Fibromyalgia syndrome, meaning pain of the muscle and. Please use one of the following formats to cite this article in your essay, paper or report. A patient meets the diagnostic criteria for fibromyalgia if the following 3 conditions are met. Fibromyalgia criteria were easy to use, but problems regarding clinician bias, meaning of a fibromyalgia diagnosis, and the validity of physician diagnosis were substantial. Jul 15, 2007 fibromyalgia is an idiopathic, chronic, nonarticular pain syndrome with generalized tender points. Diagnosis and differential diagnosis of fibromyalgia the. The difficulty with diagnosing fibromyalgia lies in the fact that, in most cases, laboratory testing appears normal and that many of the symptoms mimic those of other disorders. Material and methods evidence collection was performed based on 9 questions regarding the diagnosis of fibromyalgia, structured using the patient, intervention or indicator, comparison and outcome p. While fibromyalgia and multiple sclerosis ms do share the symptom of pain, fibromyalgia is a musculoskeletal condition and multiple sclerosis is a neurological condition. Fibromyalgia is currently understood to be a disorder of central pain processing or a syndrome of central sensitivity. Differential diagnosis of pain and fibromyalgia core reader.
The pain of fibromyalgia syndrome is usually described as aching, throbbing or burning and is unpredictable in nature. Nicolson the institute for molecular medicine, 15162 triton lane huntington beach, ca 92649 summary. The bars represent the average percentage of symptom occurrence in 4 large clinical studies. Thus, a high index of suspicion is required to diagnose fibromyalgia. Premedline via ovid, in addition to a manual search in the brazilian digital. To answer the following questions, patients should take into consideration how you felt the past week, while taking your current therapies and treatments, and exclude your pain or symptoms from other known. Symptoms have been present at a similar level for at least 3 months. However, old and incorrect beliefs about this syndrome still flourish. Fibromyalgia is a disorder that causes muscle pain and fatigue. Knowledge on fibromyalgia among general practitioners, from.
Fm is difficult to diagnose because its the result of a neural distribution rather than a discrete physical injury. Fibromyalgia syndrome also called fmsor fm is a complex, chronic condition, which causes wide spread pain and fatigue. The professional association of rheumatologists agreed in 1990, along with criteria for diagnosis. The multiple symptoms of fibromyalgia often overlap with those of related disorders and may further complicate the diagnosis. Fibromyalgia is a common neurologic health problem that causes widespread pain and tenderness sensitivity to touch. Unfortunately, this quest often resembles the story of the six blind men, each stationed at a. Fibromyalgia criteria were easy to use, but problems regarding clinician bias, meaning of a fibromyalgia diagnosis, and the validity of physician diagnosis were. A current perspective of differential diagnosis, abstract patients eventually diagnosed as having the fibromyalgia syndrome often have symptoms which suggest alternate diagnosis such as peripheral neuropathy, spondylitis, metabolic myopathy, polymyalgia, early rheumatoid arthritis. Although the source of pain and exact diagnosis are often difficult to pinpoint. Widespread pain index wpi dqg v\pswrp vhyhulw\ 66 vfdoh vfruh ru. Hints early dx fm characteristic features and diagnostic evaluation for fm differential diagnosis of fibromyalgia fibromyalgia v myofascial pain sxs distinguish cfs fm and tmd clinical similarities between fibromyalgia and cfs related topics.
Nicolson, marwan nasralla, joerg haier and nancy l. Diagnosis and differential diagnosis of fibromyalgia. Persons with chronic pain frequently see many practitioners in their quest for a diagnosis and relief from their symptoms. Knowledge on fibromyalgia among general practitioners. Here you may download a form with new diagnostic criteria for fibromyalgia diagnostic questionnaire this form is an interactive pdf file and may help you to find out if the fibromyalgia might be responsible for your symptoms. The symptoms, and the mechanisms responsible for them, are very real. Its effects are felt primarily in muscles, tendons and ligaments throughout the body. Fibromyalgia syndrome is actually caused by a biochemical imbalance. Study of fms has provided better understanding of a variety of symptoms experienced by distressed patients, and legitimizes its existence. Feb 26, 2015 fibromyalgia is a significant and distressing condition affecting more than 5 million adults in the united states. You can find no medical research or no known cause only a few people at high risk. It is a multisystem disease characterized by sleep disturbance, fatigue, headache, morning.
Apr 23, 2020 fibromyalgia is currently understood to be a disorder of central pain processing or a syndrome of central sensitivity. Diagnosis and treatment of chronic mycoplasmal infections. Diagnosis and management of fibromyalgia upmc youtube. Since 1987, the american medical association has recognized fibromyalgia syndrome as a true physical illness.
Fibromyalgia is a significant and distressing condition affecting more than 5 million adults in the united states. The diagnosis can be made with a careful examination. The differential diagnoses for patients presenting with chronic body pain are vast. One of the most challenging diagnostic dilemmas that clinicians face is distinguishing fibromyalgia from other central pain disorders e. Treatment of fibromyalgia syndrome with traditional chinese. Fibromyalgia syndrome fms presents with widespread soft tissue pain. Diagnosis, etiology, and therapy of fibromyalgia springerlink. Evidence collection was performed based on 9 questions regarding the diagnosis of fibromyalgia, structured using the patient, intervention or indicator, comparison and outcome p. The symptoms may have been going on for years, but because the criteria for diagnosing fms failed to take into account common symptoms like. The differential diagnosis is made during the evaluation on the basis of the persons medical history, physical. Fibromyalgia fm can be described as a painful clinical syndrome associated with other symptoms, and it is also termed fibromyalgia syndrome. Fibromyalgia fm is a diagnosis of exclusion used to describe patients with a cluster of symptoms that are not attributed to a recognized disease process. A fibromyalgia b myofascial pain syndrome c all of the above by bernard e. Nov 16, 2016 fibromyalgia affects 35% of the population and is the most common cause of widespread pain.
Pdf fibromyalgia syndrome classification, diagnosis, and. Tender points are specific places on the neck, shoulders, back, hips, arms, and legs. Apr 19, 2016 while fibromyalgia and multiple sclerosis ms do share the symptom of pain, fibromyalgia is a musculoskeletal condition and multiple sclerosis is a neurological condition. The diagnostic is eminently clinical, there being no ancillary test to determine whether the disease. Some researchers think there is a link between fibromyalgia and certain forms of depression and chronic anxiety. The differential diagnosis of fibromyalgia fm is large, given the number of conditions that can present with signs or symptoms of fm, such as pain, fatigue and sleep disturbance, and symptoms of cognitive dysfunction and psychiatric disease.
Pdf differential diagnosis of fibromyalgia syndrome. Clauw describes the syndrome as a diffuse problem of sensory volume control such that patients have a lower threshold of pain and of other stimuli, such as heat, noise, and strong odors. What is the prognosis for a person diagnosed with fibromyalgia. It helps to calculate value of widespread pain index wpi and symptoms severity score ss score.
New clinical fibromyalgia diagnostic criteria part 1. Fibromyalgia fm is a medical condition characterized by chronic widespread pain and a. Associated symptoms and conditions of fibromyalgia. Fibromyalgia is a difficult condition to diagnose because there is no blood or imaging test for it.
Pdf this s3 guideline takes positions on currently contentious issues in the classification and treatment of fibromyalgia syndrome fms. Fibromyalgia and sensitivtitleabstract or sensitivity and speci. Recent advances in pain neuroscience have defined many of the mechanisms causing fibromyalgia and. The differential diagnosis of fibromyalgia fm is large, given the number of conditions that can present with signs or symptoms of fm, such as pain, fatigue and sleep disturbance, and symptoms.
Fibromyalgia symptoms are worse and the quality of life is poorer for young younger than 39 years or middleage 4059 years patients with fibromyalgia versus older older than 60 years patients jiao 2014. Fibromyalgia affects 35% of the population and is the most common cause of widespread pain. Spanish version of the fibromyalgia rapid screening tool. Nuevoscriteriosdiagnosticosfibromialgia indiceseveridad. The term fibromyalgia is derived from the latin word fibro fibrous tissue, present in ligaments, tendons and fasciae and from the greek words mio muscular tissue. Can the 2010 criteria be considered in the diagnosis of fm. Refer to the table 2 for a comparison of the tender points identified by the american college of rheuma tology and the acupuncture points per traditional chinese medicine theories. Many doctors still use a tender points test to help diagnose the condition. Recognition that these mechanisms are important in all distressed patients results in proper diagnosis and treatment. Fibromyalgia is a chronic nervous system condition that causes widespread pain and tenderness, affects.
Once thought as a psychological disorder, fibromyalgia is actually a true physical condition. History of widespread pain on both sides of the body, present for at least three months. To establish guidelines based on scientific evidence for the diagnosis of fibromyalgia. Most often, people with this chronic longterm illness are fatigued very tired and have sleep problems.
Oct 07, 2011 fibromyalgia fm is a diagnosis of exclusion used to describe patients with a cluster of symptoms that are not attributed to a recognized disease process. Since 1990, diagnosis has been principally based on. Diagnosis and treatment of chronic mycoplasmal infections in fibromyalgia and chronic fatigue syndromes. Fibromyalgia is an idiopathic, chronic, nonarticular pain syndrome with generalized tender points. Amino acids are found in the back saying goes an ounce fibromyalgia diagnosis sheet of physical therapy. Feelings of sadness or being down are common, and some people with fibromyalgia have depression. Fibromyalgia sangita chakrabarty, md, msph, meharry medical college, nashville, tennessee roger zoorob, md, mph, meharry medical college and vanderbilt university. The pain and tenderness tend to come and go, and move about the body. Fibromyalgia beyond the basics approach to the adult patient with fatigue. Fibromyalgia is a disorder with multiple etiologies, 1 which is frequently observed in the general population 2 and in outpatient clinics.
A definite diagnosis of fibromyalgia syndrome should only be made when no other medical disease can explain the symptoms. In an internet survey by the national fibromyalgia association, 1735 patients age 3178 years reported. Diagnosis and treatment of chronic mycoplasmal infections in. Anyone can get it, but it is most common in middle. Fibromyalgia, the optic nerve, and neurodegeneration. You will be redirected to the full text document in the repository in a few seconds, if not click here. Our objective was to investigate the dietary awareness, food allergies andor intolerances fais, and. Fibromyalgia differential diagnoses medscape reference. The diagnosis of fibromyalgia, similar to other functional disorders, requires that organic diseases are not causing the symptoms. Treatment of fibromyalgia syndrome 99 approximately 4 kgcm2 of pressure through their thumbs on corresponding acupuncture points to iden tify positive tender points. Testing is often done to rule out other conditions that could cause pain, including arthritis, infections and lyme disease. Fibromyalgia is a chronic functional illness that presents with widespread musculoskeletal pain as well as a constellation of symptoms including fatigue, cognitive dysfunction, sleep difficulties, stiffness, anxiety, and depressed mood.
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