalgia. Aust Prescr. 2017 Oct;40(5):179-183. doi: 10.18773\/austprescr.2017.056. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5662432\/<\/a><\/li>\n
- Giorgi V, Sarzi-Puttini P, Pellegrino G, Sirotti S, Atzeni F, Alciati A, Torta R, Varrassi G, Fornasari D, Coaccioli S, Bongiovanni SF. Pharmacological Treatment of Fibromyalgia Syndrome: A Practice-Based Review. Curr Pain Headache Rep. 2024 Dec;28(12):1349-1363. doi: 10.1007\/s11916-024-01277-9. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11666752\/<\/a><\/li>\n
- Hassett AL, Gevirtz RN. Nonpharmacologic treatment for fibromyalgia: patient education, cognitive-behavioral therapy, relaxation techniques, and complementary and alternative medicine. Rheum Dis Clin North Am. 2009 May;35(2):393-407. doi: 10.1016\/j.rdc.2009.05.003. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2743408\/<\/a><\/li>\n
- Metyas C, Aung TT, Cheung J, Joseph M, Ballester AM, Metyas S. Diet and Lifestyle Modifications for Fibromyalgia. Curr Rheumatol Rev. 2024;20(4):405-413. doi: 10.2174\/0115733971274700231226075717. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11107431\/<\/a><\/li>\n
- Crofford LJ, Appleton BE. Complementary and alternative therapies for fibromyalgia. Curr Rheumatol Rep. 2001 Apr;3(2):147-56. doi: 10.1007\/s11926-001-0010-9. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/11286671\/<\/a><\/li>\n
- Matei D, Tr\u0103istaru R, P\u0103dureanu V, Avramescu TE, Neagoe D, Genunche A, Amzolini A. The Efficiency of Kinesiotherapy versus Physical Modalities on Pain and Other Common Complaints in Fibromyalgia. Life (Basel). 2024 May 8;14(5):604. doi: 10.3390\/life14050604. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/38792625\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
Ce este fibromialgia? Fibromialgia este o tulburare cronic\u0103 de durere caracterizat\u0103 prin dureri musculo-scheletice r\u0103sp\u00e2ndite, \u00eenso\u021bite deseori de alte afec\u021biuni, cum ar fi oboseala, disfunc\u021bie cognitiv\u0103, tulbur\u0103ri intestinale [1] \u0219i ale somnului precum \u0219i tulbur\u0103ri psihiatrice, cum ar fi depresia \u0219i anxietatea [2]. Simptomele \u00eencep uneori dup\u0103 traume fizice sau emo\u021bionale, dar \u00een multe cazuri, […]<\/p>\n","protected":false},"author":2,"featured_media":1936,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"format":"standard","override":[{"template":"6","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_popup_post":"1","number_popup_post":"3","show_post_related":"1","show_inline_post_related":"0"}],"image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0","subtitle":""},"jnews_primary_category":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[11,6],"tags":[],"class_list":["post-1929","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kinetoterapie","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1929","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1929"}],"version-history":[{"count":3,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1929\/revisions"}],"predecessor-version":[{"id":1937,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1929\/revisions\/1937"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1936"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Bhargava J, Goldin J. Fibromyalgia. 2025 Jan 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan\u2013. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/31082018\/<\/a><\/li>\n
- Terapie cognitiv-comportamental\u0103<\/a> (pentru gestionarea stresului emo\u021bional),<\/li>\n
- Interven\u021bii non-farmaceutice<\/strong>:\n
- Interven\u021bie farmaceutic\u0103<\/strong> (analgezice, antidepresive, anticonvulsive);<\/li>\n