Module 13 - Fibromyalgia

Question 1

from module 12 study guide

Answer 1

Fibromyalgia* Risk Factors* Cause* Drug and nondrug treatment* Role of analgesics

Question 2

What is Fibromyalgia? *

Answer 2

Chronic condition that causes widespread pain, sleep problems, fatigue, mental and emotional distress
- Abnormal pain processing
- Cannot be cured!! but can be managed

Risk Factors:
- Age
- Co-existing lupus or RA
- Female gender
- Stress or traumatic events
- Repetitive injuries
- Illness
- Family history
- Obesity

Question 3

What Causes Fibromyalgia?*

Answer 3

CNS Disorder
- Central sensitization

Not
- Muscle/Joint disease
- Autoimmune disease
- Inflammation
- Viral Syndrome

Question 4

What Non Drug Measures are Recommended? *

Answer 4

• Aerobic exercise (20-30min 2-3xweek) !!!! and should be used concurrently with any pharm
• Resistance training
• CBT
• Meditative movements such as tai chi or yoga
• Hydrotherapy
• Mindfulness
• Acupuncture

Question 5

If Non Drug Fails, What Pharm can be Used? *

Answer 5

SNRI’S
Duloxetine
- 1 in 6 achieve 30% reduction
- FDA approved for FM
Milnacipran
- 1 in 6 pts achieve 30% reduction
- FDA approved for FM

Amitriptyline
- 1 in 4 achieve 30% reduction
- FDA approved
- possible anticholinergic side effects

Pregabalin
- FDA approved

Question 6

What is the role of analgesics for FM pain?*

Answer 6

• NSAIDS: not ideal
• Capsaicin: not ideal
• Opioids: dont
• also dont with benzos, and sleep meds

Tramadol