Abstract
Introduction: Fibromyalgia syndrome (FMS) can be defined as a chronic musculoskeletal disease with widespread pain and tender points on specific anatomical regions. FMS affects quality of life and causes severe chronic pain, depressed mood and possible muscle weakness. In this study we aimed to investigate the possible relationship between clinical findings, hand grip strength and quality of life in patients with FMS.
Material and methods: Fifty consecutive women who fulfilled the 1990 American College of Rheumatology criterial for FMS were included in this study and compared with 40 age and BMI matched female healthy controls. Pain assessment was performed visual pain scales (VPS) and functional pain scale (FPS). Saehan hydraulic hand grip dynamometer was used for assessing patient and control groups hand grip strength. Beck Depression Inventory was used for evaluating patient and control groups’ mental status. For patients’ functional assessment were used Fibromyalgia Impact Scale. Short form 36 (SF-36) were investigated for quality of life of patients and the control group. It has a high reliability and validity for FMS patients.
Results: In FMS patients, the mean number of tender points was 15.0±1.79 (range, 12-18), the mean
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Also many studies have shown that patients with FMS have impaired physical performance and mental health compared with other painful disease (19,20). We have found significantly less physical functioning and mental health SF-36 scores in FMS group. This reduction should be secondary to deterioration of physical condition or reduction to physical performance. Low maximum voluntary muscle strength in patients with FMS are not diagnostic. It can be seen together myofascial pain syndrome, rheumatoid arthritis and other rheumatic
2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
Activities at home and work worsen the pain. Numbness, tingling, and burning sensation are reported with increased pain throughout the week. The patient is requesting medication refills and reports limitations with gripping, grasping, pushing, pulling, and lifting 10 pounds. Activities of daily living are limited due to pain, as
The pain that patients report is out of proportion to the severity of the injury. The pain gets worse, rather than better, over time. Eventually the joints become
This article presents a case report about a 31 year old male patient, a teacher at a university, who started experiencing mid back pain after weightlifting one day.3 About 3 hours after weightlifting, the patient began to feel sharp back pain, at levels T4-T8. His pain began to worsen that night causing muscle spasms of his paraspinal muscles, with intermittent radiating pain to his lateral thorax and chest.3 This patient had been diagnosed with thoracic facet injuries in the past, and just assumed it was that.3 However, after the pain did not subside the patient went to his physician who claimed the patient was just having muscle spasms and needed myofascial release.3 However, a radiograph was also done that revealed end plate degenerative changes at T7-T8.3 The patients clinical evaluation revealed muscle spasms of the paraspinal muscles between T3-T12, tenderness to palpate between T6-T8, full shoulder ROM, 5/5 shoulder muscle strength, and normal distal pulses and sensations.3 The patient was diagnosed with thoracic pain and muscle spasms and was give muscle relaxants and exercises for myofascial release.3 Three days after the physician visit, the patient decided to do some walking, to work on his cardio, and experienced mild shortness of
First, I am going to introduce my Pt (patient) to you. Her name is Wendy Couch and she is my mother. Her D.O.B. (date of birth) is January 12, 1980, which would make her 37 years old today. Wendy was diagnosed with a chronic disorder called fibromyalgia when she was 20 years old. It took the doctor 5 years to diagnose her with this disorder because they said she was too young to be diagnosed with fibromyalgia.
Discussion Post Week Eleven NURS6551, N-6 As an advanced practice nurse (APN), one will evaluate many patients with musculoskeletal and endocrine conditions. Therefore, the clinician must be aware of subtle differences that occur in various diseases to ensure proper diagnosis and treatment. For the purpose of this week’s discussion, I will choose a case study and explain the likely diagnosis along with the differentials.
Obviously, there is a significant amount of psychological overlay in these patients. Patient has dynamic instability. He has radiculopathy. He has failed conservative treatment. He has attempted to lose weight and warrants a straightforward surgical
Fibromyalgia is a condition that affects five million Americans over the age of eighteen. It is a condition that affects women primarily, but men can also develop this disease. The disease is characterized by extreme fatigue, tenderness, and soreness throughout the whole body. Accompanying symptoms include depression and anxiety, which are the most crippling side effects of fibromyalgia. My mother developed fibromyalgia at the age of 37, which is a common age in which symptoms first appear.
In this crosspost, the author will elaborate on the original threaded discussion by Ellerbee Mburu, Vail, and Barlow and add additional information on pain assessment and management. Healthcare providers are the major group of healthcare professional who perform crucial functions in delivering and providing nursing care to inpatient and outpatients. As mentioned in the threaded discussion by Ellerbee, Mburu, Vail, and Barlow, undertreated pain causes unnecessary distress and negatively affects the quality of life. In additional to the original threaded discussion, pain is a factor that is thought of differently by many. It has been added as the fifth vital sign and is considered to be subjective.
This was tested on normal volunteers, chronic pain patients, or any group that was asked to produce a submaximal or malingered effort or a malingered test profile. Out of the 328 references, only 68 were related to one of the topics above and to pain. The references were then reviewed and sorted into 12 topic areas. Each topic was then rated for scientific quality by the Agency for Health Care Policy and Research (AHCPR). It was rated for evidence presented in the reviewed study.
The researchers conducted this study with their sample population being 20 adults, aged 30 +- 8 years. Their control group that they compared their findings to were adults that did not have a FAS diagnosis but were comparative in gender and age. Findings like depression, anxiety and addictions were measured by using well-established index’s or inventory scales. Questions were asked in an interview type setting and participants were also asked to fill out Beck’s Depression Index (BDI) as well as an anxiety scale index. (Rangmar, Sandberg, Arsonson and Fahlke, 2017).
A big improvement in a patients daily life would be to incorporate exercise their daily routine. “Fibromyalgia for Dummies” recommends slow exercising because fibromyalgia patients may become overtired quickly if they exercise at a “normal” persons exercise rate. A rheumatologist is usually the doctor to diagnose fibromyalgia. A rheumatologist is an internist meaning that they specialize in diseases of the
Psychological Assessment and Management of Chronic pain Evaluating a chronic pain condition from a biological perspective is limiting, and often fails to fully explain the patient’s symptoms. In contrast to the biomedical model, which explains pain purely in terms of pathophysiology, the biopsychosocial model views pain, suffering and disability, as the result of dynamic interactions among biological, psychological, behavioral, social, cultural and environmental factors. Consequently, assessment requires not only the examination of the biological dimension, but of the psychological and social dimensions as well. A patient’s experience of pain and response to any treatment for pain are affected not only by biologically determined nociceptive (nervous system transmission) processes, but also by psychological factors such as mood (for example, depression, anxiety) and appraisals (thoughts and beliefs about the pain), as well as by psychosocial factors such as the responses of others (for example, family, friends,
In the same diagnostic system, the term “somatic symptoms” has unrelated different connotations. During discussions of the ICD-11 working group, the term somatoform was considered stigmatizing and poorly understood by the persons suffering from that condition. The term bodily distress in that way is better than DSM-5 somatic symptom disorders because this terminology improves the communication not only between physicians but also between the physician and patient. Psychiatrists in the WPA-WHO global survey considered communication the most important purpose of diagnostic classifications. Additionally, the survey also showed that somatoform disorders had a low ease of use or goodness of fit in day-to-day clinical practice.[29]
After months of medical tests, I was diagnosed with fibromyalgia the summer right before my first semester of school. I was fit and in the best health I had ever been in a long time but was hit with bouts of enormous pain and fatigue. Fibromyalgia is a musculoskeletal syndrome with symptoms of chronic muscle and nerve pain, enormous amounts of fatigue, sleep and digestive problems, as well as “brain fog.” At the time the diagnoses did not make sense to me and I could not fathom the Doctor 's words of this staying with me for life.