Fibromyalgia Syndrome CAT

Question 1

What is fibromyalgia syndrome (FMS)?

Answer 1

• Rheumatology syndrome
• Pain caused by tender points w/in muscles, tendons, and ligaments

Question 2

Etiology of FMS

Answer 2

• Unknown
• Probably multifactorial, links to dysfunction w/in the stress system, ANS, immune system, reproductive and hormone system

Question 3

Contributing factors to FMS

Answer 3

• Diet
• Sleep disorders
• Viral infections
• Psychological distress
• Occupational and environmental factors
• Hypothyroidism
• Trauma
• Potential hereditary

Question 4

Clinical presentation for FMS

Answer 4

• Females > males
• 14-68 y/o
• Widespread history of pain in all 4 quadrants of the body
• Fatigue, memory and visual impairment, sleep disturbance, IBS, headache
• Anxiety/depression

Question 5

Diagnostic criteria for FMS

Answer 5

• Dolorimeter (consistent pressure at 4 kg/cm^2)
• Widespread pain for >3 months +
• Fatigue
• Waking unrefreshed
• Cognitive (memory or thought) problems

Question 6

Medical management of FMS

Answer 6

• Pharmacological intervention based on symptoms, attempt to normalize ANS, hormones, metabolism, etc
• Psychotherapy for anxiety/depression

Question 7

PT management of FMS

Answer 7

• Relaxation techniques
• Energy conservation
• Gentle stretching
• Moist heat
• Ultrasound
• Posture and body mechanics
• Biofeedback
• Exercise to tolerance

Question 8

Recommended forms of exercise

Answer 8

• Aquatic therapy
• DO NOT WORK THROUGH PAIN