Fibromyalgia Patient Education
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Fibromyalgia Patient Education

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Fibromyalgia Patient Education Fibromyalgia Patient Education Presentation Transcript

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