Fibromyalgia (FM) Syndrome

Clinic A/P, adults, MUSCULOSKELETAL

-Definition: FM is a syndrome. It is a disorder of pain regulation or central sensitization.
-History & Physical, see above.
-Confirmed diagnosis with a structured symptom history from the ACR.
–Nonpharmacologic tx options discussed.
–Pharmacologic tx options discussed including benefits, alternatives, and risks and side effects.

-Will Schedule regular follow-up visits
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-Now diagnosed with a structured symptom history from the American College of Rheumatology.

– Up to 70% of patients with fibromyalgia also meet criteria for depression or anxiety, so medications for these conditions are often used to treat fibromyalgia.

*** We no longer use tender points.

 

References

JAMA. 2014;311(15):1547-1555. https://www.ncbi.nlm.nih.gov/pubmed/24737367

Am Fam Physician. 2015 Apr 1;91(7):472-478. http://www.aafp.org/afp/2015/0401/p472.html

Am Fam Physician. 2017 Aug 1;96(3): online. http://www.aafp.org/afp/2017/0801/od1.html

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