FIBROMYALGIA Flashcards
THE MOST COMMON CAUSE OF GENERALIZED MUSCULOSKELETAL PAIN IN WOMEN BETWEEN THE AGES OF 20-55 YEARS OF AGE
fibromyalgia
main causes of etiology of fibromyalgia?
genetics
psychosocial
sleep disturbances
neuroendocrine dysfunction/dysregulation
clinical symptoms?
most common complaint is generalized pain/pain all over
tender points
sleep problems
fatigue/tiredness
muscle pain
tenderpoints for patients who have fibromyalgia?
occiput low cervical trapezius supraspinatus *all bilateral
Diagnosis is based on what two criteria system?
1990 diagnostic criteria by ACR
2010 diagnostic criteria by ACR
ACR 2010 fibromyalgia criteria is diagnosed with the following 3 conditions?
widespread pain
symptoms for at least 3 months
disorder not present to explain pain
ACR 2016 revision criteria?
widespread pain index
generalized pain
symptoms for at least 3 months
despite other diagnosis, fibromyalgia is present
DDx?
RA SLE Slogrens syndrome chronic fatigue syndrome IBS
labs/diagnostics?
BMP CBC w/dif thyroid fx level ESR/CRP radiographs -normal -pending labs DDx exclusion
treatment?
consult education exercise CBT NSAIDs GABAPENTIN(Neurotinin) and PREGABALIN(LYRICA) Psychotropics -Duloxetine -Milnacipran Hynosis Chiropractic manipulation injections combination therapy
fibromyalgia is a complex disorder with multiple components, T/F?
t
