Fibromyalgia 1
What is the predominant symptom of fibromyalgia?
Chronic widespread musculoskeletal pain
Fibromyalgia is most common in what gender?
Women
(T/F) FMS pain and oral infection pain are often confused, because they are both localized.
False
T/F: Laboratory tests and radiographs are required to objectively diagnose fibromyalgia
False
Cognitive deficiency in people with FMS; includes short-term memory loss, reduced mental alertness, and decreased ability to multitask.
Fibro fog
Prevalence is higher at ages ____
30 -50 years old
All are medications for managing fibromyalgia except:
Trazadone
fluoxetine
fentanyl
gabapentin
Fentanyl
(T/F) For most fibromyalgia patients, early appointments are best.
False
For many FMS patients, pain and stiffness is more severe the morning; therefore, a late morning or early afternoon appointment may work best
Name 2 sleep disturbances associated with Fibromyalgia
Nonrestorative sleep
Insomnia
Poor sleep quality
Successful management requires thorough analysis of biopsychosocial issues; list 3 biopsychosocial issues:
fatigue
sleep
pain
diet
stress factors
List 3 factors that can exacerbate pain:
physical or emotional stress
non-restorative sleep
strenuous activity
changes in weather
Name 4 oral manifestations of fibromyalgia
TMD-like factors
Orofacial pain
Xerostomia
Glossodynia
Dysguesia
Dysphagia
Bruxism
Crepitus
Adjacent muscle splinting and spasms
Exaggerated or prolonged response to stimuli
Hyperalgesia
Perception of pain to non-painful stimulus
Allodynia
List 4 signs and symptoms of Fibromyalgia
Body aches
Chronic facial muscle pain or aching
Fatigue
Numbness and tingling
Multiple tender areas (muscle and joint pain).
Anxiety, depression
Memory and cognitive difficulties - “fibro fog”
Irritable bowel syndrome
Palpitations
Reduced exercise tolerance
sleep disturbances
Tension or migraine headaches
Hyperalgesia
Dysesthesia
Allodynia
The 1990 American College of Rheumatology classification criteria for FMS included:
The patient must have chronic (present for >3 months), widespread pain in all four quadrats of the body, and 11 of the 18 points must be painful.
List 3 comorbidities of fibromyalgia
Anxiety
Chronic fatigue syndrome
Interstitial cystitis
Irritable bowel syndrome
Myofascial pain syndrome
Reynaud's phenomenon
Restless leg syndrome
Sjogren's syndrome
TMD
Unpleasant, abnormal sense of touch
Dysesthesia
Name 1 stimulus that a fibromyalgia patient might be sensitive to in the dental clinic, and explain how you would you accommodate?
Noise
Light
Touch
Temperature
List 2 dental treatment considerations for a patient with Fibromyalgia
Ensure comfortable chair position.
Use support as needed (pillows, towels)
Consider shorter appointments
Breaks as needed
Stress reduction
TMD-like features
Be mindful that patients are often hypersensitive to stimuli
Patient education