Fibromyalgia Flashcards
(7 cards)
1
Q
How does Fibromylagia present?
A
Young women, chronic MSK pain and tenderness with trigger points of focal tenderness
2
Q
Where are the typical trigger points of Focal tenderness in Fibromyalgia?
A
Trapezius
Medial fat pad of the knee
lateral epicondyle
3
Q
What is the pain in Fibromyalgia associated with?
A
Stiffness, numbness and fatigue
headaches
sleep disorder (nonrefreshing sleep)
4
Q
What do sleep studies show in Fibromyalgia?
A
no REM cycle
5
Q
What is the best initial therapy for Fibromyalgia?
A
TCA and aerobic exercise
6
Q
What are other treatment options for Fibromyalgia?
A
Dual reuptake inhibitors: if no response to TCA
Milnacipran
Pregabalin
Trigger point injection: local anesthetic
7
Q
What is the mechanism of Milnacipran?
A
inhibitor of Serotonin and Norepinephrine reuptake
