When is pain classified as wide spread pain?
When it involves both sides of the body and above and below the waist
Back 18 trigger points from top to bottom
- Occiput
- trapezius
- Supraspinatus
- Gluteal
- Greater trochanter
Front 18 trigger points from top to bottom
- Low cervical
- Second rib
- Lateral epicondyle
- Knee
Indications of sucessful treatment of fibromyalgia
- Your client has decreased pain
- Your client has decreased fatigue
- You client reports healthy sleep patterns
- Your client has improved strength and function
- Your client has stable weight, adequate nutrition and hydration
use of cold packs for painful what?
joints
Use of heating pads for painful what?
muscles
Nursing diagnosis for fibromyalgia
- Chronic pain r/t disease process
- Ineffective coping skill r/t chronic pain
- Depressed mood r/t chronic pain
- Ineffective sleep patterns r/t chronic pain
Priority Nursing assessments for fibromyalgia
Vitals
affect
pain
Pharmacological treatments for fibromyalgia
Antidepressants – Duloxetine (Cymbalta); Amitriptyline (Elavil)
Antiseizures – Pregabalin (Lyrica)
Serotonin
Non-opioids analgesics/NSAIDs
Non-pharm treatments for fibromyalgia
Physical therapy
Strength training
Aerobic exercise
Cognitive behavioral therapy
Education
Self-management
Point out pressure points on the back of the body
Point out pressure points on the front of the body
pain that involves both sides of the body and above and below the waist.
widespread pain
How do fibromyalgia patients describe their pain?
Stabbing and burning
How to diagnose fibromyalgia
testing 18 pressure points and pain must be felt at 11 or more. Assessment is one by applying 4kg of presssure at specific points
The following are all clinical manifestations of what?
- Widespread pain – sometimes described as stabbing or burning pain
- Insomnia
- Fatigue
- Stiffness
- Cognitive dysfunction – also known as “Fibro-fog”
- Depression and anxiety
- Headache
- Abdominal pain – painful menstrual cramps
- Increased sensitivity to heat, cold, pressure
- Numbness in hands and feet
- Restless leg syndrome
Fibromyalgia
Triggers for fibromyalgia
- Stress
- Physical/emotional trauma
- Infection
- Menstral Cramps in women
Risk factors for fibromyalgia
Rheumatoid Arthritis
Systematic Erythematosus
Sjorgen’s syndrome
What is fibromyalgia?
Disorder of the soft connective tissue
List clinical manifestations of fibromyalgia
- Widespread pain – sometimes described as stabbing or burning pain
- Insomnia
- Fatigue
- Stiffness
- Cognitive dysfunction – also known as “Fibro-fog”
- Depression and anxiety
- Headache
- Abdominal pain – painful menstrual cramps
- Increased sensitivity to heat, cold, pressure
- Numbness in hands and feet
- Restless leg syndrome
