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IBS and Fibromyalgia

Fibromyalgia News: Inflammatory bowel disease is a huge chapter of very different diseases. One of them is Inflammatory Bowel Syndrome (IBS).

This study is interesting to point out again to the association of musculo-skeletal symptoms. However, it is more important to remember the very frequent association of IBS and fibromyalgia.

In fact, the explanation of many IBS is found in the mechanism of fibromyalgia as a genetic muscle disease. It goes beyond a simple coincidence.

In cases of fibromyalgia, IBS in a family member can be considered as the equivalent of FMS. The chances of that member developing full blown FMS is high.

Musculoskeletal manifestations of inflammatory bowel disease, Bourikas LA, Papadakis KA. Inflamm Bowel Dis. 2009 Apr 30.

Summary: Extraintestinal manifestations develop in approximately 25% of patients with inflammatory bowel disease (IBD). Musculoskeletal symptoms are the most common extraintestinal manifestations of IBD, often associated with colonic involvement, and present as either articular (arthritis) or periarticular inflammation including enthesitis, myositis, or soft tissue rheumatism (fibromyalgia). Musculoskeletal manifestations can precede or be synchronous with the development of bowel disease or develop following the diagnosis of IBD. Their clinical course often correlates with IBD activity but it can also be independent of the activity of bowel disease. Controlling intestinal inflammation remains the cornerstone therapeutic approach for the musculoskeletal manifestations of IBD.

Frozen Shoulder

Patricia Brookes, of UK ( asks "I have recently (Dec08) been diagnosed with F.M.S/C.F.S. The later of which I've been G.P.diagnosed approx 10yrs plus. I am wondering if there's a link between "Frozen shoulder"and F.M.S.?"

Frozen shoulder or adhesive capsulitis is a condition that limits the movements of the shoulder joint. Very often, muscles around the shoulder are tight. It is more frequent in women around the age of 40.

Fibromyalgia is a muscle disease with muscle spasms and is more common in women.

A frozen shoulder is more common in fibromyalgia than in the non fibromyalgia population.

Is it directly related? That is not sure as the exact causes for frozen shoulder are not known. We know that it is more common in people with diabetes, Parkinson's and after immobilization following surgery to the shoulder joint. So it is not sure that there is a direct relationship between the two.

However, it is obvious that the morning stiffness of fibromyalgia is also a factor that may help develop a frozen shoulder.

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