Fibromyalgia

Question 1

FMS

Answer 1

Widespread chronic diffuse pain and increased pain response to pressure with no other cause (diagnosis of exclusion)

Question 2

S&S

Answer 2

Chronic widespread pain
Allodynia
Headache
Fatigue
Sleep disturbance
Cognitive dysfunction “fibro fog”
Anxiety and/or depression
IBS

Question 3

Diagnosis

Answer 3

Of exclusion (The ACR 1990, they re-performed in 2010)

Question 4

The ACR 1990

Answer 4

1) widespread chronic pain > 3 mnths affecting all four quadrants
2) 11 of 18 Tender points (there are no points below the knee)

Question 5

2010 ACR

Answer 5

Uses more of a widespread pain index, not a reliance of tender points

Question 6

Medical management

Answer 6

Analgesics
Antidepressants
Anticonvulsants

Question 7

PT management

Answer 7

Education
Cognitive behavioral therapy
Exercise
Sleep hygiene