Fibromyalgia Flashcards
What is fibromyalgia?
Widespread musculoskeletal pain.
How is the widespread pain of musculoskeletal pain characterized?
Stiffness, fatigue, sleep disturbances, and difficulty concentrating.
How many Americans does fibromyalgia affect?
10 million
What percentage of Americans affected by fibromyalgia are women?
75-90%
At what age does fibromyalgia typically get diagnosed?
Between 20-50 yrs.
What is the fibro cycle?
- pain
- muscle tension
- daily stress
- limited activity
- fatigue
- depression
- muscle stiffness
- pain
REPEAT
Does fibromyalgia have a known cause?
No,
What may trigger fibromyalgia?
Infection, trauma, or other stressors.
What are the specific tender points on the body for fibro?
- neck
- spine
- shoulders
- hips
- elbows
- knees
What are the risk factors for fibro?
- female, 20-50 yrs old
- family history
- psychiatric disorder
- medical disorder (RA, IBS)
- Genetics
How can you prevent fibro?
There is no know way to prevent.
What can reduce flare ups and manage pain and fatigue?
Prompt diagnosis and treatment of symptoms.
What does maintaining a healthy lifestyle help prevent?
Fibromyalgia
What are the clinical manifestations of fibro?
- widespread pain
- fatigue, sleep disturbances
- enhanced sensitivity to heat and cold
- mood disorders, cognitive dysfunction
What is JPFS?
Juvenile primary fibromyalgia syndrome.
Are there any diagnostics tests for fibromyalgia?
NO.
How is pain measured for fibro?
- Pain scale: extent and duration of pain
- pain in 4 quadrants of the body
- painful response on 11 of 18 tender points,
What are some examples of pharmacological therapy for fibro?
- Duloxetine, milnacipran: SSNRI’s
- Pregabalin: GABA analog
- Acetaminophen, NSAIDs
- Tricyclic antidepressants
What is a tricyclic antidepressant?
Drugs to treat depression, mood disorders, chronic nerve-related pain, help with bed-wetting, manage OCD, prevent migraines.
What are some examples of nonpharmacologic therapy treatments for fibro?
- Aerobic exercise
- Strength training
- Cognitive-behavior therapy
- relaxation therapy
What is the MOA for pregabalin?
GABA analog: increases neuronal GABA levels.
What is Contraindicated for pregabalin?
Suiccidal ideation, depression, renal impairment, history of drug or ETOH abuse, CHF
What are the adverse effects of pregabalin?
Ataxia, amnesia, dizziness, neuropathy, abnormal thinking, vertigo. Chest pain, diplopia, edema, weight gain.
Should you abruptly discontinue pregabalin?
NO.
