Fibromyalgia Flashcards
What is Fibromyalgia?
Chronic widespread pain and tenderness
What is the pathophysiology Fibromyalgia?
Abnormal sensory processing within the CNS
Central Sensitization
- Amplification of peripheral sensory stimuli
- Descending inhibitory control deficit in midbrain
What are some causes of Fibromyalgia?
Sleep disorders
Depression
Viral infections
What are RARE complications of Fibromyalgia?
Hypothyroidism
RA
Sleep apnea (men)
What is the epidemiology of Fibromyalgia?
Women- 20-50
Increases with age- 12% women in 60s
What are the s/s of Fibromyalgia?
Pain Fatigure Disordered sleep Cognitive dysfunction Psychological distress Raynaud's
What are the characteristics of pain in Fibromyalgia?
Widespread pain and stiffness
Prominent
- neck
- shoulder
- low back
- hips
What causes the fatigue in Fibromyalgia?
From physical and mental exertion
Psychological stressors
What causes the disordered sleep in Fibromyalgia?
Nonrestorative sleep
Restless leg syndrome
What is the result of cognitive dysfunction in Fibromyalgia?
Diffuculty with memory and motivation
What is the psychological distress in Fibromyalgia?
Depression
What are some associated problems with Fibromyalgia?
- Irritable bowel syndrome
- Painful bladder syndrome
- TMJ disorder;
- Chronic headaches
- Pelvic pain
What is Fibromyalgia often associated with?
RA
SLE
PTSD
LBP
What are the labs and imaging involved in Fibromyalgia?
Labs
- Rule out other diseases
Imaging
- Evaluate for underlying pathology
What is involved in the multifocal treatment of Fibromyalgia?
- Education
- Pain- treat other pain generators
- Medications
- Identify and treat causes of fatigue and sleep difficulties
- Eliminating stressors
- Deconditioning
- Treating endocrine dysfunction
