Fibromyalgia is a pain disorder characterized by chronic widespread musculoskeletal pain. It’s different from other pain disorders in that the symptoms are not restricted to pain; they are accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations caused by a stimulus which normally doesn’t provoke pain. This phenomenon is called allodynia and is common amongst Fibromyalgia patients.
Women are more likely to develop fibromyalgia than men. Fibromyalgia affects 3.4% of women and 0.5% of men in the United States. Patients who have fibromyalgia also commonly have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.
The pain associated with Fibromyalgia is often described as a constant dull ache, typically arising from muscles. To be considered widespread, the pain must occur on both sides of the patient’s body and above and below your waist. Patient suffering from fibromyalgia suffer also from fatigue, sleep, memory and mood issues.
There are many approaches to treating fibromyalgia and every treatment is customized to better fit every patient and their symptoms.
Karen Mullins was diagnosed with Fibromyalgia after a car accident left her in severe chronic pain. Karen was one of the first patients in Dr. Hanna’s clinical study for Fibromyalgia pain utilizing IV Ketamine Infusion Therapy. Her results are extremely positive and she now has a much better quality of life.
Well, Doctors and researchers still don’t know what causes Fibromyalgia. However, symptoms sometimes begin after trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no triggering event.
Other theories include:
Who is more likely to develop Fibromyalgia?
People with an underlying malignancy
People with endocrine diseases such as diabetes or hyperthyroidism
People with hyper mobility syndromes
People with autoimmune diseases such as lupus
People with neurological diseases such as multiple sclerosis
Screening and Diagnosis:
|Fibromyalgia was once diagnosed based on the tender points previously mentioned. A person who complained of 11 out of the 18 tender points was thought to qualify for the diagnosis.|
After further studying Fibromyalgia, researchers decided that a patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met:
1) Widespread Pain Index (WPI) ≥ 7 & Symptom Severity (SS) scale score ≥5
OR WPI of 3-6 and SS scale score of ≥9.
|Widespread Pain Index (WPI)||Symptom Severity (SS) scale|
|Note the number areas in which the patient has had pain over the last week. In how many areas has the patient had pain? Score will be between 0 and 19.
||Fatigue Waking unrefreshed Cognitive symptoms For the each of the 3 symptoms above, indicate the level of severity over the past week using the following scale:
Considering somatic symptoms in general, indicate whether the patient has:
2) Widespread pain must be present for at least 3 months
3) The patient doesn’t have a disorder that would otherwise explain the pain.
We provide a comprehensive in-office patient assessment for the diagnosis of fibromyalgia. This is a sample of the questionnaire and criteria survey. (links of the pdf files to be added here)
Fatigue and sleep disturbances
People with fibromyalgia often complain of feeling unrested, despite getting adequate sleep. Sleep is frequently interrupted by pain, and other sleep disorders, such as restless legs syndrome (RLS) and sleep apnea.
Many people who have fibromyalgia also commonly have:
Headaches (Tension & Migraine)
Irritable bowel syndrome (IBS)
Restless Leg Syndrome (RLS)