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Fibromyalgia powerpoint completed
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- 2. Introduction Definition: A chronic disordercharacterized by widespread pain, tenderness, and stiffness of muscles and associated connective tissue structures that is typically accompanied by fatigue, headache, and sleep disturbances—called also fibromyalgia syndrome, fibromyositis. Merriam-Webster (2015)
- 3. Who does itaffect? • Affects 7x more women than men (Causes of Fibromyalgia, 2005) • Typically develops between 25 and 55 • 1 in 25 people affected Risk factors • Genes (Driver, 2016) • Comorbidities • Physical trauma (Fibromyalgia causes | arthritis foundation)
- 4. Signs and symptoms (Johnsonand Pacific, 2016)
- 5. Tender points 18 tenderpoints for the diagnosis of fibromyalgia (Fibromyalgia tender points diagram)
- 6. Abnormal pain sensation •Hyperalgesia- heightened sensitivity to pain • Allodynia- pain caused by stimuli which doesn’t normally cause pain (Jahan et al., 2012)
- 7. Case study HPC • Fatigue •Pain-burning • stiffness PMH • Depression • Diabetes • Chronic LBP NRS 10/10 Aggs • Stress • Over doing activities Eases • swimming DH Gabapentin Citalopram
- 8. Treatments Physiotherapy • Exercise (aerobic/relaxation/stretching/strengthening) Acupuncture (Márquez-Zurita et al., 2016) • Massage (Yuan, Matsutani, and Marques, 2015) Other treatments • OT- (CBT, pacing, pain management) • Medication- Amitriptyline, pregabalin,gabapentin, tramadol • Psychotherapy (Fibromyalgia - Physiopedia, universal access to physiotherapy knowledge)
- 9. References • Causes ofFibromyalgia (2005) Available at: http://www.webmd.com/fibromyalgia/guide/fibromyalgia-causes (Accessed: 26 October 2016). • Choices, N. (2016) Fibromyalgia. Available at: http://www.nhs.uk/Conditions/Fibromyalgia/Pages/Introduction.aspx (Accessed: 26 October 2016). • Driver, C.B. (2016) Fibromyalgia symptoms, treatment, causes - is fibromyalgia hereditary?Available at: http://www.medicinenet.com/fibromyalgia_facts/page2.htm (Accessed: 26 October 2016). • Fibromyalgia causes | arthritis foundation (no date) Available at: http://www.arthritis.org/about-arthritis/types/fibromyalgia/causes.php (Accessed: 26 October 2016). • Fibromyalgia - Physiopedia, universal access to physiotherapy knowledge . Available at: http://www.physio-pedia.com/Fibromyalgia (Accessed: 26 October 2016). • Fibromyalgia tender points diagram (no date) Available at: https://www.google.co.uk/search?q=fibromyalgia+tender+points+diagram&biw=1280&bih=9 23&source=lnms&tbm=isch&sa=X&sqi=2&ved=0ahUKEwi2xqWSvPjPAhWRhRoKHWeyA0AQ_ AUIBigB&dpr=1&safe=active&ssui=on#imgrc=NdyTGjIF70V6hM%3A (Accessed: 26 October 2016).
- 10. References • Jahan, F.,Nanji, K., Qidwai, W. and Qasim, R. (2012) ‘Fibromyalgia syndrome: An overview of Pathophysiology, diagnosis and management’, Oman Medical Journal, 27(3), pp. 192–195. doi: 10.5001/omj.2012.44. • Johnson, R.K. and Pacific (2016) ‘Yoga as an effective therapy to reduce symptoms in patients with Fibro’ by Rachel K. Johnson. Available at: http://commons.pacificu.edu/pa/558/?utm_source=commons.pacificu.edu%2Fpa%2F558&u tm_medium=PDF&utm_campaign=PDFCoverPages (Accessed: 26 October 2016). • Márquez-Zurita, C., Santos-Rey, K., Navarro-Pablo, R., Modesto, M., Aguilar, I., Vas, J., Aguilar- Velasco, J.F., Romero, M., Párraga, P., Hervás, V., Santamaría, O. and Campos, Á.M. (2016) ‘Acupuncture for fibromyalgia in primary care: A randomised controlled trial’, Acupuncture in Medicine, , pp. 10950–2015. doi: 10.1136/acupmed-2015-010950. • Merriam-Webster (2015) Definition of FIBROMYALGIA. Available at: http://www.merriam- webster.com/dictionary/fibromyalgia (Accessed: 26 October 2016). • Yuan, S.L.K., Matsutani, L.A. and Marques, A.P. (2015) ‘Effectiveness of different styles of massage therapy in fibromyalgia: A systematic review and meta-analysis’, Manual Therapy, 20(2), pp. 257–264. doi: 10.1016/j.math.2014.09.003
Editor's Notes
- #3 Chronic condition which causes widespread pain throughout the body Also have problems with mental processes- memory/concentration Fibromyositis- chronic inflammation of a muscle Not known what causes it but research suggests its due to low levels of the neurotransmitter serotonin causing lowered pain thresholds and increased pain sensitivity. Serotonin known to improve mood. With low mood pain threshold reduced. http://www.webmd.com/fibromyalgia/guide/fibromyalgia-causes
- #4 Some studies show that men make serotonin about 50% faster- might be why its more common in women Other studies suggest that it may be due to hormonal changes that occur during menopause. Decreased levels of oestrogen Siblings, parents, and children of a person with fibromyalgia are eight times more likely to have fibromyalgia-researchers believe that a person's genes may regulate the way his or her body processes painful stimuli. It's thought that when a person with this genetic tendency is exposed to certain emotional or physical stressors there is a change in the body's response to stress Comorbidities- IBS, Depression, OA, Lupus, RA, AS, myofascial pain syndrome (MPS), Restless leg syndrome (RLS) Trauma-may affect the central nervous system’s response to pain. Some researchers believe that trauma leads to biochemical changes in the muscles, and later, the central nervous system, leading to chronic pain. http://www.webmd.com/fibromyalgia/guide/fibromyalgia-causes http://www.medicinenet.com/fibromyalgia_facts/page2.htm http://www.arthritis.org/about-arthritis/types/fibromyalgia/causes.php
- #5 Other symptoms- widespread pain, sensitive to pain, stiffness, fatigue, poor sleep, pins and needles Lower back pain is the most reported symptom in fibromyalgia- the majority of patients I saw reported this also The incidence of anxiety and depression is higher Other symptoms- fibro fog http://commons.pacificu.edu/pa/558/?utm_source=commons.pacificu.edu%2Fpa%2F558&utm_medium=PDF&utm_campaign=PDFCoverPages
- #9 Treatment alongside OTs Cognitive behavioural therapy, diaries, pacing (adapting activities) SMART goals EULAR recommendations https://www.nice.org.uk/guidance/cg53/chapter/1-Guidance