Fibromyalgia

Definition Anatomy Etiology Epidemiology Pathohysiology Clinical Manifestations Complications (common)

Short Term Long Term

Definition
Chronic condition characterized by widespread pain that covers half the body and has lasted for 3 months.

Definition Anatomy Etiology Epidemiology Pathohysiology Clinical Manifestations Complications (common)

Short Term Long Term

Anatomy

Definition Anatomy Etiology Epidemiology Pathohysiology Clinical Manifestations Complications (common)

Short Term Long Term

Etiology and Epidemiology

The etiology of fibromyalgia is still unclear: if central sensitization is considered to be the main mechanism involved, then many other factors, genetic, immunological, and hormonal, may play an important role. Prevalent to females Women men ratio of 9:1

 Prevalence ranging 2% to 12% in the general population and primarily involving in mddle aged women

Definition Anatomy Etiology Epidemiology Pathohysiology Clinical Manifestations Complications (common)

Short Term Long Term

Pathophysiology

 With intense or prolonged exposure to painful stimuli, incoming afferent signals are increased, and presynaptic release of substance P and EAAs is enhanced. An influx of Ca2+ increases the production of nitric oxide, which diffuses out of the PTN and causes the PTN to become hyperexcitable and further enhances the presynaptic release of EAAs and substance P..

Definition Anatomy Etiology Epidemiology Pathohysiology Clinical Manifestations Complications (common)

Short Term Long Term

Clinical Manifestation
11 out of 18 tender points Sleep disturbances Fatigue, stifness, (associated) Psycological aspect (anxiety)

 Suboccipital muscle insertion at base of skull; anterior aspect of intertransverse process spaces at C57; midpoint of upper border of trapezius muscle; Above scapular spine near medial border of scapula; second costochondral junction; lateral epicondyle; upper outer quadrant of buttocks; Posterior aspect of trochanteric prominence; medial fat pad of knee

Definition Anatomy Etiology Epidemiology Pathohysiology Clinical Manifestations Complications (common)

Short Term Long Term

Complications
Sleeping disturbance Posture Anxiety

How to treat Fibromyalgia

 AEROBIC EXERCISE

Fibromyalgia: TREATMENT
Patients should be informed that they have a condition that is not crippling, deforming, or degenerative, and that treatment is available IMPROVE SLEEP: NSAIDs and corticosteroids Combination therapy Biofeedback, tender point injection Acupuncture, aerobic exercise