Fibromyalgia Fact or Fiction Multi-Disciplinary Approach

Fibromyalgia: Fact or Fiction? Bob Avina, MD Department of Family Medicine School of Medicine Loma Linda University

Goals and Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient’s Medical Metaphors for FMS ,[object Object],[object Object]

Definition of Fibromyalgia ,[object Object],[object Object]

History of Fibromyalgia ,[object Object],[object Object],[object Object],[object Object]

Current Researchers in FMS ,[object Object],[object Object],[object Object],[object Object]

The Manual Tender Point Survey ,[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object]

Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Poorly Understood Pain Symptoms in FMS Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical Examination Findings in FMS ,[object Object],[object Object],[object Object],[object Object]

Instruction for the Multiple Tender Points Survey ,[object Object],[object Object],[object Object],[object Object],[object Object]

Source: “The Manual Tender Point Survey”, D. Sinclair, T. Starz, D. Turk Univ. of Pittsburgh, School of Medicine .

18 Tender Points in FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

18 Tender Points of FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

18 Tender Points of FM ,[object Object],[object Object],[object Object],[object Object],[object Object]

Co-morbidities and FM Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Co-morbidities and FM Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]

FMS Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommended Laboratory Tests in FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What’s Wrong with Getting an ANA or RF (Rheumatoid Factor) ? ,[object Object],[object Object],[object Object],[object Object]

Permission for photo granted by L. Castro

Multiple Overlapping Syndromes FMS, CFS, MPS RLS, IBS, MCS TMJD, PLMS, IB

Psychiatric Illness and FMS ,[object Object],[object Object],[object Object]

How is Chronic Fatigue Syndrome Different from FMS? ,[object Object],[object Object]

Chronic Fatigue vs. Fibromyalgia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Goals of Therapy in FM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategy of Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Self-Management RCT ,[object Object],[object Object]

Pregabalin (Lyrica) ,[object Object],[object Object],[object Object]

FM Patient: Betty ,[object Object]

Betty ,[object Object],[object Object]

Betty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Betty’s Problem List ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SSRI’s and TCA’s ,[object Object],[object Object]

FM Team (Cedars Sinai MC) Michael Gilewski, PhD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient and Family Education ,[object Object]

Therapy Strategy ,[object Object]

Insomnia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Meta-Analysis of RCT’s of Fibromyalgia Treatment Using Cochrane Collaboration Reviews ,[object Object],[object Object],[object Object],[object Object]

Meta-analysis of Fibromyalgia RCT’s ,[object Object],[object Object],[object Object],[object Object],[object Object]

SSRI and TCA ,[object Object],[object Object],[object Object],[object Object]

Venlafaxine: Inhibitor of NE and Serotonin in Fibromyalgia Patients ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pramipexole Added-on Therapy ,[object Object],[object Object],[object Object]

Pramipexole Added-On Therapy ,[object Object],[object Object],[object Object]

Duloxetine (Cymbalta) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Depression ,[object Object],[object Object],[object Object],[object Object]

Depression ,[object Object],[object Object],[object Object]

Improve Physical Endurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Counseling ,[object Object],[object Object],[object Object],[object Object],[object Object]

Patient Instructions for FM-ACR ,[object Object],[object Object],[object Object]

Summary of FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fibromyalgia Fact or Fiction Multi-Disciplinary Approach

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Fibromyalgia Fact or Fiction Multi-Disciplinary Approach