Fibromyalgia

Question 1

Epidemiology of Fibromyalgia?

Answer 1

7x more common in women. Up to 5% of women and 1.6% of men
20-50 yrs
increase with age

Question 2

aetiology of Fibromyalgia

Answer 2

unknow, environmental and genetic factors, trauma as a trigger
ie RA,viral/injury/stress-depression

Question 3

pathogensis of Fibromyalgia

Answer 3

central sensitisation in the brain.
stiffness/pain - progressive diffuse/achey
multi region hypersensitivity

Question 4

natural history of Fibromyalgia

Answer 4

not fatal,

symtoms worsen due to decreased sleep/decreased exercise

Question 5

manifestations of fibromyalgia

Answer 5

Persistent (≥ 3 mo) widespread pain
Stiffness
Fatigue; disrupted and unrefreshing sleep
Multiple other unexplained symptoms, anxiety and/or depression, and functional impairment of activities of daily living (ADLs)
IBD/cystitis
Stressed/Tense
Migraiine/tension headaches

Question 6

symptoms of Fibromyalgia

Answer 6

aching/stiff/tried muscles
extreme fatigue
poor sleep 
concentration/memory issues
IBS
worsened by trauma/exposure to dampness or cold/ a physician who implies that the disorder is “all in the head.”
increased risk of MSK problems

Question 7

Signs

Answer 7

multiple tender points

Question 8

complications

Answer 8

15-44% incidence of disability and 10x more likely to commit suicide.

Question 9

prognosis

Answer 9

Fibromyalgia is not a life-threatening, deforming, or progressive disease. 1/3 must modify work to accommodate illness.