Fibromyalgia: Difference between revisions
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<div class="noeditbox">Welcome to [[Pathophysiology of Complex Patient Problems|PT 635 Pathophysiology of Complex Patient Problems]] This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox"> | |||
'''Original Editors '''- [[Pathophysiology of Complex Patient Problems|Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.]] | '''Original Editors '''- [[Pathophysiology of Complex Patient Problems|Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Definition/Description == | == Definition/Description == | ||
Fibromyalgia is a syndrome characterized by widespread chronic unabated pain in addition to a host of several additional co-morbidities that can severely impact and disrupt a person’s daily life. The symptoms associated with fibromyalgia stem from abnormal sensory processing believed to originate in the muscle and ultimately lead to the chronic pain and paresthesias experienced by those with the disorder.<sup>[1]</sup> | Fibromyalgia is a syndrome characterized by widespread chronic unabated pain in addition to a host of several additional co-morbidities that can severely impact and disrupt a person’s daily life. The symptoms associated with fibromyalgia stem from abnormal sensory processing believed to originate in the muscle and ultimately lead to the chronic pain and paresthesias experienced by those with the disorder.<sup>[1]</sup> | ||
== Prevalence == | == Prevalence == | ||
The prevalence of fibromyalgia ranges from 2-6% of the population.<sup>[1][2]</sup> Fibromyalgia is more prevalent among women and the vast majority of those with fibromyalgia are women. Below are the prevalence and percentage of fibromyalgia patients distributed between the sexes: | The prevalence of fibromyalgia ranges from 2-6% of the population.<sup>[1][2]</sup> Fibromyalgia is more prevalent among women and the vast majority of those with fibromyalgia are women. Below are the prevalence and percentage of fibromyalgia patients distributed between the sexes: | ||
Prevalence: Women (3.4%) Men (0.5%) <sup>[2]</sup><br>Percentage of Fibromyalgia Patients: Women (75-90%) Men (10-25) <sup>[1]</sup> | Prevalence: Women (3.4%) Men (0.5%) <sup>[2]</sup><br>Percentage of Fibromyalgia Patients: Women (75-90%) Men (10-25) <sup>[1]</sup> | ||
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== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
Those with fibromyalgia can present with a host of symptoms that can make diagnosing the disorder difficult. Below is an extensive but not exclusive list of common patient symptoms and presentations created from several sources: | |||
*Morning stiffness <sup>[2][3]</sup> | |||
*Tingling or numbness in hands and feet <sup>[2][3]</sup> | |||
*Headaches, migraines <sup>[2][3][4]</sup> | |||
*<sup></sup>Constipation, diarrhea <sup>[2][3][4]</sup> | |||
*Thinking and memory abnormalities (“fibro fog”) <sup>[2][3][4][5]</sup> | |||
*Painful menstrual periods <sup>[2][3][4]</sup> | |||
*Fatigue <sup>[3][4][5]</sup> | |||
*Trouble sleeping <sup>[3][4][5]</sup> | |||
*Jaw Pain <sup>[3][4]</sup> | |||
*Abnormal muscle pain and malaise after exercise <sup>[3][4]</sup> | |||
*Dizziness or lightheadedness <sup>[3][4]</sup> | |||
*Skin and chemical sensitivities <sup>[3][4]</sup> | |||
*Deep, aching, throbbing, shooting, radiating, stabbing pain <sup>[4][5]</sup> | |||
*Non-cardiac chest pain, heart palpitations, shortness of air, profuse sweating <sup>[4]</sup> | |||
*Feeling of swollen extremities <sup>[4]</sup> | |||
*Sensitivities to all the senses (loud noises, bright lights, some foods, odors, etc…) <sup>[4]</sup> | |||
*Feelings of depression, anxiety <sup>[5]</sup><sup></sup> | |||
add text here <br> | |||
The percentage of people with fibromyalgia who have reported specific symptoms is illustrated below:<br>http://fibrocenter.com/fibromyalgia-symptoms.aspx (Percentage of People who reported symptom) | |||
The following have been associated with aggravating the above symptoms <sup>[4]</sup>: | |||
*Changes in weather | |||
*Cold environments | |||
*Hormonal fluctuations | |||
*Stress, depression, anxiety | |||
*Physical over-exertion | |||
In addition to the above physical symptoms associated with fibromyalgia, the patient’s quality of life of is also a consideration as quality of life outcome measures can add to the clinical presentation. It has been reported that those with fibromyalgia have scored the lowest on 7 of 8 subscales on the SF-36 outcome measure in contrast to patients with other chronic diseases.<sup>[2]</sup> More information on the SF-36 is available at [http://www.sf-36.org http://www.sf-36.org/]. The same source revealed that fibromyalgia patients reported an average score of 4.8/10 with 1 being the lowest and 10 being the highest regarding their perceived “present quality of life.” <sup>[2]</sup> | |||
== <sup><br></sup>Associated Co-morbidities == | |||
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== Medications == | == Medications == | ||
add text here <br> | add text here <br> | ||
== Diagnostic Tests/Lab Tests/Lab Values == | == Diagnostic Tests/Lab Tests/Lab Values == | ||
add text here <br> | add text here <br> | ||
== Causes == | == Causes == | ||
add text here <br> | add text here <br> | ||
== Systemic Involvement == | == Systemic Involvement == | ||
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== Case Reports == | == Case Reports == | ||
add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
== Resources <br> | == Resources <br> == | ||
add appropriate resources here | add appropriate resources here | ||
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see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | ||
<div class="researchbox"> | <div class="researchbox"> | ||
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | <rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References == | ||
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<references /> | <references /> | ||
[[Category:Bellarmine_Student_Project]] | |||
Revision as of 18:09, 2 March 2010
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Fibromyalgia is a syndrome characterized by widespread chronic unabated pain in addition to a host of several additional co-morbidities that can severely impact and disrupt a person’s daily life. The symptoms associated with fibromyalgia stem from abnormal sensory processing believed to originate in the muscle and ultimately lead to the chronic pain and paresthesias experienced by those with the disorder.[1]
Prevalence[edit | edit source]
The prevalence of fibromyalgia ranges from 2-6% of the population.[1][2] Fibromyalgia is more prevalent among women and the vast majority of those with fibromyalgia are women. Below are the prevalence and percentage of fibromyalgia patients distributed between the sexes:
Prevalence: Women (3.4%) Men (0.5%) [2]
Percentage of Fibromyalgia Patients: Women (75-90%) Men (10-25) [1]
Although most diagnoses of fibromyalgia are made during middle-age, prevalence of the disorder increases with age. [2]
Characteristics/Clinical Presentation[edit | edit source]
Those with fibromyalgia can present with a host of symptoms that can make diagnosing the disorder difficult. Below is an extensive but not exclusive list of common patient symptoms and presentations created from several sources:
- Morning stiffness [2][3]
- Tingling or numbness in hands and feet [2][3]
- Headaches, migraines [2][3][4]
- Constipation, diarrhea [2][3][4]
- Thinking and memory abnormalities (“fibro fog”) [2][3][4][5]
- Painful menstrual periods [2][3][4]
- Fatigue [3][4][5]
- Trouble sleeping [3][4][5]
- Jaw Pain [3][4]
- Abnormal muscle pain and malaise after exercise [3][4]
- Dizziness or lightheadedness [3][4]
- Skin and chemical sensitivities [3][4]
- Deep, aching, throbbing, shooting, radiating, stabbing pain [4][5]
- Non-cardiac chest pain, heart palpitations, shortness of air, profuse sweating [4]
- Feeling of swollen extremities [4]
- Sensitivities to all the senses (loud noises, bright lights, some foods, odors, etc…) [4]
- Feelings of depression, anxiety [5]
The percentage of people with fibromyalgia who have reported specific symptoms is illustrated below:
http://fibrocenter.com/fibromyalgia-symptoms.aspx (Percentage of People who reported symptom)
The following have been associated with aggravating the above symptoms [4]:
- Changes in weather
- Cold environments
- Hormonal fluctuations
- Stress, depression, anxiety
- Physical over-exertion
In addition to the above physical symptoms associated with fibromyalgia, the patient’s quality of life of is also a consideration as quality of life outcome measures can add to the clinical presentation. It has been reported that those with fibromyalgia have scored the lowest on 7 of 8 subscales on the SF-36 outcome measure in contrast to patients with other chronic diseases.[2] More information on the SF-36 is available at http://www.sf-36.org/. The same source revealed that fibromyalgia patients reported an average score of 4.8/10 with 1 being the lowest and 10 being the highest regarding their perceived “present quality of life.” [2]
Associated Co-morbidities[edit | edit source]
add text here
Medications[edit | edit source]
add text here
Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
add text here
Causes[edit | edit source]
add text here
Systemic Involvement[edit | edit source]
add text here
Medical Management (current best evidence)[edit | edit source]
add text here
Physical Therapy Management (current best evidence)[edit | edit source]
add text here
Alternative/Holistic Management (current best evidence)[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
add text here
Case Reports[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
