Fibromyalgia

Etiology

  • Central pain problem

Risk Factors

  • Female>male

Symptoms

  • Can wax/wane
  • Chronic pain that's diffuse, multi-site, migratory
  • Often paresthesias/neuropathic quality
  • Can be provoked by light contact (e.g. clothing)
  • Related sx can include ha, depression, dysmennhorea, fatigue, TMJ, IBS, neck and back pain
  • Can occur concomitant w/RA, OA, other inflammatory d/o
  • Patient self report multi-site pain (can use body chart, WPI) can be useful

Physical Exam Findings

  • No structural abnormality or inflammation to explain sx
  • Sometimes diffuse tenderness on palpation, even w/light pressure

Links