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Fibromyalgia/Pain - Coggle Diagram
Fibromyalgia/Pain
Treatment
No cure
patient education
aerobic exercise
cognitive behavioral therapy
pharmacologic therapies
complimentary and alternative therapies
Interdisciplinary approach
Treat underlying/overlapping conditions
lidocaine injections in tender points
Improving sleep hygiene
Clinical Manifestations
Stabbing/shooting pain
Fatigue
sleep disturbances
sensitivity to light/touch/sound
cognitive difficulties (impaired memory/concentration)
IBS
muscular throbbing/aching/twitching
numbness/tingling/burning
pain on both sides of body/above and below waist
Risk Factors
Gentics
Illness or injury trigger
Stress
physical inactivity
Middle aged
women
History of lupus or RA
obesity
Pathology
increased levels of substance P
abnormal pain perception
lower blood flow to thalamus
HPA axis hypofunction
low levels of serotonin
low levels of tryptophan
abnormalities in cytokine function
Diagnostics
Patient history
Physical exam
tender point examination (11 of 18)
Tests to rule out other conditions
Widespread pain index (WPI)
Complications
Sleep Apnea
Anxiety
life style disruptions
Self medicating