fibromyalgia Flashcards
1
Q
fibromyalgia is the
A
commonest cause of chronic MSK pain
2
Q
pathophysiology
A
cause is unknown bu though to be due to disorder of central pain receptors
3
Q
who is fibromyalgia more common in
A
young and middle aged woman
4
Q
presentation
A
- persistent widespread pain
- fatigue
- unrefreshing sleep
- depression
- IBS
- migraines
- excessive tenderness of soft tissue
5
Q
investigations
A
there are none, diagnosis is purely clinical
6
Q
management
A
- graded exercise programme has the most evidence
- tricyclic anti-depressants; AMYTRYPTILINE
- anti-convulsants: GARBAPENTIN
