What is fibromyalgia
o A chronic disorder characterized by diffuse pain, fatigue, and tenderness
o More common in women than men
o Insidious onset, typically associated with other autoimmune conditions
S/s of fibromyalgia
o Increased pain in the am and with anxiety, weather changes, etc.
Pain is improved with movement
o Sleep disturbance
o Memory impairment
o IBS
o Headaches
o Jaw pain
Diagnostics for fibromyalgia
o Must have widespread pain on both sides of the body and above and below the waist >3months
o Must have 11/18 tender points
o Lab work should be normal
Treatment for fibromyalgia
o Cymbalta
o Lyrica
o SNRI
o Amitriptolyne for sleep
o SSRI or tramadol for pain