Fibromyalgia - Increasingly recognized chronic musculoskeletal pain disorder of unknown cause.

It is a chronic pain
syndrome that involves chronic fatigue, generalized muscle aching and stiffness

MODIFIABLE RISK FACTORS NON-MODIFIABLE RISK

 Infection FACTORS
 Pre-menstrual Syndrome  Young woman
 Psychosocial stress  Females
 Physical Trauma  Genetics
 Emotional Trauma  Hereditary

ALTERATIONS IN
NEUROTRANSMITTERS SLEEP
 INCREASED SEROTONIN DISTURBANCE
 INCREASED SUBSTANCE P
 DECREASED ENDORPHINS

ANXIETY
DESCENDING PATHWAYS OF
AND
THE SPINAL CORD
DEPRESSION

DORSAL HORN
(WHERE THE SENSORY SYNAPSES FLOWS) MOST COMMON
CLINICAL SYMPTOM:

CHRONIC FATIGUE
SYMPATHETIC OUTFLOW

 MUSCLE MICROTRAUMA
 DECONDITIONING
 SKIN HYPERACTIVITY

FOUND IN PAIRS:

Occiput, Trapezius, Gluteal,

PRESENCE OF Supraspinatus, Greater Trochanter,
Low Cervical, 2nd rib, lateral
TRIGGER/TENDER POINTS epicondyle and knee

IN THE BODY CLINICAL MANIFESTATIONS:

 BURNING AND GNAWING PAIN

 NON-RESTORATIVE PAIN
 MORNING MUSCLE STIFNESS
CUTANEOUS NOCICEPTION  INCREASED SENSITIVITY TO
TOUCH
MUSCLE NOCICEPTION  POST EXERTIONAL MUSCLE
PAIN