fibromyalgia Flashcards
1
Q
clinical
A
diffuse pain, stiff, fatigue, mood, sleep, normal labs/ no obvious swelling (subjective to the patient)
2
Q
associated condition s
A
IBS, headache, TMG, allergy, mitral valve prolapse
3
Q
fibro epi
A
syndrome, 5% general pop, females 20-60, stress is a trigger
4
Q
pathophys
A
unknown, genetic, pain processing
5
Q
pain processing in fibro
A
less serotonin (anti pain) and more subsance P (pro pain). also affect sleep/depression
6
Q
treat fibro
A
educate, confirm pain, treat depression
7
Q
repetitive injury
A
overuse, tendinopathy not tendinitis, chronic degenerative changes, pain with tendon loading, injury.exercise, flouroquinonlones
8
Q
pronociceptive
A
NMDA glutamate, substance PNK
9
Q
antinociceptive
A
norepinephrine, serotonin, GABA, opioids
