Fibromyalgia Patient Education

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Fibromyalgia Patient Education

  1. 1. Patient Management Strategies in Fibromyalgia Anna Mae Smith,MPAS, PA-C Lock Haven University of PA Physician Assistant Program
  2. 2. Education <ul><li>Not a ‘psychiatric’ illness </li></ul><ul><li>Usually chronic but controllable </li></ul><ul><li>Not deforming or Life-threatening </li></ul><ul><li>Medications that improve sleep appear to be the best treatment! </li></ul>
  3. 3. Amitriptyline & Cyclobenzaprine <ul><li>They tend to increase NREM Stage IV sleep </li></ul><ul><li>the availability of brain serotonin </li></ul><ul><li>decrease muscle spasm </li></ul>
  4. 4. Amitriptyline <ul><li>Decreases patients' reports of pain intensity </li></ul><ul><li>Sleep quality </li></ul><ul><li>Improvements in pain threshold or tender point counts </li></ul><ul><li>Loses effect after 6 months </li></ul>
  5. 5. Alprazolam and ibuprofen <ul><li>Together produce significantly greater reductions in the tender point index and patients' ratings of disease severity </li></ul><ul><li>Anxiety and depression tend to amplify pain perception </li></ul>
  6. 6. Other Treatments <ul><li>Aerobic Exercise </li></ul><ul><li>Cognitive Behavior Therapy </li></ul><ul><li>Biofeedback </li></ul><ul><li>Hypnotherapy </li></ul><ul><li>Acupuncture </li></ul><ul><li>Inject trigger points with steroids </li></ul><ul><li>Treat underlying depression if needed </li></ul>
  7. 9. <ul><ul><ul><ul><li>Provide thorough nourishment to your muscles, tendons and bones with the proper nutritional supplementation. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Increase the amount of whole fresh food you eat. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Engage in some type of regular aerobic exercise. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Enjoy massage, heat treatment and/or chiropractic treatment. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Get plenty of rest. </li></ul></ul></ul></ul>
  8. 10. Diet <ul><li>avoid the following : </li></ul><ul><li>refined sugar </li></ul><ul><li>alcohol </li></ul><ul><li>caffeine </li></ul><ul><li>foods high in saturated fats </li></ul><ul><li>high-calorie, high-fat, low-food-value junk food </li></ul>
  9. 11. Diet <ul><li>A moderate diet containing the following ratio (based on percentages of calories, not grams): 40% carbohydrate/ 30% protein/ 30% fat for each meal and snack </li></ul><ul><li>Water…8/8oz </li></ul>
  10. 12. Herbs <ul><li>Ginseng and gotu kola, have both been found to improve energy and mental alertness. </li></ul><ul><li>Ginseng is known to contain a steroid </li></ul>
  11. 13. Herbs <ul><li>Valerian Root </li></ul><ul><li>St John’s Wort </li></ul><ul><li>Gingko Biloba </li></ul><ul><li>Grape See Extract </li></ul><ul><li>Devils Claw Root </li></ul>

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