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4 Cards in this Set
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Fibromyalgia- Management
Wide range of Treatment approaches are available For Fibromyalgia. No complete cure yet Pharmacological Management NSAIDS Anagesics Antidepressants Tricyclics (Elavil- amytryptalline) Duloxetine(cymbalta) venlafexine(effexor) prozac paxil Cyclobenzaprine(Flexaril) (muscle relaxants) Antiseizure meds- Gabapenttin ( Neurontin) pregabalin ( Lyrica) Opiods- Tramadol(ultram) Newer Treatments IV GH IV lidocaine SaM-E - No corticosteroids help in FM |
Non Pharmacological approaches for
Treatment of Fibromyalgia. Aerobics- Low Impact swimming brisk walk (yoga and stretching is not aerobics) Cognitive Behavioural Therapy(CBT) Behaviour modification with patient education about coping with pain, concept of pacing (rest vs sustain) Massage Therapy- Increases relaxation,decrease pain,tenderness Promote sleep decrease substance -P levels Nutrition/Diet- decrease sodium Intake Multi-vitamins CAM- Hypnotherapy meditation magnetotherapy Acupuncture/ acupressure Hypnosis Best combo tx is Meds+ aerobics+ CBT |
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PT management Of Fibromyalgia
focused on -Pain/reduction Fatigue deconditioning muscle weakness/ spasms stiffness sleep disturbance |
PT management of Fibromyalgia
Warm/cold compresses Deep tissue massage Myofascial release Low Impact aerobics conditioning pain relief exs stretching, strengthening |
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PT Management of Fibromyalgia
Electrotherapy- TENS IFC FES Iontophoresis LLLT (non thermal efffects, alter tissue function) Ultrasound therapy |
Arthritis and Rheumatic disoder patients also often have sexual dysfunctions.
PT should discuss their physical difficulties and suggest adaptive ways to overcome such difficulties as patients may have depression poor self Image anxiety fear of rejection |
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Referals to other specialists -
Rheumatologists psychologists pain specialists OT,MT GI specialist (IBS) Neurologist |
Nutrition-
decrease caffeine intake No Drinking (ETOH) decrease sugar rich foods avoid nicotine Multivitamins |
