Fibromyalgia. What is fibromyalgia? What causes fibromyalgia? Who gets fibromyalgia? What are the symptoms of fibromyalgia?
|
|
- Derrick Cox
- 6 years ago
- Views:
Transcription
1 Page 1 of 5 Fibromyalgia Fibromyalgia typically causes persistent pains and tenderness in many areas of the body as well as tiredness. You may also have other symptoms. There is no simple 'once and for all' cure. However, various treatments are available that ease symptoms in many cases. Non-drug treatments that may help include exercise, heated pool treatment, and cognitive behaviour therapy. Drug treatments that may help include a painkiller called tramadol, antidepressants (for their pain-relieving action) and some other drugs listed below. What is fibromyalgia? The word fibromyalgia means pain ('algia') coming from the muscles ('my') and fibrous tissues ('fibro') such as tendons and ligaments. Most people with fibromyalgia also have other symptoms in addition to the pains - see below. Therefore, fibromyalgia is sometimes called fibromyalgia syndrome, or FMS. It is a chronic (persistent) condition. Fibromyalgia does not affect the joints, and so is not an arthritis. What causes fibromyalgia? The cause of fibromyalgia is not known. However, research has shown that people with fibromyalgia have certain subtle changes in some chemicals in the brain and nervous system. For example, there seems to be a minor change in the level of certain brain chemicals called neurotransmitters. These are the chemicals responsible for transmitting messages between nerves and between brain cells. Research studies have also shown that people with fibromyalgia tend to have an increased amount of a chemical called substance P in the fluid that bathes the brain and spinal cord (the cerebrospinal fluid - CSF). This substance may be involved in the way pain messages are transmitted. A current main theory is that people with fibromyalgia have an oversensitivity to pain signals in the brain. This is called 'central sensitisation'. This may be due to various minor changes in brain chemicals. What triggers or causes these changes is not known. Note: the term fibromyalgia has been used for a long time. However, because the cause is now thought to be due to the processes described above in the brain and spinal cord, the term 'fibromyalgia' does not accurately describe the condition. That is, there is little evidence that the disease is due to a problem with peripheral tissues such as muscles, tendons and ligaments (although the pain is often felt in these tissues). Who gets fibromyalgia? About 1 in 50 people develop fibromyalgia at some stage. It is seven times more common in women than men. In most cases it first develops between the ages of 25 and 55. It is less common in younger adults, and is uncommon in children. What are the symptoms of fibromyalgia? The main symptoms are pains felt in many areas of the body, and tiredness. Some people also develop other symptoms. The severity of symptoms varies from person to person. Pain Pain can occur in any area of the body. Typically, many areas of the body are affected, and some people feel the pain 'all over'. The neck and back are the sites that are often the most painful. The severity of the pain can vary from day to day. The pains may be made worse by stress, cold or activity. After a night's sleep, you may also feel quite 'stiff' for a few hours. Many areas of the body may also be quite tender.
2 Page 2 of 5 Tiredness Tiredness (fatigue) is common, and is sometimes severe. In some cases it is more distressing than the pain. It is also common to have a poor sleep pattern. You may wake feeling exhausted. Many people feel worst first thing in the morning, but improve by the afternoon. Even a small amount of activity may make you tired. The tiredness may cause you to have poor concentration. Various other symptoms have been reported by people with fibromyalgia. Also, there are a number of other conditions that often occur at the same time as fibromyalgia. As a consequence, quite a number of other symptoms may occur in people with fibromyalgia. The following are perhaps the most common, but it is not an exhaustive list of every possible symptom that may occur: Headaches are common. Irritable bladder is common - you may need to go to the toilet more frequently than usual.[ Irritable bowel syndrome occurs commonly in people with fibromyalgia - with abdominal pains, sometimes with diarrhoea, constipation or bloating. About 1 in 5 people with fibromyalgia also have restless legs syndrome (see separate leaflet called 'Restless Legs Syndrome' for more detail). Painful periods occur in some women with fibromyalgia. Pins and needles in fingers and/or toes. Some people describe a feeling as if their hands or feet are swollen (although they are not actually swollen). Depression or anxiety develop in some people. It is not clear whether these are part of 'fibromyalgia syndrome', or develop as a result of having this condition. Some people with fibromyalgia also have CFS/ME (chronic fatigue syndrome/myalgic encephalomyelitis). How is fibromyalgia diagnosed? Fibromyalgia is usually diagnosed by the typical symptoms and a doctor's examination. To make a firm diagnosis, symptoms should include widespread pain involving both sides of the body, above and below the waist, as well as the neck, back and pelvis, and have been present for at least three months. A doctor's examination will find tenderness in various parts of the body. During the examination a doctor may press firmly with a thumb on various parts of your body. The amount of pressure used does not cause pain in people without fibromyalgia. However, the pressure typically causes people with fibromyalgia to wince with pain. The increased sensitivity to pressure (being tender to mild pressure) can be in many places in the body, and may be all over. However, a doctor may press on certain specific sites (as shown in the diagram). These sites are generally fairly sensitive areas and the easiest to check for tenderness which is typical in people with fibromyalgia. Apart from finding areas of tenderness, the examination by a doctor will usually find no other abnormality. There is no laboratory test that confirms the condition. However, tests are advised in some cases to rule out other diseases that can cause similar symptoms. For example, your doctor may do some blood tests to rule out an underactive thyroid, early arthritis, etc.
3 Page 3 of 5 Is fibromyalgia serious? Fibromyalgia is not an arthritis, it is not due to cancer, and does not damage any joint or tissue. It does not shorten expected lifespan. In some cases, symptoms ease or go after a few months. However, in many cases it is a chronic (persistent) condition which tends to wax and wane in severity. Quality of life can become affected. What is the treatment for fibromyalgia? There is no single or simple cure for fibromyalgia. Treatments aim to reduce symptoms as much as possible. Over the years a range of different treatments have been advocated with variable rates of success. In 2007, a team of experts from 11 countries got together. They looked at the evidence (from research trials, review papers, etc) to determine which treatments should be recommended. Their recommendations were based on the results of research trials that had shown when a treatment had been beneficial to at least some people with fibromyalgia. They published a guideline called 'EULAR evidence-based recommendations for the management of fibromyalgia syndrome'. A number of recommendations were made, and each is briefly mentioned below. But note: each person is different and has different circumstances and degrees of symptoms. Also, not all treatments help in all cases, and not all treatments may be locally available. Your doctor is likely to discuss the pros and cons of the various options, and help you to decide which is the best option, or options, to try. Indeed, the guideline pointed out that optimal treatment requires a combination of non-drug and drug treatments. Also, that treatment should be tailored to the individual according to pain intensity, function, and whether such features as depression, tiredness and sleep problems are also present. NON-DRUG TREATMENTS Exercise Exercise does not always help, but studies have shown that it improves symptoms in a good number of cases. If you are able, consider gradually building up to more and more exercise. Aerobic exercises which cause little 'pounding' such as walking, cycling and swimming are thought to be the best form of exercise to improve symptoms. Stretching exercises such as yoga may also help. A doctor or physiotherapist can advise on a suitable programme for your particular circumstances. The aim is to exercise safely and without increased pain. A typical goal to aim for is to build up exercise to 4-5 times a week for at least 20 to 30 minutes a session. However, it may take months to build up to this level. For example, one study published in the British Medical Journal describes how people with fibromyalgia were 'prescribed' an exercise class - mostly walking on treadmills, or using exercise bicycles. Each person was encouraged to gradually increase the amount of exercise. When people first started they usually did two sessions of exercise per class lasting about six minutes. By three months some people had increased to doing two sessions in each class lasting 25 minutes. At three months, about 1 in 3 people who did the exercise programme rated themselves as much, or very much, better. Note: pain and stiffness can get worse for a short while when you first start on an exercise programme. Heated pool treatment with or without exercise Heated pool treatment (balneotherapy) has been shown to improve symptoms in some cases. Some trials that looked into this included exercise in addition to heated pool treatment, and some did not. Both with and without exercise seemed to help in some cases.
4 Page 4 of 5 For example, in one study of 42 fibromyalgia patients, half received 20 minutes bathing, once a day, five times per week, for three weeks (total of 15 sessions). Half did not have this treatment. The patients were evaluated by the number of tender points, and symptom severity (mainly pain). The evaluation was initially straight after the therapy, and then after six months. The results showed that, on average, the treated group had significantly less tenderness and pain - even six months after the treatment had finished. Your doctor or physiotherapist may recommend a locally based heated hydrotherapy pool. However, if non is available, a heated swimming pool, or jacuzzi may suffice, or simply lying in a warm bath for 20 minutes per day may be of benefit. Cognitive behavioural therapy Cognitive behavioural therapy (CBT) may be of benefit to some people with fibromyalgia. CBT is one type of psychotherapy ('talking treatment'). It is used as a treatment for various mental health and physical problems. Unlike other types of psychotherapy it does not involve 'talking freely', or dwelling on events in your past. CBT tends to deal with the 'here and now' - how your current thoughts and behaviours are affecting you now. CBT is problem-focused and practical. CBT may actually help to ease pain symptoms. But it can also help you to take control of the extent to which pain, tiredness, or other symptoms interfere with your life. Other therapies The guideline recommended that other therapies may be useful, depending on the individual person s needs. The therapies thought to be useful included relaxation, physiotherapy, and psychological support. DRUG TREATMENTS Painkillers Painkillers such as paracetamol, anti-inflammatory painkillers such as ibuprofen, or codeine may help to ease pain. However, they often do not work very well in fibromyalgia. Tramadol is a stronger painkiller and is recommended if the above painkillers are not helpful. Research studies have shown the benefit of tramadol in people with fibromyalgia. Very strong opiate painkillers such as morphine are not recommended. This is because fibromyalgia is a long-term condition. It is unwise to take strong opiates long-term due to problems with drug dependence. Antidepressants An antidepressant drug is a common treatment for fibromyalgia. Research studies have confirmed that antidepressants are often helpful for easing pain and improving overall function. They may also help with disturbed sleep. Although they are called antidepressants, they are not used in fibromyalgia to treat depression. Tricyclic antidepressants ease pain separately to their action on depression. Antidepressant drugs are used to treat various conditions apart from depression. There are various antidepressants and your doctor will advise on one, if needed. A trial of 4-6 weeks is often advised, and continued if found to be helpful. Low doses are often used (compared to a dose that may be used to treat depression). However, if you have depression in addition to fibromyalgia, then a 'full strength' dose would be appropriate to treat both the pain of the fibromyalgia and the depression. Other drugs Drugs called tropisetron, pramipexole, and pregabalin have been recently studied in people with fibromyalgia. These drugs are usually used for other conditions (tropisetron to control vomiting, pramipexole for Parkinson's disease, and pregabalin for nerve pain). So far, the studies looking into their effect on easing pain in people with fibromyalgia have been promising. They seem to reduce pain in some people with fibromyalgia. One of these drugs
5 Page 5 of 5 may be advised if other treatments have not helped very much. Further research is needed to clarify their role in fibromyalgia and to study their long-term effects. Other treatments Some people try complementary or alternative treatments such as acupuncture, aromatherapy, massage, etc. There is little evidence that such treatments relieve the core symptoms of fibromyalgia. However, some people find that certain treatments help them to relax, feel less stressed, and feel better in themselves which helps them to cope better with their condition. Note: sleeping tablets are not often used as they do not help with fibromyalgia, and can be addictive. See separate leaflet called 'Insomnia - Poor Sleep' which gives tips on getting a good night's sleep and may be of benefit if you have difficulty sleeping. Further information and support Fibromyalgia Association UK PO Box 206, Stourbridge, West Midlands, DY9 8YL Tel: Web: FibroAction 46 The Nightingales, Newbury, RG14 7UJ Web: References Evidence based recommendations for the management of fibromyalgia syndrome, European League Against Rheumatism (July 2007) Gilliland RP; Fibromyalgia; emedicine. January Busch AJ, Barber KA, Overend TJ, et al; Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev Oct 17;(4):CD [abstract] Richards SC, Scott DL; Prescribed exercise in people with fibromyalgia: parallel group randomised controlled trial. BMJ Jul 27;325(7357):185. [abstract] McVeigh JG, McGaughey H, Hall M, et al; The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: a systematic review. Rheumatol Int Aug 27. [abstract] Evcik D, Kizilay B, Gokcen E; The effects of balneotherapy on fibromyalgia patients. Rheumatol Int Jun;22(2):56-9. Epub 2002 Mar 29. [abstract] Comprehensive patient resources are available at Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS and PiP have used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. EMIS and PiP 2008 Reviewed: 16 Oct 2008 DocID: 4650 Version: 38
Fibromyalgia summary. Patient leaflets from the BMJ Group. What is fibromyalgia? What are the symptoms?
Patient leaflets from the BMJ Group Fibromyalgia summary We all get aches and pains from time to time. But if you have long-term widespread pain across your whole body, you may have a condition called
More informationFibromyalgia , The Patient Education Institute, Inc. id Last reviewed: 03/12/2017 1
Fibromyalgia Introduction Fibromyalgia is a common condition that causes pain and fatigue in the muscles, joints, ligaments and tendons. Fibromyalgia affects about 3 to 6% of people worldwide. Fibromyalgia
More informationPatient Clinic Leaflet. chronic fatigue syndrome (CFS) myalgic encephalomyelitis or myalgic encephalopathy (ME)
Patient Clinic Leaflet Basic information on your illness and the treatments we can offer you for chronic fatigue syndrome (CFS) also known as myalgic encephalomyelitis or myalgic encephalopathy (ME) Chronic
More informationManaging your pain
Managing your pain www.arthritis.org.nz Did you know? Arthritis affects one in six New Zealanders over the age of 15 years Arthritis is the most common cause of chronic pain Anxiety and stress can make
More informationOPIOIDS FOR PERSISTENT PAIN: INFORMATION FOR PATIENTS
OPIOIDS FOR PERSISTENT PAIN: INFORMATION FOR PATIENTS This leaflet aims to help you understand your pain, so that you can work with your health care team to self-manage your symptoms and improve your quality
More informationSpine University s Guide to Fibromyalgia
Spine University s Guide to Fibromyalgia 2 Introduction The official name for fibromyalgia is fibromyalgia syndrome. Fibro means fiber and myalgia means muscular pain or tenderness. Fibromyalgia has been
More informationPain CONCERN. Medicines for long-term pain. Opioids
Pain CONCERN Medicines for long-term pain Opioids Opioids are a group of medicines that come from the extract of poppy seeds or other medicines that work in the same way. Types of opioid The first opioids
More informationAxial Spondyloarthritis (axial SpA) Ankylosing Spondylitis (AS) Fatigue. The National Ankylosing Spondylitis NATIONAL ANKYLOSING SPONDYLITIS SOCIETY
Axial Spondyloarthritis (axial SpA) Ankylosing Spondylitis (AS) The National Ankylosing Spondylitis Fatigue Society NATIONAL ANKYLOSING SPONDYLITIS SOCIETY UK What is fatigue? Fatigue is common among people
More informationA Guide To Fibromyalgia
What Is Fibromyalgia? Fibromyalgia is a chronic condition that affects about 5 million Americans. Doctors diagnose fibromyalgia based on a patient's symptoms and physical exam. Patients experience pain
More informationFibromyalgia can be painful and make you feel miserable. Fortunately there are treatments that can reduce pain and help you get on with life.
Patient information from the BMJ Group Fibromyalgia In this section What is it? What are the symptoms? How is it diagnosed? How common is it? What treatments work? What will happen? Questions to ask Fibromyalgia
More informationFatigue and Chronic Fatigue Syndrome
Fatigue and Chronic Fatigue Syndrome Introduction Nearly everyone struggles with being overtired or overworked from time to time. Temporary fatigue usually has a specific cause. It is easily treated. Chronic
More informationARTHRITIS ACTION FACTSHEETS
LAST REVIEW: MARCH 2017 COPYRIGHT OF ARTHRITIS ACTION PAIN MANAGEMENT Sometimes the cause of pain such as a broken bone is obvious. Other times the cause is less clear, especially if pain is in areas that
More informationOptions for Treating Restless Legs Syndrome. A Review of the Research for Adults
Options for Treating Restless Legs Syndrome A Review of the Research for Adults Is This Information Right for Me? Yes, this information is for you if: Your doctor* has told you that you have restless legs
More informationShared Decision Making
Deciding what to do about carpal This short decision aid is to help you decide what to do about your carpal. You can use it on your own, or with your doctor, to help you make a decision about what's right
More informationOsteoarthritis. What is osteoarthritis? Understanding joints. What causes osteoarthritis?
Page 1 of 6 Osteoarthritis Osteoarthritis causes pain and stiffness in joints. Symptoms may be helped by exercises, some physical devices and treatments, and losing weight if you are overweight. Paracetamol
More informationOveractive Bladder Syndrome
Page 1 of 5 Overactive Bladder Syndrome Overactive bladder syndrome is common. Symptoms include an urgent feeling to go to the toilet, going to the toilet frequently, and sometimes leaking urine before
More informationConsidering Your Non-opioid Options for Pain
YOUR VALUES YOUR PREFERENCES YOUR CHOICE Considering Your Non-opioid Options for Pain Self-Care, Chiropractic, Physical Therapy, Acupuncture and Pain Rehabilitation 2 Managing Your Pain: Options Pain If
More informationA Patient s Guide to Fibromyalgia
A Patient s Guide to Fibromyalgia 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is compiled from a variety of
More informationWhy is this important for you? Types of arthritis. Information for the public Published: 28 February 2017 nice.org.uk
Spondyloarthritis in over 16s: diagnosis and management Information for the public Published: 28 February 2017 nice.org.uk Spondyloarthritis: the care you should expect This information explains the care
More informationNational Hospital for Neurology and Neurosurgery. Migraine Associated Dizziness. Department of Neuro-otology
National Hospital for Neurology and Neurosurgery Migraine Associated Dizziness Department of Neuro-otology If you would like this document in another language or format or if you require the services of
More informationMigraine. What are the symptoms of a migraine attack?
Migraine Migraine causes attacks of headaches, often with feeling sick or vomiting. Treatment options include: avoiding possible 'triggers', painkillers, antiinflammatory painkillers, anti-sickness medicines,
More informationOsteoarthritis of the hip
1 What is osteoarthritis of the hip? The hip joint is formed by the top of the thigh bone and the pelvis. Its primary functions are to support the weight of the body and enable the legs to move. The hip
More informationEastman Dental Hospital. Temporomandibular disorder. Facial Pain Team
Eastman Dental Hospital Temporomandibular disorder Facial Pain Team If you would like this document in another language or format or if you require the services of an interpreter contact us on 020 3456
More informationPain CONCERN. Medicines for long-term pain. Antidepressants
Pain CONCERN Medicines for long-term pain Antidepressants Many people living with long-term pain (also known as chronic or persistent pain) are worried about using medicines like antidepressants. They
More informationKeep moving. Self-help and daily living Keep moving. and answers to your questions about how to exercise if you have arthritis.
Self-help and daily living This booklet provides information and answers to your questions about how to exercise if you have arthritis. Arthritis Research UK produce and print our booklets entirely from
More informationAnkylosing Spondylitis. Physiotherapy and Occupational Therapy
Trafford Hospitals Therapy Services Information for Patients Ankylosing Spondylitis Physiotherapy and Occupational Therapy The primary aim of our service at Trafford General Hospital is to help you to
More informationEastman Dental Hospital. About Face Pain management programme. Facial Pain Team
Eastman Dental Hospital About Face Pain management programme Facial Pain Team If you would like this document in another language or format or if you require the services of an interpreter contact us on
More informationAcute Lower Back Pain. Physiotherapy department
Acute Lower Back Pain Physiotherapy department Back pain is a common condition and in the UK it affects 7 out of 10 people at some point in their lives. Back pain can be very uncomfortable but it is not
More informationAssistant Professor. Dr.Khudair Al-bedri Consultant Rheumatology & Internal Medicine.
Assistant Professor Dr.Khudair Al-bedri Consultant Rheumatology & Internal Medicine. Fibromyalgia Fibromyalgia is a syndrome of chronic pain and the presence of hyperalgesic points at specific anatomical
More informationInfosheet. Peripheral neuropathy. What is peripheral neuropathy? The peripheral nervous system
Infosheet Peripheral neuropathy What is peripheral neuropathy? Peripheral neuropathy is the term used to describe damage to the nerves that make up the peripheral nervous system. In myeloma the nerves
More informationPeripheral neuropathy
Peripheral neuropathy This Infosheet explains what the peripheral nervous system is, what peripheral neuropathy is, what causes it in AL amyloidosis patients, its symptoms and treatments and tips for self-management.
More informationDisability. Fibromyalgia. An advice guide for Usdaw reps
Disability Fibromyalgia An advice guide for Usdaw reps What is fibromyalgia? Fibromyalgia is a long-term health condition where people experience chronic, widespread pain all over their body. The pain
More informationThis information leaflet has been produced by Senior Physiotherapists working at Queen Victoria Hospital NHS Foundation Trust.
Hip Osteoarthritis This information leaflet has been produced by Senior Physiotherapists working at Queen Victoria Hospital NHS Foundation Trust. Osteoarthritis (OA) is a painful inflammatory condition
More informationTreating the symptoms of kidney failure
Treating the symptoms of kidney failure Information for patients, relatives and carers Renal Department The York Hospital and Scarborough Hospital Tel: 01904 725370 For more information, please contact:
More informationPatient Controlled Analgesia (Adult) Patient information Leaflet
Patient Controlled Analgesia (Adult) Patient information Leaflet February 2018 Introduction Analgesia means painlessness or no pain. Unfortunately with the drugs and medicines that are currently available,
More informationNHS Greater Glasgow And Clyde Pain Management Service. Information for Adult Patients who are Prescribed. Pregabalin. For the Treatment of Pain
NHS Greater Glasgow And Clyde Pain Management Service Information for Adult Patients who are Prescribed Pregabalin For the Treatment of Pain This information is not intended to replace your doctor s advice.
More informationBuprenorphine Patch (Transtec Patch)
NHS Greater Glasgow And Clyde Pain Management Service Information for Adult Patients who are Prescribed Buprenorphine Patch (Transtec Patch) For the Treatment of Pain Contents Page What is a transtec patch?...
More informationChronic Obstructive Pulmonary Disease
Page 1 of 5 Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease (COPD) is an 'umbrella' term for people with chronic bronchitis, emphysema, or both. With COPD the airflow to the
More informationGabapentin and pregabalin
Pain CONCERN Medicines for long-term pain Gabapentin and pregabalin This leaflet is about gabapentin and pregabalin, two drugs which are part of a group sometimes called gabapentinoids. The leaflet will
More informationRheumatoid Arthritis
Rheumatoid Arthritis Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating forms of arthritis.
More informationThere are different types of depression. This information is about major depression. It's also called clinical depression.
Patient information from the BMJ Group Depression in adults Depression is not the same as feeling a bit low. Depression is an illness that can affect how you feel and behave for weeks or months at a time.
More informationHeadaches, 37, 42 Hypnotherapy, 101t, 106 Hypothalamic-pituitary-adrenal (HPA) axis, 59, 61, 63, 64, 65
INDEX Note: page numbers in italic typeface indicate figures. Page numbers followed by a t indicate tables. Abbreviations are for terms listed on pages 135-137. Acetaminophen/tramadol in fibromyalgia,
More informationHISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM
1 UT Health Austin Comprehensive Pain Management New Patient Questionnaire Thank you for scheduling a visit with the Comprehensive Pain Management Care Team. The responses you provide to these questions
More informationSPINE CARE. A helpful guide with exercises and expert tips
SPINE CARE A helpful guide with exercises and expert tips Summit Orthopedics provides comprehensive bone, joint, and muscle care to the Twin Cities and Greater Minnesota. SPINE ANATOMY The vertebrae of
More informationSlow Release Opioids. Morphine (Zomorph/MST) Oxycodone (Longtec, Oxycontin) Tapentadol (Palexia) For the Treatment of Pain
NHS Greater Glasgow And Clyde Pain Management Service Information for Adult Patients who are Prescribed Slow Release Opioids Morphine (Zomorph/MST) Oxycodone (Longtec, Oxycontin) Tapentadol (Palexia) For
More information4. A consensus definition of CFS/ME has been agreed by international experts for the purposes of research and includes the following:-
DWP MEDICAL GUIDANCE VERSION 10 (May 2007) CHRONIC FATIGUE SYNDROME AND MYALGIC ENCEPHALOMYELITIS/ENCEPHALOPATHY What is it? (Definition) 1. The term chronic fatigue syndrome (CFS) is used to describe
More informationManaging Pain in the Elderly
Managing Pain in the Elderly MILES BELGRADE, MD COMPREHENSIVE PAIN CENTER MINNEAPOLIS VA The Pain Deck is Stacked Against the Elderly Osteoporosis Fractures 1 Zoster & PHN Trigeminal Neuralgia Verne 81-year-old
More informationAttention Deficit Hyperactivity Disorder
Page 1 of 5 Attention Deficit Hyperactivity Disorder ADHD is a common condition that mainly affects behaviour. Children with this condition show persistent restlessness, impulsiveness and/or inattention.
More informationDiastasis of the Rectus Abdominus Muscle (DRAM) Cork University Maternity Hospital
Diastasis of the Rectus Abdominus Muscle (DRAM) Cork University Maternity Hospital What is diastasis of the rectus abdominus muscle? The rectus abdominus muscle sits on top of all the other muscles of
More informationThis talk will cover. Dealing with pain and mind/memory problems
This talk will cover Dealing with pain and mind/memory problems Kerry McKay Lead Haematology Clinical Nurse Specialist Plymouth Hospitals NHS Trust Two complications of myeloma and/or side-effects of its
More informationDoes tramadol cause cramping
Does tramadol cause cramping 12-3-2018 Muscle cramps (also called charley horses) often occur in healthy people, usually in middle-aged and older people but sometimes in younger people. Side Effects. Drug
More informationPain Control After Surgery. Patient Information
Pain Control After Surgery Patient Information What is Pain? Pain is an uncomfortable feeling that tells you something may be wrong in your body. Pain is your body s way of sending a warning to your brain.
More informationLiving Life with Persistent Pain. A guide to improving your quality of life, in spite of pain
Living Life with Persistent Pain A guide to improving your quality of life, in spite of pain Contents What is Persistent Pain? 1 The Science Bit 2 Pain & Stress 3 Coping with Stress 4 The importance of
More informationScoliosis. This leaflet gives you information on scoliosis and what you can do to help manage the symptoms you are experiencing.
Scoliosis This leaflet gives you information on scoliosis and what you can do to help manage the symptoms you are experiencing. What is Scoliosis? The term scoliosis refers to the abnormal twisting and
More informationSource: Exercise in Arthritis
Exercise in Arthritis Regular exercise boosts fitness and helps reverse joint stiffness with RA. Decrease Pain, Increase Energy Exercise more to decrease pain and feel more energetic? Hardly seems possible
More informationPatient information sheet: BuTrans Patch This information should be read in conjunction with the Taking Opioids for pain information leaflet
Page 1 of 6 Patient information sheet: BuTrans Patch This information should be read in conjunction with the Taking Opioids for pain information leaflet What type of drug is it? BuTrans transdermal patches
More informationChronic fatigue syndrome/ myalgic encephalomyelitis (or encephalopathy)
Understanding NICE guidance Information for people who use NHS services Chronic fatigue syndrome/ myalgic encephalomyelitis (or encephalopathy) NICE clinical guidelines advise the NHS on caring for people
More informationPalindromic rheumatism
1 What is palindromic rheumatism? The term palindromic rheumatism (also known as palindromic arthritis ) describes a form of joint pain that comes and goes in cycles or episodes, generally starting in
More informationFran Pulver, MD - PM&R Laurie Bell, PT - Physical Therapy Gregg Weidner, MD - Anesthesia Steven Severyn, MD, MBA, MSS - Anesthesia
Fran Pulver, MD - PM&R Laurie Bell, PT - Physical Therapy Gregg Weidner, MD - Anesthesia Steven Severyn, MD, MBA, MSS - Anesthesia Case Presentation-Fibromyalgia 30 year old female Chief complaint of back
More informationPain Management Questionnaire
In order to make the most of your visit, we require this form to be completed to the best of your ability and sent to the Pain Management Clinic a copy should be shared with your Primary Care Provider
More informationOuch! Managing pain caused by arthritis and related conditions
Ouch! Managing pain caused by arthritis and related conditions MANAGING ARTHRITIS PAIN For people with arthritis, pain management is more complex than just taking aspirin. Arthritis is a chronic disease
More information18 FIBROMYALGIA. What is it? What do people experience?
18 FIBROMYALGIA What is it? Fibromyalgia is a common health problem in which individuals experience chronic, widespread musculoskeletal pain, fatigue, and tenderness. The American College of Rheumatology
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet February 2018 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used
More informationFIBROMYALGIA. Howard L. Feinberg, D.O. F.A.C.O.I., F.A.C.R. OPSC San Diego 2017
FIBROMYALGIA Howard L. Feinberg, D.O. F.A.C.O.I., F.A.C.R. OPSC San Diego 2017 Sir William Osler When a patient with arthritis comes in the front door, I try to go out the back door. FEINBERG S COROLLARY
More informationOpioids for persistent pain: Information for patients. The British Pain Society's
The British Pain Society's Opioids for persistent pain: Information for patients A statement prepared on behalf of the British Pain Society, the Faculty of Pain Medicine of the Royal College of Anaesthetists,the
More informationNew Patient Pain Evaluation
New Patient Pain Evaluation Name: Date: Using the following symbols, mark the areas of the body diagrams which are affected by your pain: \\ = Stabbing * = Electrical X = Aching N = Numbness 0 = Dull S
More informationVibration (i.e., driving a Lack of exercise
What is low back pain? Almost everyone has back pain at one time or another. The pain may be in the center of the back or to one side, or may move down the leg. Besides pain in the back, the symptoms may
More informationHow to treat your injured neck
How to treat your injured neck Exceptional healthcare, personally delivered Your neck is made up of a number of bones bound together by strong discs and ligaments. It is also protected by strong muscles.
More informationA FROZEN SHOULDER YOUR GUIDE TO. An IPRS Guide to provide you with exercises and advice to ease your condition
YOUR GUIDE TO A FROZEN SHOULDER Contents Introduction................................................... 2 What is Frozen Shoulder?........................................ 3 What are the symptoms of Frozen
More informationOsteoarthritis of the ankle
1 What is osteoarthritis of the ankle? The ankle joint is formed between the bones of the back of the foot (the talus and calcanium) and the bones of the lower leg (tibia and fibula). The ankle is made
More informationAL amyloidosis and fatigue
AL amyloidosis and fatigue This Infosheet explains what fatigue is, what causes it in AL amyloidosis, how it is treated and some tips for self-management. What is fatigue? Fatigue is a feeling of near
More informationChronic Low Back Pain
Chronic Low Back Pain This leaflet has been produced by Senior Physiotherapists working at the Queen Victoria Hospital NHS Foundation Trust. It has been designed to give you accurate up-to-date knowledge
More informationManaging Fatigue in Bone Marrow Failure Diseases
Managing Fatigue in Bone Marrow Failure Diseases Lora Thompson, Ph.D. Clinical Psychologist Psychosocial and Palliative Care Program Moffitt Cancer Center Definition of Fatigue a distressing, persistent,
More informationPATIENT HEALTH HISTORY
Southern Oregon Physical Therapy Associates, Inc. 924 S. Riverside Ave. Medford OR 97501 541.773.7678 Fax 541.773.5517 Email: sopta@integra.net website: southernoregonphysicaltherapy.com Health History-1
More informationDeciding what to do about Rheumatoid Arthritis
Shared Decision Making rheumatoid arthritis Next clinical review date March 2018 Deciding what to do about Rheumatoid Arthritis This short decision aid is to help you decide what treatment to have if you
More informationReturning to fitness after birth
Returning to fitness after birth This leaflet is designed for all women, whether you have given birth vaginally or by Caesarean section. During pregnancy your body undergoes many changes to adapt to your
More informationSelf Help Holds For Every Day
Self Help Holds For Every Day Prepared by Astrid Kauffmann Jin Shin Jyutsu Practitioner and Self Help Teacher www.flowsforlife.com When I have a tummy ache I hold one of my thumbs. Within seconds to minutes,
More informationIMPORTANT: PLEASE READ
PART III: CONSUMER INFORMATION Pr BACLOFEN Baclofen Tablets 10 mg and 20 mg This leaflet is part III of a three-part "Product Monograph" published when BACLOFEN was approved for sale in Canada and is designed
More informationHeadache is the most common symptom in patients with Idiopathic Intracranial Hypertension (IIH). Not everybody with IIH gets headache.
Headaches in Idiopathic Intracranial Hypertension Headache is the most common symptom in patients with Idiopathic Intracranial Hypertension (). Not everybody with gets headache. Headaches can be there
More informationDr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac Brant Street, Burlington, Ontario L7R 2J9 (905) Fax (905)
Dr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac. Personal History: Name: Address: City: Province: Postal Code: Birth date: day /month /year Age: Sex: M F Home Phone: Business Phone: Cell Phone: E-mail: Health
More informationBeyond Cancer Moving On
Beyond Cancer Moving On Today, people with cancer have a better chance at living a normal life than ever before in history. In fact, there are more than 10 million survivors people who have, or are living
More informationPeripheral neuropathy
Peripheral neuropathy This Infosheet explains what peripheral neuropathy is, what causes it in myeloma patients, how it is treated and some tips for selfmanagement. What is peripheral neuropathy? Peripheral
More informationPhysiotherapy and arthritis. Therapy Physiotherapy and arthritis. This booklet provides information and answers to your questions about this therapy.
Therapy Physiotherapy and arthritis Physiotherapy and arthritis This booklet provides information and answers to your questions about this therapy. In association with Arthritis Research UK produce and
More informationThe Role of Pregabalin in Fibromyalgia
The Role of Pregabalin in Fibromyalgia Sofia Exarchou Resident at Internal Medicine and Rheumatology at the University Hospital of Skåne, Malmö-Lund Metsovo Greece 2011 History Gowers 1904 Hench 1976 Smythe
More informationPAIN. Headache. enstrual Pain. Low Back Pain. Osteoarthritis. Carpal Tunnel Syndrome. Sprains and Strains. Taking Care of. Pain of
Low Back Pain Sprains and Strains Taking Care of PAIN TIPS FOR UNDERSTANDING, AVOIDING, AND CARING FOR COMMON TYPES OF PAIN Carpal Tunnel Syndrome Pain of Osteoarthritis enstrual Pain Headache BROUGHT
More informationThe best way to deal with back pain
The best way to deal with back pain The best way to deal with back pain Back pain is common and can be very painful but, serious or permanent damage is rare. The Facts Most back pain is not due to any
More informationHow to Exercise with CFS
How to Exercise with CFS To equip people affected by CFS / ME with the skills for self-management towards a better quality of life. Adult CFS / ME Service January 2018 Review January 2019 HOW CAN I EXERCISE
More informationHydrotherapy Pool, Therapies and Treatments
Hydrotherapy Pool, Therapies and Treatments The Pioneering Care Centre invites you to experience our range of clincial and holistic treatments and our hydrotherapy pool Indulge, relax, rejuvenate, reduce
More informationCreated by Support Plus, 2017 Sleep
Created by Support Plus, 2017 Sleep You might want to look at this leaflet with someone you trust like a healthcare worker Sleep Contents Page Sleep Facts Page 3, 4 and 5 Sleep Problems Page 6 Why do people
More informationSleep & Relaxation. Session 1 Understanding Insomnia Sleep improvement techniques Try a new technique
Sleep & Relaxation Sleep & Relaxation Session 1 Understanding Insomnia Sleep improvement techniques Try a new technique Session 2 Dealing with unhelpful thoughts Putting these techniques together for better
More informationMany people with physical
FACTSHEET How to Sleep Better Many people with physical disabilities suffer from sleep disturbances, and sleep tends to become more disrupted as we get older. Not sleeping well can negatively impact your
More informationBACK PAIN. Presentation by Dr Cyril Evbuomwan PPG
BACK PAIN Presentation by Dr Cyril Evbuomwan PPG 12.9.2018 What is back Pain It is a common problem which affects 4 out 5 people at some point. Often caused by simple strain in muscle, tendon or ligaments
More informationExercises and advice following your breast reconstruction surgery
Exercises and advice following your breast reconstruction surgery This leaflet gives information to people who have had breast reconstructive surgery. It contains exercises that your physiotherapist would
More informationSpinal cord compression: what it means and how it can be treated
Spinal cord compression: what it means and how it can be treated Patient Information Oncology Department Author ID: Acute Oncology Nurse Specialist Leaflet Number: CC 036 Version: 2.1 Name of Leaflet:
More informationTips for Pain Management
Tips for Pain Management Going for the 3 Increases: Increase in Health, Increase in Happiness & Increase in Energy Strategies for Success in Health Management By: James J. Messina, Ph.D. What are the medical
More informationIt is most common in people between the age of 40 and 70 years and has been estimated to affect at least one person in 50 every year.
FROZEN SHOULDER The shoulder is designed to have a large amount of movement so that we can use our hands/arms in a wide variety of positions. Some movement occurs between the shoulder blade and chest wall.
More informationaxial spondyloarthritis including ankylosing spondylitis
1 What is spondyloarthritis? Spondyloarthritis is a general term that describes a number of types of inflammatory arthritis which share many articular and extra-articular features. Conditions which fall
More informationMedical treatment and Monitoring in IIH
Medical treatment and Monitoring in IIH Introduction When you have Idiopathic Intracranial Hypertension it is important that your vision, symptoms and medication are monitored on a regular basis. This
More informationGOT CHRONIC PAIN? Exercise and Chronic Disease: Get the Facts. Issue 6-17
GOT CHRONIC PAIN? Issue 617 Exercise and Chronic Disease: Get the Facts NEWSLETTER If you have a chronic condition, you might have questions about exercising. How often can you exercise? Which exercises
More information* CC* PATIENT QUESTIONNAIRE
Pain Center of Michigan *0290341CC* PATIENT QUESTIONNAIRE Patient Name Birthdate Age Home Address City State Zip Home Phone Alternate Phone Referring Physician Primary Care Physician MEDICAL HISTORY Please
More information