fibromylagia Flashcards
1
Q
female: male
A
10:1
2
Q
pathophysiology of fibromyalgia
A
sleep abnormality
- delta waves reduced which is restorative sleep
- abnormal peripheral and central pain processing
- reduced threshold to pain or amplification
- increased substance p and serotonin reduced
3
Q
clinical features of fibromyalgia
A
- pain worse in neck and back
- unresponsive to analgesia
- fatigue worse in morning
- broken and non-restorative sleep
- early morning stiffness
- numbness
- ibs
- tension headaches
4
Q
investigation
A
all negative
5
Q
management
A
- low dose amitriptyline at night can help encourage delta sleep
- analgesia
- cbt
