Fibromyalgia

Fibromyalgia 1

100

What is the predominant symptom of fibromyalgia? 

Chronic widespread musculoskeletal pain

200

Cognitive deficiency in people with FMS; includes short-term memory loss, reduced mental alertness, and decreased ability to multitask.

Fibro fog

300

Name 2 sleep disturbances associated with Fibromyalgia

Nonrestorative sleep

Insomnia

Poor sleep quality

400

Exaggerated or prolonged response to stimuli

Hyperalgesia

500

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

Fibromyalgia 2

100

Fibromyalgia is most common in what gender? 

Women

200

Prevalence is higher at ages ____

30 -50 years old

300

Successful management requires thorough analysis of biopsychosocial issues; list 3 biopsychosocial issues:

fatigue

sleep 

pain

diet

stress factors

400

Perception of pain to non-painful stimulus

Allodynia

500

Unpleasant, abnormal sense of touch

Dysesthesia

Fibromyalgia 3

100

(T/F) FMS pain and oral infection pain are often confused, because they are both localized.

False

200

All are medications for managing fibromyalgia except:

Trazadone

fluoxetine

fentanyl

gabapentin 

Fentanyl

300

List 3 factors that can exacerbate pain:

physical or emotional stress

non-restorative sleep

strenuous activity

changes in weather

400

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

500

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

Fibromyalgia 4

100

T/F: Laboratory tests and radiographs are required to objectively diagnose fibromyalgia

False

200

(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

300

Name 4 oral manifestations of fibromyalgia

TMD-like factors

Orofacial pain

Xerostomia

Glossodynia

Dysguesia

Dysphagia

Bruxism

Crepitus

Adjacent muscle splinting and spasms

400

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. 

500

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