Fibromyalgia Flashcards
1
Q
What is the pathophysiology
A
Abnormal CNS within a sociopsychobiological context
2
Q
What type of pain do you get?
A
Nociplastic pain
3
Q
What are the clinical features?
A
Chronic widespread pain Allodynia Fatigue Fibrofog Sleep disturbance Mood disturbance Sensory sensitivity Intolerance of medication Altered interoception
4
Q
What are the 3 pillars of mx?
A
Movement practice (exercise)
Attention to sleep
Cognitive therapy
5
Q
What medications are evidence based?
A
TCA Gabapentinoids SNRIs - duloxetine Tramadol - seratonergic effect Low-dose naltrexone Propranolol
6
Q
Which medications should be avoided?
A
Opioids Paracetamol NSAIDs Glucocorticoids Benzo CAM therapy Cannabinoids
