Fibrositis, also known as fibromyalgia, is a chronic rheumatic disease characterized by prolonged muscle pain and hypersensitivity. It affects 2-5% of the world's population, predominantly women between 20-50 years old. Symptoms include diffuse pain throughout the body, muscle spasms, fatigue, and sleep disturbances. Diagnosis involves chronic pain in all four body quadrants for over 3 months and tender points found in 11 to 18 locations when pressure is applied. Treatment focuses on analgesics, antidepressants, physical therapy, aquatics, stress management, and healthy lifestyle changes.

1. FIBROSITIS

2. MADE BY:
NIRUPOM BARDHAN
Physical Therapist, Bangladesh.

3. CONTENTS
• DEFINITION
• EPIDEMIOLOGY
• HISTORICAL MEMORY OF FIBROSITIS
• CAUSES
• SIGN AND SYMPTOMS
• DIAGNOSIS
• TREATMENT

4. DEFINITION
• Fibrositis is pain and inflammation of the
muscles, muscle sheaths, and connective-tissue
layers of the bones, muscles, tendons, and joints.
• Also called “FIBROMYALGIA”
• Non Inflammatory Chronic Rheumatic Disease
• Prolonged pain and Hypersensitivity
• There aren’t demonstrable organic disorders.

5. EPIDEMIOLOGY
• Affects 2-5% of the world population.
• It is assumed that only 10% of sufferers are
diagnosed.
• Appears in between 20-50 years old.
• To a lesser extent it affects children and
elderly people.
• 10 women per man.

6. HISTORICAL MEMORY OF
FIBROSITIS
• It was first mentioned by Sir Richard
Mannigham in 1750.
• In 1843 Robert Floriep described “the sensitive
points”.
• In 1904 Sir William Gowers called ‘Fibrositis’
the pain caused by inflammation of fibrous tissue
of the muscle. After that, the definition of
Fibrositis was “an inflammatory change of fibrous
interstitial tissue of the striated muscle”.

7. HISTORICAL MEMORY OF
FIBROSITIS
• In 1936 all the theories about the disease were
denied and assumed it of ‘psychological origin’.
• In 1963 appears the concept of “self-feeding
pain”.
• In 1976 Philip Kahler Hench defined ‘Fibrositis’
as a ‘form of non articular rheumatism’.

8. HISTORICAL MEMORY OF
FIBROSITIS
• And in 1992, the WHO recognized
“FIBROSITIS” as a disease.

9. CAUSES
It’s SUPPOSED to be related with:
 Stressful or traumatic events.
 Diseases with RA or Hypothyroidism.
 Infectious disease.
 Hormonal changes.
 Excess of stimulants i.e. coffee, alcohol, tobacco
 Anaemia and deficiencies in vitamin B12 and B6
 Obesity

10. CAUSES…
 Genetic predisposition
 Abnormalites in the CNS :
A. Decreased Serotonin that controls the
intensity of pain and sleep.
B. Increased Substance P that controls the
perception of pain.
 Can happen on its own.

11. SIGN AND SYMPTOMS
A. PAIN :
• Diffuse, Slight, Intense, Sharp, Stabbing, Burning.
• In many parts of the ody at the same time.
• Starts in particular area and then spreads to the
rest of the body.
• Depends on the day, activity, climate, levels of
stress
• Muscle spasms and tingling in hands and feet.

12. SIGN AND SYMPTOMS…
B. FATIGUE And SLEEP DISTURBANCE:
• Insomnia
• Light sleep, waking up several times at night.
• Apnea, or moments where the person stops
breathing.
• Paroxysms of sleep, sudden movements.
• Bruxism, or teeth grinding.

14. DIAGNOSIS
• CHRONIC PAIN in all four quadrants of the body
and axial skeleton for 3 months.

15. DIAGNOSIS
• EASY BLUSH of SKIN by pressure (bad blood
flow)
• FEEL PAIN at 11 to 18 “tender point” when they
are pressed.

17. TREATMENT
• Analgesics
• Non Steroidal Anti-inflammatory Drugs (NSAIDs)
• Anttidepressants
• Anticonvulsants
• Antiepileptic Drugs
• Patient education.
• Psychological therapy.

18. TREATMENT…
• Physical Therapy
• Acupuncture
• Yoga
• Aerobics
• Aquatic Exercises.
• Meditation and Breathing Technique
• Strict sleep routines.
• Healthy Diet
• Support group.

19. ANY QUESTION?