In fibromyalgia, dizziness, poor balance, and falls are common complaints. For some people, they’re a minor annoyance that crops up on occasion. In others, they can be severely debilitating and lead to regular injuries.
Falling, and especially falling frequently, is a serious problem. The last thing you need when you’re already in constant pain is to hurt yourself all the time. Frequent falls or balance problems can also lead to a fear of falling.
That fear can, in turn, make you afraid to remain active, even within your limits. According to a study in Clinical Rheumatology, 73 percent of people with fibromyalgia have a fear of physical activity, and nearly 75 percent have problems with balance.
In fibromyalgia, dizziness most often comes on when you first stand up. It’s similar to the feeling of a “head rush” from when you stand up too quickly, only it can happen any time you go from lying down or sitting to standing up. The sudden onset of dizziness can make you sway on your feet, stagger, or it may even make you fall or faint.
In addition to dizziness and fainting, this subgroup also had the highest pain levels as well as a variety of symptoms and overlapping conditions including cognitive dysfunction (“fibro fog”), irritable bladder, vulvodynia, and restless legs syndrome.
Dizziness resulting from dysautonomia can be called orthostatic intolerance, neurally mediated hypotension, or postural orthostatic tachycardia syndrome (POTS). Essentially, these things mean that the heart and the brain aren’t communicating properly with each other.
What should happen is that when you stand up from a lying or sitting position, the ANS increases your blood pressure in order to fight gravity and keep a sufficient supply of blood in your brain. With dysautonomia, this doesn’t happen as it should. Instead, the blood pressure can actually drop when you stand, and the result is dizziness or light–headedness. In POTS, the heart rate speeds up as blood pressure drops.
Not everyone with fibromyalgia–related dizziness faints, though. In a 2008 study, researchers say dizziness and palpitations were more common than fainting. They also say POTS was one of the most common fibromyalgia symptoms they observed during tilt-table tests, which measure your response to changes in position.
Adding to the possibility of falls, research suggests that people with fibromyalgia walk differently than healthy people. A 2009 study found that about 28 percent of people with this illness have an abnormal gait (manner of walking).
This study is part of a growing body of scientific literature demonstrating balance and gait problems in this condition that can lead to falls. Still, evaluating and treating these symptoms may not be a high priority for your doctor. If they’re concerns for you, make sure to bring them up at your next appointment.
The more successful you are at treating your fibromyalgia, the less these symptoms should be a problem. However, if they need more attention or you’ve been unable to find effective fibromyalgia treatments, you have several options.
For dizziness from POTS, orthostatic hypotension, or neurally mediated hypotension, your doctor may be able to recommend medications that help. These can include SSRI/SNRIs, benzodiazepines and beta blockers. Some of these drugs may help alleviate other fibromyalgia symptoms, as well—SSRIs and SNRIs are commonly prescribed for this illness. Your doctor may also recommend lifestyle changes.
Until you find ways to improve these symptoms, it pays to be careful. Assistive devices such as a cane or walker may help keep you on your feet. Seated exercises may be the safest option, and they’re certainly a better choice than being less active than you can be.
For More Information Related Fibromyalgia Visit below sites:
Fibromyalgia Contact Us Directly
Fibro Women Blogs
Chronic Woman Blogs
Chronic Illness Blogs
Official Fibromyalgia Blogs