Fibromyalgia Case Study

Author/s

Becky Brinkworth, Lindsey Hudson, Morgan Jones, Remsing King, and Marley McGraw from the [[ http://www.physio-pedia.com/Pathophysiology_of_Complex_Patient_Problems%7CBellarmine University Physical Therapy Program's Pathophysiology of Complex Patient Problems Project.]]

Abstract

100 word limit, non-structured description

Patient Characteristics

Patient is referred to physical therapy after being involved in a motor vehicle accident (four months ago) and continuing to have ongoing pain and stiffness. Patient is 42 years old, female, Caucasian, and lives alone in her apartment. She was working as a receptionist at time of accident but is not currently able to work due to pain. Patient has a family history of rheumatoid arthritis and fibromyalgia. She has no history of significant alcohol or recreational drug use. Patient has had no past surgeries, no history of cancer. She is currently taking Prozac for her depression and anxiety. She was referred to physical therapy by her primary care physician. She has never been to physical therapy before today.

Examination

• Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, use relative dates i.e. years or months or days relative to onset of injury or start of treatment, patient/family goals)
• Self Report Outcome Measures
• Physical Performance Measures
• Objective : Physical Examination Tests and Measures

Summarization of Examination Findings

Working Diagnosis and Targeted Interventions

Intervention

• Phases of Interventions (e.g. protective phase, mobility phase, etc.)
• Dosage and Parameters
• Rationale for Progression
• Co-interventions if applicable (e.g. injection therapy, medications)

Outcomes

Findings Over time

Discussion

Summary Statement which should include related findings in the literature, potential impact on clinical practices

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