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Fibromyalgia

  1. What kind of pain is fibromyalgia based on the pain scheme?
    Mixed pain (NOT psychogenic)
  2. What is fibromyalgia?
    Chronic, generalized pain syndrome in soft tissues
  3. Even though fibromyalgia is not psychogenic, what are the neurologic symptoms of fibromyalgia?
    • Burning pain
    • Fatigue
    • Poor sleep
    • Memory disturbance
  4. What is the main difference between myofascial pain syndrome and fibromyalgia?
    • Myofascial pain syndrome is regional and has trigger points
    • Fibromyalgia is widespread and has tender points
  5. What is the average age and gender of a fibromyalgia patient?
    30-50 year old woman
  6. What is hyperalgesia?
    Increased response to a painful stimulus
  7. What is allodynia?
    Painful response to a normally non-painful stimulus
  8. What are the primary symptoms of fibromyalgia? (5)
    • Stiffness
    • Exercise intolerance
    • Hyperesthesia
    • Allodynia
    • Somatic complaints
  9. What is the diagnostic criteria for fibromyalgia?
    • Widespread pain for at least 3 months
    • Symptom severity score
  10. What are the current theories of causes for fibromyalgia? (5)
    • Hyperexcitability of CNS pain receptors
    • Abnormal processing of nociceptive input
    • Dysfunction of hypothalamic-pituitary-adrenal axis dopamine transmission
    • Mitochondrial dysfunction
    • Epigenetic expression
  11. Fibromyalgia vs. chronic fatigue syndrome vs. myofascial pain syndrome: causes
    • Fibromyalgia: unknown
    • Chronic fatigue syndrome: preceded by viral illness
    • Myofascial pain syndrome: trauma
  12. Fibromyalgia vs. chronic fatigue syndrome vs. myofascial pain syndrome: pain distribution
    • Fibromyalgia: widespread, tender points
    • Chronic fatigue syndrome: variable
    • Myofascial pain syndrome: regional, trigger points
  13. Fibromyalgia vs. chronic fatigue syndrome vs. myofascial pain syndrome: fatigue and sleep disturbance?
    • Fibromyalgia: yes
    • Chronic fatigue syndrome: post exercise malaise and unrefreshing sleep
    • Myofascial pain syndrome: no
  14. What screenings for fibromyalgia do you perform on asymptomatic patients?
    None!
  15. What specific blood tests confirm fibromyalgia diagnosis?
    None! They can only rule out other possible diseases
  16. Treatment for fibromyalgia is based on symptom _______________ and not ________________
    • Minimization
    • Cure
  17. How do you treat fibromyalgia?
    • Lifestyle changes
    • Low dose antidepressants
    • Pain relief drugs
    • OMT
  18. What are the 5 models of osteopathic care?
    • Biomechanical (posture and motion)
    • Behavioral (behavioral adaptation)
    • Neurologic (CNS-ANS-PNS balance)
    • Metabolic-energy (immune endocrine)
    • Respiratory-circulatory (circulation of body fluids)
  19. What is allostasis?
    • A process of adaptation to stress
    • A compensatory defensive state of being
  20. Allostasis is part of which model of osteopathic care?
    Behavioral model
  21. What is the goal of OMT in fibromyalgia?
    • Balancing sympathetic and parasympathetic tone
    • Support lymphatic flow and circulation
  22. What are some OMT choices in fibromyalgia?
    • Myofascial release
    • Soft tissue treatment
    • Counterstrain
    • BLT
  23. Fibromyalgia is diagnosed by _________________ and not by _________________
    • Symptoms
    • Lab tests
Author
stepha998
ID
343347
Card Set
Fibromyalgia
Description
ATSU
Updated

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