fibromyalgia and chronic pain

Question 1

define chronic pain

Answer 1

pain persisting past expected healing time

Question 2

nociceptive pain is what?

Answer 2

proportionate mechanical/ anatomical nature… pain where receptors define that it is painful (papercut)

Question 3

define peripheral neuropathic pain

Answer 3

direct injury to nerve area= different patterns of pain in diff areas

Question 4

define central sensitization

Answer 4

unpredictable pattern of pain

Question 5

what is fibromyalgia characterized by

Answer 5

biological disorder with associated neuro-hormonal dysfunction of ANS
commonly associated with hyperthyroidism
it is an UNKNOWN CAUSE

Question 6

which 4 regulatory systems of the body does fibromyalgia affect

Answer 6

HPA - hypothalamic pituitary adrenal axis
ANS autonomic nervous system
RHA - reproductive hormone axis
IMMUNE SYSTEM

Question 7

what system is considered the stress system of the body ( fight or flight)

Answer 7

hypothalamic pituitary adrenal axis

increased activity of substance P

Question 8

what is one word to describe fibromyalgia and chronic pain

Answer 8

disproportionate

Question 9

can chronic stress decrease hormonal functions

Answer 9

yes

Question 10

ANS dysfunction:

Answer 10

smooth muscles of intestine & bowel contract abnormally 
heart beats faster
digestion is compromised 
blood vessels constrict 
stomach excretes excessive juices

Question 11

is the hypothalamus the major driver of all body parts

Answer 11

YUP

Question 12

muscle pain causes tissue damage. T or F

Answer 12

false , and patients need to be told this

Question 13

50% of people will experience paraesthesia. T or F

Answer 13

true

Question 14

what are the key symptoms of FMS

Answer 14

pain
sleep disturbance
mood disorder
fatigue
(meds are available for all but fatigue)

Question 15

what are some sensorimotor issues associated with FMS

Answer 15

muscles in back are aching, stiff, tender
pain in intrinsic hand muscles 
tingling/numbness/burning sensations
hypersensitive to light, touch, smell
headaches 
changes in vision

Question 16

be able to list an intervention for:

1) self care
2) sensorimotor
3) cognitive
4) psychosocial

Answer 16

1) encourage person to lmprove fitness, keep a log of symptoms, take hot baths
2) go for walks, deep breathing exercises, support splints
3) educate Pt about the condition, teach time management
4) support groups , teach stress management

Question 17

for exercise management should the focus be on strengthening or lengthening

Answer 17

lengthening