Fibromyalgia
Revision as of 07:32, 17 August 2017 by ClaireLewis (talk | contribs)
Background
- A disorder of pain regulation, sometimes classified as a kind of central sensitization
- Chronic musculoskeletal pain not explained by another systemic disorder
- More common in women than men
Clinical Features
Differential Diagnosis
- Rheumatoid arthritis
- Sjögren Syndrome
- Systemic lupus erythematosus
- Ankylosing spondylitis
- Myopathyies: metabolic or statin-induced
- Myasthenia gravis
- Myofascial pain syndrome
- Multiple sclerosis
- Psychiatric disorders
Evaluation
Management
- Tricyclic antidepressants
- Select SNRIs (duloxetine, venlafaxine, milnacipran)
- Anticonvulsants (pregabalin, gabapentin)
- Exercise program
Disposition
- Discharge