fibromyalgia differential diagnosis workup

Fillingim RB, Maixner W. Gender differences in the responses to noxious stimuli. Rowbotham MC, Morris-Park E, Schmerz. J Clin Rheumatol. [Medline]. AIDP is the leading cause of acute flaccid paralysis in developed countries, with an annual incidence of 0.6 to 2.7 per 100,000 persons. Effect of gamma-hydroxybutyrate on pain, fatigue, and the alpha sleep anomaly in patients with fibromyalgia. Headaches, including migraine type, also are common. Cohen P, Rossy LA, This biologic marker may provide conclusive evidence for a subgroup of people with fibromyalgia. [Medline]. Genome-wide analysis of single nucleotide polymorphisms and copy number variants in fibromyalgia suggest a role for the central nervous system. Rowbotham MC, Arch Intern Med. J Rheumatol. Effects of non-pharmacological interventions on inflammatory biomarker expression in patients with fibromyalgia: a systematic review. A history of trauma, childhood abuse, anxiety, depression, or sleep disorder is useful for a comprehensive evaluation because there is evidence that fibromyalgia may be triggered by emotional stress, medical illness, surgery, or trauma. 2018 Sep 14. 17:272. Jackson JL, [Multimodal therapy of fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles]. Ezzo J. Br Med J. Jones KD, Adams D, Winters-Stone K, Burckhardt CS. All rights Reserved. Clin Rheumatol. Widespread pain index (WPI) ≥ 7 and symptom severity (SS) scale score ≥ 5 or WPI 3‐6 and SS scale score ≥ 9 2. et al. Arthritis Care Res (Hoboken). Nabilone for the treatment of pain in fibromyalgia. 2008 Jan. 50(1):13-24. Rudy TE. Fibromyalgia syndrome is a clinical diagnosis, and diagnostic workup should begin with a careful history. 2018 Aug. 24 (5):255-258. Meiworm L, [Medline]. For information about the SORT evidence rating system, see page 176 or https://www.aafp.org/afpsort.xml. Chronic dizziness can be challenging for both patients and physicians, as a variety of specialists may be consulted and tests ordered before a diagnosis is established. Primary occurs 6-21 days after initial exposure. Shir Y, Pereira JX, Fitzcharles MA. Hoffman DL, Dukes EM. J Rheumatol. Available at http://www.medscape.com/viewarticle/821275. Diagnostic guidelines from the American College of Rheumatology now include widespread pain throughout your body for at least three months. Underrecognition and misdiagnosis. Venlafaxine treatment of fibromyalgia. Found inside – Page 412FIBROMYALGIA. Michael. P. Wilson. BASICS. DESCRIPTION r Nonarticular, noninflammatory form of muscular and joint pain ... (consider vulvodynia) Physical Exam Exam findings usually limited ESSENTIAL WORKUP r History is key to diagnosis ... A standardized manual tender point survey. Sarzi-Puttini P, Buskila D, Carrabba M, et al. Fibromyalgia relapse evaluation and efficacy for durability of meaningful relief (FREEDOM): a 6-month, double-blind, placebo-controlled trial with pregabalin. Ciappuccini R, Ansemant T, Maillefert JF, Tavernier C, Ornetti P. Aspartame-induced fibromyalgia, an unusual but curable cause of chronic pain. J Occup Environ Med. Fibromyalgia is not a diagnosis of exclusion and should be identified by its own characteristics. Morris-Park E, Fibromyalgia clusters in families, suggesting a genetic predisposition. Nosratzadeh B, Clin Rev Allergy Immunol. Kelly J. Teenagers With Fibromyalgia Unlikely to 'Outgrow' the Pain. Complementary and alternative therapies for pain and stress management aren't new. Appleton BE. Hyposerotonergic™ state or condition occurs when serotonin concentrations are … 2008 Feb. 9(2):99-104. Exercise for treating fibromyalgia syndrome. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). 329838-overview A randomized, double-blind, placebo-controlled trial of duloxetine in the treatment of women with fibromyalgia with or without major depressive disorder. [Medline]. Increased rates of fibromyalgia following cervical spine injury. Found inside – Page 53In conclusion , it is incumbent upon primary care physicians who evaluate patients with widespread chronic pain ( even if they carry a diagnosis of fibromyalgia ) to do a thorough workup to determine the underlying cause of the ... Buskila D, Sarzi-Puttini P. Biology and therapy of fibromyalgia. 1998;315:367–76. Burckhardt CS. Callahan LF, Freburger JK, Mielenz TJ, Wiley-Exley EK. The Manual Tender Point Survey describes the pressure application technique and the precise identification of survey sites.12. J Clin Rheumatol. Found inside – Page 327I DIFFERENTIAL DIAGNOSIS • Myofascial pain syndrome • Chronic fatigue syndrome • Depression • Thyroid disease ... I SYNONYMS • Juvenile primary fibromyalgia • Fibrositis • Fibromyositis DIAGNOSTIC WORKUP • Laboratory studies are normal ... Glass JM, Williams DA, Fernandez-Sanchez ML, Kairys A, Barjola P, Heitzeg MM, et al. Glenn TM. [Medline]. Expert Opin Pharmacother. Bombardier C. 347(9010):1207-11. Moldofsky H. The significance, assessment, and management of nonrestorative sleep in fibromyalgia syndrome. Santoro J, 14(3):143-7. [Medline]. A recent study has shown that pregabalin (Lyrica) (a second-generation anticonvulsant that is used for neuropathic pain, postherpetic neuralgia, and epilepsy) has been effective at a dosage of 450 mg per day in relieving pain, decreasing fatigue, and improving sleep.32 Side effects include dizziness, increased sleepiness, weight gain, and peripheral edema. 2019 May 28. Hebert L. Interested in AAFP membership? Brain glial activation in fibromyalgia - A multi-site positron emission tomography investigation. Clin Exp Rheumatol. Sayar K, Depression in medical outpatients. Arthritis Rheum. 2005 Oct. 32(10):1975-85. Patients with high tender point counts are more likely to report adverse childhood experiences like loss of a parent or abuse.9 Although physical trauma, especially cervical spinal injury, is associated with onset of fibromyalgia symptoms, further studies are needed to determine whether it has a causal role in the development of fibromyalgia.10,11 A family history of fibromyalgia or presence of any of the comorbid conditions increases the likelihood of a diagnosis of fibromyalgia. J Clin Neuromuscul Dis. Goldenberg DL. J Rheumatol. [Medline]. 2007 Oct. 16(8):1145-56. 2006 Jun. Arthritis Rheum. 52(5):1577-84. [Medline]. The evidence for acupuncture as a treatment for rheumatologic conditions. Found inside – Page 229She states she has previous diagnosis of fibromyalgia, including accompanying daily headaches and leg pain. ... Differential Diagnosis: In order of likelihood (with 1 being the most likely), list up to 5 potential or pos- Diagnostic ... Arthritis Rheum. Ruthazer R, J Clin Neurosci. 1975 Jul-Aug. 37(4):341-51. Patients often complain of low back pain, which may radiate into the buttocks and legs. Lumbago: Its lessons and analogues. [Medline]. Starz TW, [Medline]. Schmerz. Sim J, The differential diagnosis of fibromyalgia includes myofascial pain syndrome, chronic fatigue syndrome, and hypothyroidism. Neuroendocrine aspects of fibromyalgia. Unusually excessive exertion, trauma, and viral infections are among the most common causes. Witty TE, The most widely used criteria for diagnosis are: you either have severe pain in 3 to 6 different areas of your body, or you have milder pain in 7 or more different areas. Balfour W. J Lond Med Phys. Arnold LM. Lu Y, Mease PJ, Rheum Dis Clin North Am. [Guideline] Sommer C, Alten R, Bär KJ, Bernateck M, Brückle W, Friedel E, et al. Treatment strategy in fibromyalgia syndrome: where are we now?. [Full Text]. The prevalence and characteristics of fibromyalgia in the general population. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. She is the program director of the Occupational Medicine Residency at Meharry Medical College.... ROGER ZOOROB, MD, MPH, is a professor and chair of Family and Community Medicine at Meharry Medical College and professor and director of the Family Medicine Program at Vanderbilt University, Nashville, Tenn. 42. An important portion of the physical examination for a diagnosis of fibromyalgia is to systematically palpate the 18 sites.2 A moderate and consistent degree of pressure should be used in digital palpation (using the thumb of the dominant hand) of these tender points. et al. National Institute of Arthritis and Musculoskeletal and Skin Diseases; Aug 2004. Contact 2008 Feb. 9(2):164-73. However, a high ESR may be indicative of an inflammatory disorder or occult malignancy that should be thoroughly evaluated. [Medline]. Consider screening with a serum transferrin saturation and a serum ferritin concentration in patients aged 40-60 years, especially those with small-joint arthropathy in the hands and/or calcium pyrophosphate dihydrate deposition disease (CPPD). Sjögren’s can be challenging to recognize or diagnose because symptoms of Sjögren’s may mimic those of menopause, drug side effects, or medical conditions such as lupus, rheumatoid arthritis, fibromyalgia, chronic fatigue syndrome, and multiple sclerosis and thus makes receiving a prompt diagnosis difficult. Rao SG. Jakob E, Make a donation. Schachter CL, Complementary and Alternative Therapy. 36 (5):663-72. Alkalay D, Pain and arthritis. 23. Mohabbat AB (expert opinion). Clinically, patients exhibit varied combinations of features common to other systemic autoimmune rheumatic diseases (SARDs) such as systemic lupus erythematosus (SLE), polymyositis, dermatomyositis, systemic sclerosis (SSc) (sclerod Buskila D, Neumann L, Vaisberg G, Alkalay D, Wolfe F. Increased rates of fibromyalgia following cervical spine injury. Development and determination of a threshold point for the identification of positive tender points in fibromyalgia syndrome. Many of the known common causes will not be discussed in detail but are included in table 2. Ying YW. Aksu G, The prevalences of the following causes were found to be: anemia (2.8%); malignancy (0.6%); serious somatic disease (4.3%); depression (18.5%). 2004 Mar. Semin Arthritis Rheum. Medical skepticism and the use of complementary and alternative health care providers by patients followed by rheumatologists. Russell IJ, Newer serotonin-norepinephrine reuptake inhibitors like duloxetine (Cymbalta) and milnacipran (not available in the United States) have shown some promise in improving symptoms of fibromyalgia. Benjamin S, [Medline]. MacReady N. Test Excludes Fibromyalgia in Patients With Rheumatic Disease. Goldman L, et al., eds. Wolfe F, et al. Sinclair JD, [Medline]. 1995. Arnold LM, [Medline]. Thoroughly revised to reflect contemporary diagnostics and treatment, this Third Edition is a comprehensive and practical reference on the assessment and management of acute and chronic pain. Easy Steps to Help You Sleep. 2013 Sep. 40(9):1590-5. J Clin Psychiatry. Van Houdenhove B, Egle UT. Serotonin as the common clue for pathogenesis and therapy. Parker J, Sarchielli P, Di Filippo M, Nardi K, Calabresi P. Sensitization, glutamate, and the link between migraine and fibromyalgia. Globus is a persistent or intermittent non-painful sensation of a lump or foreign body in the throat. Lyme disease is a bacterial infection transmitted through a tick bite. 2006 Aug. 67(8):1219-25. Possible association of fibromyalgia with a polymorphism in the serotonin transporter gene regulatory region. [Medline]. 8:46-9. Wolfe F, Clauw DJ, Fitzcharles MA, et al. [Medline]. Pincus T, Yazici Y, Bergman M. Development of a multi-dimensional health assessment questionnaire (MDHAQ) for the infrastructure of standard clinical care. Accessed Nov. 6, 2019. Pain Forum. Newer guidelines from the American College of Rheumatology don't require a tender point exam. Selective serotonin reuptake inhibitor poisoning: An evidence-based consensus guideline for out-of-hospital management. 2008 Jun. The health status burden of people with fibromyalgia: a review of studies that assessed health status with the SF-36 or the SF-12. Hassett AL. 2001;5:320–9. Stress, the stress response system, and fibromyalgia. Cupping therapy: Can it relieve fibromyalgia pain? Report of the Multicenter Criteria Committee. Treatment of fibromyalgia in adults not responsive to initial therapies. Psychological determinants of fibromyalgia and related syndromes. To see the full article, log in or purchase access. Okifuji A, Merskey H. Classification of chronic pain: Description of chronic pain syndromes and definitions of pain terms. [Medline]. Harefuah. Treating comorbidities in fibromyalgia. Effects of aerobic exercise on pain perception, affect, and level of disability in individuals with fibromyalgia. J Rheumatol. Systemic lupus erythematosus and primary fibromyalgia can be distinguished by testing for cell-bound complement activation products. Mease PJ, [Full Text]. Pregabalin for the treatment of fibromyalgia syndrome: results of a randomized, double-blind, placebo-controlled trial. Broughton RJ, Fleming JA, George CF, et al. Crofford LJ, Sicuteri F. You can also break down the differential diagnosis according to disease … J Rheumatol. Pillemer SR, Bradley LA, Crofford LJ, Moldofsky H, Chrousos GP. Arthritis Rheum. 2004;63:290–6. Report of the Multicenter Criteria Committee. Cedraschi C, Fibromyalgia is a condition characterized by chronic widespread pain together with multiple muscular tender points or associated fatigue, sleep disturbance, cognitive dysfunction in the absence of a well-defined underlying organic disease. There is a 20% increase in the average rate of GBS for every 10-year increase in age beyond the first decade. 2005 May. 17. Ezzo J, Hudson JI, 2008. 2015 Jul. Millea PJ, http://www.niams.nih.gov/Health_Info/Fibromyalgia/default.asp. I. [General treatment principles, coordination of care and patient education in fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles]. Abbey SE, [Medline]. Complementary and alternative therapies for fibromyalgia. However, routine laboratory and imaging studies are important to help rule out diseases with similar manifestations and to assist in diagnosis of certain inflammatory diseases that frequently coexist with fibromyalgia. 2018 Mar 21. Bombardier C, [Full Text]. Tosun M. Pain catastrophizing and neural responses to pain among persons with fibromyalgia. Arthritis Rheum. 4(4):276-86. Chad S Boomershine, MD, PhD, CPI, CPT Assistant Clinical Professor, Department of Medicine, Vanderbilt University School of Medicine; Principal Investigator, Clinical Research Solutions; Medical Director, Boomershine Wellness Centers, Elite Healthcare Alliance, Platinum Medical Group, and Spectrum Pain Clinic Get Permissions, Access the latest issue of American Family Physician. Buckelew SP, Bennett RM, Russell IJ, Perkins AT, Michalek JE. 1997;24:377–83. Available at http://www.sleepsources.org/uploads/sleepsyllabus/. [Full Text]. Cochrane Database Syst Rev. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. Medscape Medical News. [Medline]. Dorr N, 2016. Macfarlane GJ, Crofford LJ, Mease PJ, Simpson SL, et al. Arthritis Rheum. BMC Musculoskelet Disord. The relationship between depression, clinical pain, and experimental pain in a chronic pain cohort. Chronic fatigue and the chronic fatigue syndrome: prevalence in a Pacific Northwest health care system. Patients with RA will have not only widespread body pain and arthralgias but should also have signs of active synovitis on physical exam. possible differential for FM. 39(6):448-53. 2013 May. Fibromyalgia (FM) is a medical condition characterized by chronic widespread pain. Dreyer L, Kendall S, Danneskiold-Samsoe B, Bartels EM, Bliddal H. Mortality in a cohort of Danish patients with fibromyalgia: increased frequency of suicide. Sleep and fibromyalgia. Mayo Clinic Proceedings. Doctors diagnose fibromyalgia based on a person's medical history, symptoms and a physical examination that includes checking for areas of tenderness. However, blood tests can rule out other conditions whose symptoms might mimic those of fibromyalgia, such as an underactive thyroid. Comparing the prevalence of rheumatic diseases in China with the rest of the world. Antipolymer antibodies are present in approximately 50% of patients with fibromyalgia. Symptoms are aggravated by cold and humid weather, poor sleep, and physical or mental stress. Arnold LM, Rosen A, Pritchett YL, D'Souza DN, Goldstein DJ, Iyengar S, et al. Keck PE Jr. This can be done using lectures, written materials, group discussions, and demonstrations.22 A self-help course specific to fibromyalgia is available through the Arthritis Foundation. Long-term evaluation of opioid treatment in fibromyalgia. Pain. Examples include: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Previous: Common Problems in Endurance Athletes, Next: Home Monitoring of Glucose and Blood Pressure, Home Fast Five Quiz: How Much Do You Know About Fibromyalgia? Logan AC. Rosenthal N. Relevant social, personal, and family history is helpful in establishing the diagnosis of fibromyalgia. Fibromyalgia and headache: an epidemiological study supporting migraine as part of the fibromyalgia syndrome. Docampo E, Escaramís G, Gratacòs M, Villatoro S, Puig A, Kogevinas M, et al. [Medline]. [Medline]. Häuser W, Bernardy K, Uçeyler N, Sommer C. Treatment of fibromyalgia syndrome with antidepressants: a meta-analysis. Yunus MB. 1999;94:3541–6. The association between tender points, psychological distress, and adverse childhood experiences: a community-based study. Found inside – Page 526... 498 499 definition , 498 laboratory tests , 499 signs of , 498-499 Muscle overuse syndrome , 482 Myalgia , 482-485 algorithm for workup on , 484 definition , 482 differential diagnosis , 482-483 etiology , 482 , 483t fibromyalgia ... 2000. Thayer JF, [Medline]. Pain. 10:64. [Medline]. Mayo Clinic is a not-for-profit organization. Prevalence of fibromyalgia: a survey in five European countries. Smythe HA, Arthritis Rheum. Your keys to excellence in your orthopaedic challenges… · Broad scope covers the full range musculoskeletal conditions, from the commonly encountered seen in primary care medicine to the catastrophic seen in the emergency rooms and ... Kroenke K, CBC (complete blood count) – to look for anemia, a … The illness is often controversial; the proposed etiology, preferred method of treatment, and even the nomenclature varies widely from source to source. Results of a recent survey published in the journal Neurology Genetics, on patients with mitochondrial disease, have stated that genetics identify the ‘diagnostic odyssey’ experienced. 66(3):279-83. A thorough history and a complete physical examination are essential. your symptoms have stayed at a similar level for at least 3 months. [Medline]. History of fibromyalgia: past to present. 1998 Oct. 25(10):1986-90. Simpson DA. Oncologic – malignancy Respiratory Allergies Asthma – unrecognized or uncontrolled Cystic fibrosis. BMJ. Besson JM, Chaouch A. [Medline]. 69 Suppl 2:25-9. Pullar T. Differential diagnosis of small fiber neuropathies. This condition affects women 10 times more often than men.3 Fibromyalgia is usually considered a disorder of women 20 to 50 years of age; however, it also has been observed in males, children, adolescents, and older persons. Curr Pain Headache Rep. 2003 Oct. 7(5):342-7. The emphasis is on minimizing symptoms and improving general health. [Medline]. Genetic basis for individual variations in pain perception and the development of a chronic pain condition. 2008 Mar. Miranda J, Myofascial pain syndrome (MPS) is a common musculoskeletal disorder caused by myofascial trigger points. Burckhardt C, Häuser W, Bernardy K, Arnold B, Offenbächer M, Schiltenwolf M. Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials. Seminars in Arthritis and Rheumatism. Pregabalin for the treatment of fibromyalgia syndrome: results of a randomized, double-blind, placebo-controlled trial. 40. Musculosketal symptoms and non-REM sleep disturbance in patients with "fibrositis syndrome" and healthy subjects. Jay Shah, senior staff physiatrist and clinical investigator at NIH, commented: “For many years, clinicians mistakenly applied the tender point count and if positive, diagnosed fibromyalgia and therefore stopped investigating other potential causes via a differential diagnosis. Pain Med. Staud R. Treatment of fibromyalgia and its symptoms. 2008 May. Detke MJ, Differential diagnosis. Pharmacological treatment of fibromyalgia and other chronic musculoskeletal pain. Efficacy and safety of duloxetine for treatment of fibromyalgia in patients with or without major depressive disorder: Results from a 6-month, randomized, double-blind, placebo-controlled, fixed-dose trial. [Medline]. Treatment of fibromyalgia with cyclobenzaprine: A meta-analysis. Other useful sites are the Fibromyalgia Network Web site (http://www.fmnetnews.com) and the American College of Rheumatology site (http://www.rheumatology.org). [Medline]. Arthritis Rheum. 2000;19:253–7. Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression. Thyroid-stimulating hormone: Hypothyroidism shares many clinical features with fibromyalgia, especially diffuse muscle pain and fatigue. Influence of pro-algesic foods on chronic pain conditions. guide for diagnostic workup and therapeutic options Gerhard J Molderings1*, Stefan Brettner2, Jürgen Homann3, ... prevalent and thus should be considered routinely in the differential diagnosis of patients with chronic multisystem ... some subsets of fibromyalgia [20,21] and some subsets of irritable bowel syndrome [22-24]. Pain. Chaitow L. Fibromyalgia and Muscle Pain. Increased rates of fibromyalgia following cervical spine injury. 8:119. Sadreddini S, Molaeefard M, Noshad H, et al. J Musculoskelet Pain. Treating fibromyalgia. Arthritis Care Res. Conway R, Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. 2(July 15, 2007) Silaj A, This book is divided into 4 parts: Part 1 defines fibromyalgia, describes what causes it, and lists the challenges it can pose Part 2 outlines treatment options Part 3 describes strategies for managing fibromyalgia Part 4 outlines steps ... The ACR criteria have two components: (1) widespread pain involving both sides of the body, above and below the waist as well as the axial skeletal system, for at least three months; and (2) presence of 11 tender points among the nine pairs of specified sites (18 points) as shown in Figure 1.2. Pediatr Int. She completed preventive medicine and occupational medicine residencies at Meharry Medical College and is board certified in both occupational medicine and general preventive medicine and public health. Fibromyalgia. [Medline]. Tramadol for the treatment of fibromyalgia. Myalgia is localized, typically to an extremity and the attached truncal musculature. 2006. Found inside – Page 474patients diagnosed as having chronic fatigue also had so forth ) is unlikely to lead to an alternative diagnoa ... of successfully treating fibromyalgia patients with the traditional remedies of medications DIFFERENTIAL DIAGNOSIS OF and ... Metzger R, Perez-Stable EJ, 2013 May. [Medline]. Buchwald D, Umali P, Umali J, Kith P, Pearlman T, Komaroff AL. Smythe HA, Evidence shows that intensive patient education is an effective treatment for fibromyalgia when used in combination with other modalities such as behavioral therapy and exercise.39 Although a significant portion of patient education takes place informally during the physician-patient interaction, the effectiveness of organized educator programs in providing information, facilitating behavior change, and improving symptoms is well documented. Fibrositis (Fibromyalgia) in rheumatoid arthritis. Nicolodi M, Thinking through the Differential Diagnosis Myalgias can be divided into diffuse (systemic) myalgias vs. Tishler M, Levy O, Maslakov I, Bar-Chaim S, Amit-Vazina M. Neck injury and fibromyalgia-- are they really associated?. Pediatr Rheumatol Online J. 2017 Feb. 76 (2):318-328. Neuropharmacology. Goldenberg D, Mayskiy M, Mossey C, Ruthazer R, Schmid C. A randomized, double-blind crossover trial of fluoxetine and amitriptyline in the treatment of fibromyalgia. Peloso PM, 2002;41:450–3. Welge JA, 2000;62:1575–82. 2008 Jun. 2007 Feb. 13(1):52. and family history is helpful in establishing the diagnosis of fibromyalgia. Arnold LM, AskMayoExpert. Tofferi JK, In: Ferri's Clinical Advisor 2020. Stiffness is typically present on arising in the morning; for most patients, stiffness improves as the day progresses. 74(5):384-92. 136(3):432-44. Cuatrecasas G, Riudavets C, Güell MA, Nadal A. Arnold LM, Found inside – Page 32Laboratory Evaluation Laboratory workup is useful when trying to rule out certain conditions that may be part of the differential diagnosis of FM. No specific laboratory finding is correlated with FM. The differential diagnosis includes ... The American College of Rheumatology 1990 Criteria recommended anatomic tender point locations for diagnosis of fibromyalgia. Journal Article, 2003 Okifuji A, Turk DC, Sinclair JD, Starz TW, Marcus DA. Neumann L, 4. [Medline]. Schmid C. Frellick M. Brain Inflammation Seen for First Time in Fibromyalgia. Found inside – Page 428Fibromyalgia DIFFERENTIAL DIAGNOSIS Myofascial syndromes Rheumatoid disease Polymyalgia rheumatica Ankylosing ... syndrome Lyme disease Polymyositis Depression Somatization disorder Hypertrophic osteoarthropathy WORKUP OVERALL STRATEGY ... Patients with suspected CAD should undergo workup consisting of blood work, echocardiography and risk stratification with non-invasive imaging. 2007 Jun. Karim R, This groundbreaking book is must reading for anyone connected with the disease—personally or professionally. 20. Available at http://www.ima.org.il/Ima/FormStorage/ Type7/clinical 68 fibrom.pdf . A meta-analysis of fibromyalgia treatment interventions. Whiplash and fibromyalgia: an ever-widening gap. O'Malley PG, [Medline]. Thieme K, Turk DC, Flor H. Responder criteria for operant and cognitive-behavioral treatment of fibromyalgia syndrome. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. [Medline]. White KP, 57(5):830-6. 1998;11:196–209. 2004 Sep-Oct. 73(5):267-75. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. 2017 Jun 6. Psychosom Med. Crofford LJ, Nearly everyone will experience muscle soreness at some point in their life. Psychometric testing includes the following: In multidisciplinary settings, information obtained from these tests is useful for a more comprehensive assessment. Catechol-O-methyltransferase gene polymorphisms are associated with multiple pain-evoking stimuli. [Guideline] Draheim N, Ebinger F, Schnöbel-Müller E, Wolf B, Häuser W. [Definition, diagnostics and therapy of chronic widespread pain and the (so-called) fibromyalgia syndrome in children and adolescents : Updated guidelines 2017]. [Medline]. Accessed Nov. 6, 2019. 2016; doi:10.1016/j.semarthrit.2016.08.012. 2017 Jun. Found inside – Page 206Diagnostic criteria for fibromyalgia in adults stipulate at least 11 of 18 tender points (see Table ... point with 4 kg of pressure DIAGNOSIS DIFFERENTIAL DIAGNOSIS Somatization disorder WORKUP Laboratory study results are normal, ... J Rheumatol. [Medline]. 35 (6):702-6. Neumann L, 2009 Jan. 60(1):299-309. 25(12):3576-82. Conditions that are characterized by chronic fatigue should initially be ruled out; these include fibromyalgia, hypothyroidism, and Lyme disease. Munguía-Izquierdo D, Legaz-Arrese A. Suppl 3:S217. J Clin Psychiatry. This may lead to a reduction in referrals and unnecessary tests for these patients. Sleep in fibromyalgia patients: subjective and objective findings. 2004;19suppl 1S27–35. Staud R, Robinson ME, Vierck CJ Jr, et al. 2013 Aug. 40 (8):1388-93. Fibromyalgia and related conditions. Family study of fibromyalgia. 2008 Jan. 62(1):115-26. Tramadol and acetaminophen combination tablets in the treatment of fibromyalgia pain: a double-blind, randomized, placebo-controlled study. 8(5):218. Perez-Stable EJ, 1998 Oct. 11(5):397-404. Kashikar-Zuck S, Cunningham N, Sil S, Bromberg MH, Lynch-Jordan AM, Strotman D, et al. A tramadol/acetaminophen (Ultracet) (37.5/325 mg) combination has been shown to be effective for fibromyalgia pain without any serious adverse effects.30 The muscle relaxant cyclobenzaprine (Flexeril) (10 to 30 mg at bedtime), which is structurally similar to tricyclic antidepressants, has been shown to be effective in improving sleep and decreasing pain.31 Nonsteroidal anti-inflammatory drugs have no evidence of effectiveness, although they are commonly used. 69 Suppl 2:30-4. A systematic review and meta-analysis of studies reporting on the differential diagnosis of tiredness in primary care found serious somatic disease was a rare cause. [Medline]. 2013 Apr 9. Fibromyalgia and rheumatoid arthritis (RA) have many shared symptoms, including pain, tenderness, and reduced mobility. Albrecht DS, Forsberg A, Sandström A, Bergan C, Kadetoff D, Protsenko E, et al. Pertinent clinic findings on examination, functional limitations, differential diagnoses, and workup are reviewed.
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