Condition Info - BotMed Application

ConditionName

Fibromyalgia

ConditionDescription

Symptoms

Chronic musculoskeletal pain (neck, hips, shoulder, back);
Stiffness, numbness;
Fatigue;
Trigger points;
Sleep disturbances;
Headache;
Mood disturbances;

PhysicalFindings

Diagnosis of exclusion
Palpation of tender points will produce pain; normal physical examination

ClinicalTests

None

RiskFactors

Female 20-50y/o; 
History of depression, sleep disturbance; 
Chronic fatigue; general muscle and joint aches (chronic; noninflammatory; symmetrical);

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

Walking, meditation, stress reduction, sleep hygiene;

PharmOptions

Best initial therapy: Amitriptyline;
Pregabalin;
Trigger points injections with local anesthetics;

No steroids!!! 

Analgesics;

WebLink

https://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/bursa-muscle-and-tendon-disorders/fibromyalgia