Fibromyalgia Clinical Trial
Official title:
Treating Fibromyalgia Pain With Shock-Waves: a Randomized Study
Fibromyalgia pain syndrome is a common debilitating condition which associates mainly
generalised pain, emotional distress and cognitive symptoms. The etiology is unknown, and no
specific treatment exists so far.
Lately, shock-waves have been used successfully to treat painful skeletal muscle, tendons and
fascia, the investigators therefore hypothesize that shock-waves could be useful in
alleviating Fibromyalgia pain.
Two similar groups of participants bearing the condition will be prospectively compared.
The first group will benefit from the application of shock-waves weekly for 12 weeks, the
second will not.
The investigators intend to study if there is any difference in pain and quality of life
between the two groups at the end of the three months.
Fibromyalgia Pain Syndrome (FPS) is a common debilitating condition which associates mainly
generalised pain, emotional distress and cognitive symptoms. The etiology is unknown, and no
specific treatment exists so far.
It bears some similarities with another, more localised clinical condition : the Myofascial
Pain Syndrome (MPS), which results in pain caused by, amongst others, muscular trigger
points.
Lately, FPS and MPS have both been classified as belonging to a new, larger entity : Central
Sensitivity Syndromes (CSS), in which a strong and chronic peripheral sensitive stimulus
(like musculoskeletal pain) is believed to induce, after some time, an enhanced response of
the central nervous system (CNS) towards that same stimulus, with the result that the
stimulus will be felt more powerfully (central sensitization, CS). This is secondary to
neuroplastic changes in the CNS, which are reversible to some extent.
Since shock-waves are effective to treat pain in MPS (by eliminating trigger points and thus
restoring muscle and tissue function), and since MPS and FPS could be linked by a common
pathophysiologic mechanism (CSS), the investigators hypothesize that shock waves could be
beneficial in treating pain in FPS.
Two groups of 20 participants will be prospectively compared over a three month's period.
One group will receive shock-waves on painful muscular areas weekly for 12 weeks, the other
group will not receive any shock-waves.
The investigators intend to study if there is any difference in pain and quality of life
after the end of the three months.
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