☹️FIBROMYALGIA- AN OVERVIEW 🙍🏻♂️

🦂Is a common chronic pain condition, characterised by 

🖌Pain ( Spontaneous, widespread , diffuse, worse in the morning, hypersensitivity to all painful stimuli, >3 months duration, 11 out of 18 defined tender points produce tenderness on digital palpation)

🖌 Sleep disturbances

🖌 Fatigue 

🦂Pathophysiology may include 

🖌dysfunction of descending inhibitory pathways 

🖌abnormal neurotransmitter release

🖌central sensitisation etc

🦂Tricyclic antidepressants ( like Amitriptyline 5-10 mg ) may be effective in fibromyalgia as they reduce pain & fatigue and improve sleep

🦂Other therapies used:

🖌 Pregabalin

🖌Gabapentin

🖌Newer MAO inhibitors like pirlindole

🖌TENS

🖌Acupuncture 

🖌Intravenous lignocaine

🖌Injection of trigger points

🖌Cognitive Behavioural Therapy

🖌Warm bath

🖌Complimentary therapies

#pain , #fibromyalgia , #PainManagement

Reference: Dedhia JT, Bone ME. Pain and fibromyalgia. Contin Educ Anaesth Crit Care Pain. 2009; 9(5): 162–166.