Patho
cause unknown associated w/ atypical processing of
painful stimuli in CNS - hyperalgia (pain from normal painful
stimuli) & allodynia (pain experienced from non-painful
stimuli)
Sx
widespread burning pain fatigue sleep
disturbance cognitive effects migraines
depression / anxiety stiffness paresthesia
worsens & improves throughout day hard to tell if pain
is in muscles or soft tissues can accompany TMJ
dysfunction
Dx
ANA titer muscle biopsy lab test not Dx but
used to rule out other causes (CBC, CMP, ESR, CRP, thyroid panel,
ferritin, Vit B12, Vit D)
Complications
restless leg syndrome IBS dysphagia
inc. urination frequency & urgency women -
difficult menstruation
Tx
chronic pain: pregabalin, duloxetine, milnacipin
low-dose tricyclic antidepressant SSRIs
benzodiazepines muscle relaxants: cyclobenzaprine
non-opioid analgesics: acetaminophen, NSAIDS, tramadol
zolpidem (for insomnia)
Non-Pharm Tx
aerobic exercise herbal supplements water
therapy yoga / tai chi massage
acupuncture chiropractic Tx improved
nutrition cognitive behavior therapy sleep
training
Common
Herbal Supplements
St. Johns Wort Siberian ginseng
melatonin magnesium Sam-E
Nurse's Role
assist pt. in restoring physical, psychological, & social
fx teaching: diet, meds, sleep mod, exercise, &
support