Fibromyalgia |
As part of my
work in the field of psychosomatic medicine State Psychiatric Hospital
Wagner-Jauregg in Linz, Austria, since 2002 I have specialized in addition to
the treatment of eating disorders, especially in the treatment (SFD) pain
disorders. In contrast to patients with anxiety disorders, fatigue and
depression almost people come up with what is called "persistent
somatoform pain disorder" in my practice. This may be related to the fact
that people with chronic pain - even if it does not find a specialist or not
there is significant reason for this - can not imagine that the psychological
and social factors that cause pain at the tumor boundary, maintain, reinforce
and exacerbate.
The following
report is intended to give of my book "Somatoform Disorders" better
understanding (SFD) pain disorders.
Persistent
somatoform pain disorder
A 39-year
experience with car repairs in a traffic accident. He got up in the fog on the
already squeezed together car and pinned in her car. Because he was wearing a
seat belt, worse can be prevented. As it turned out, he did not sprain his
right leg and injured. He is always awake. The biggest problem is the
uncertainty on the one hand how hard it got him on the other hand, the total
narrowing with the feeling that there is no air. He had to wait half an hour to
be carved out of the car was a fireman. At the hospital bothering especially
foot sprains and abrasions illness but rather unbearable in the chest area. He
believes that there are no broken ribs, it hardly. The next day he tells
visitors at the hospital accident. He got cramps in the chest area with
radiating pain in the left arm. He thought he had a heart attack and developed
a fear of death. Organic causes for this attack could not be found. Then he
repeatedly complained of severe pain in the chest, which does not have an
organic cause also in subsequent studies in other hospitals. Due to the ongoing
chest pain, he two months sick leave until he went to work for fear of losing
their jobs again. She began taking painkillers increased so far. At night he
needed even sleeping pills, because if not, it will not hurt thin and could
sleep. After half a year, chest pain is still there, often in conjunction with
neck pain. A drug does not bring improvement, and treatment by specialist
doctors and masseurs do not cause lasting pain.
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