Musculoskeletal

Question 1

What is fibromyalgia?

Answer 1

syndrome characterised by widespread pain throughout the body with tender points at specific anatomical sites - aetiology unknown

Question 2

Who is most likely to be affected by fibromyalgia?

Answer 2

women (5x more), 30-50yrs

Question 3

What sx are associated with fibromyalgia (other than pain)? (5)

Answer 3

• chronic fatigue
• cognitive impairment (“fibro fog”)
• sleep disturbances
• headaches
• dizziness

Question 4

How is fibromyalgia diagnosed?

Answer 4

clinically - sometimes refers to ACR classification criteria (if pt is tender in at least 11 of 18 tender points, dx is likely)

Question 5

3 components of fibromyalgia mx?

Answer 5

1. aerobic exercise (strongest evidence base so far)
2. CBT
3. pregabalin, duloxetine, amitriptyline

Question 6

What are bursae?

Answer 6

small, fluid-filled sacs that cushion the bones, tendons and muscles near joints (when these become inflamed = bursitis)

Question 7

What is the treatment for bursitis?

Answer 7

conservative - resting the affected joint, ice, analgesia

if persists possible abx, PT, exercises or injections