Fibromyalgia Flashcards
What time length defines chronic pain?
Pain > 3 months
What is the most common cause of chronic widespread msk pain?
Fibromyalgia
Fibromyalgia is more common in what sex?
Females
Describe the etiology, labs and patient appearance with Fibromyalgia?
NO trigger of etiology
– NORMAL labs and appearance of patient
In order to diagnose Fibromyalgia, what 3 conditions must be met?
- Widespread pain index > 7
- Symptom severity scale > 5
- Symptoms present > 3 months
- - no other cause of pain
In order to diagnose Fibromyalgia, what 3 conditions must be met?
- Widespread pain index > 7
- Symptom severity scale > 5
- Symptoms present for > 3 months
- - no other cause of pain
Besides the normal Fibromyalgia diagnostic criteria, what is another way to meet the diagnosis?
Widespread pain index: 3-6 and Symptom severity scale > 9
What are the main symptoms of Fibromyalgia?
- Chronic widespread msk pain
- Fatigue/sleep disturbances
What are the main symptoms of Fibromyalgia?
- Chronic widespread msk pain
- Fatigue/sleep disturbances
What are some associated symptoms with Fibromyalgia? (3)
Mood disorders
Headaches
GI issues
What is a common mood disorder with fibromyalgia?
Depression
What may be reflective of the CNS dysfunction with Fibromyalgia?
Sleep disturbances
Those with Fibromyalgia may have ____
Altered pain processing
– lower threshold
What is the main exam finding with Fibromyalgia?
Soft tissue tenderness with palpation
What is the main exam finding with Fibromyalgia?
Soft tissue tenderness with palpation
Is there inflammation present with Fibromyalgia?
NO
– exclude with cbc, esr, crp
What is the first thing to do with your Fibromyalgia patients?
EDUCATE
- reassure that their symptoms are not imaginary
- symptoms will not spiral downward
- can live a normal life
Managing ____ may help manage Fibromyalgia symptoms
Managing mood
What is the first treatment to consider with Fibromyalgia?
Exercise
What should you tell your patient with Fibromyalgia about exercise?
It will be painful at first
- use stepwise approach and gradually increase
What are examples of exercise that are helpful with Fibromyalgia?
Tai chi
Yoga
– All exercise really
What drugs are strongly NOT used with Fibromyalgia?
Growth hormone
Sodium Oxybate
What drugs are weakly NOT used with Fibromyalgia?
NSAIDs
MAOIs
SSRIs
After Exercise is added for Fibromyalgia patients, what should be considered next for treatment?
Meditative movement therapies like acupuncture
Correcting what vitamin deficiency may help treat Fibromyalgia?
Vitamin D
Correcting what vitamin deficiency may help treat Fibromyalgia?
Vitamin D
What OMT should you start with for Fibromyalgia?
Indirect MFR
What OMT should you start with for Fibromyalgia?
Indirect MFR
What may help with sleep for Fibromyalgia?
Cannabinoids
Pharm options are used for what with Fibromyalgia?
Mood disorders
Severe pain and sleep disturbances
