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Fibromyalgia: Fact or Fiction? Bob Avina, MD Department of Family Medicine School of Medicine Loma Linda University
 
Goals and Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient’s Medical Metaphors for FMS ,[object Object],[object Object]
Definition of Fibromyalgia ,[object Object],[object Object]
History of Fibromyalgia ,[object Object],[object Object],[object Object],[object Object]
Current Researchers in FMS ,[object Object],[object Object],[object Object],[object Object]
The Manual Tender Point Survey ,[object Object],[object Object],[object Object]
 
Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Poorly Understood Pain Symptoms in FMS Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical Examination Findings in FMS ,[object Object],[object Object],[object Object],[object Object]
Instruction for the Multiple Tender Points Survey ,[object Object],[object Object],[object Object],[object Object],[object Object]
Source: “The Manual Tender Point Survey”, D. Sinclair, T. Starz, D. Turk  Univ. of Pittsburgh, School of Medicine .                                                                         
18 Tender Points in FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
18 Tender Points of FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
18 Tender Points of FM ,[object Object],[object Object],[object Object],[object Object],[object Object]
Co-morbidities and FM Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Co-morbidities and FM Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
FMS Differential Diagnosis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommended Laboratory Tests in FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What’s Wrong with Getting an ANA or RF (Rheumatoid Factor) ? ,[object Object],[object Object],[object Object],[object Object]
Permission for photo granted by L. Castro
Multiple Overlapping Syndromes FMS, CFS, MPS RLS, IBS, MCS TMJD, PLMS, IB
Psychiatric Illness and FMS ,[object Object],[object Object],[object Object]
How is Chronic Fatigue Syndrome Different from FMS? ,[object Object],[object Object]
Chronic Fatigue vs. Fibromyalgia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals of Therapy in FM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strategy of Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Self-Management RCT ,[object Object],[object Object]
Pregabalin (Lyrica) ,[object Object],[object Object],[object Object]
FM Patient:  Betty ,[object Object]
Betty ,[object Object],[object Object]
Betty ,[object Object]
Betty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Betty’s Problem List ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SSRI’s and TCA’s ,[object Object],[object Object]
FM Team (Cedars Sinai MC) Michael Gilewski, PhD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient and Family Education ,[object Object]
Therapy Strategy ,[object Object]
Insomnia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meta-Analysis of RCT’s of Fibromyalgia Treatment Using Cochrane Collaboration Reviews ,[object Object],[object Object],[object Object],[object Object]
Meta-analysis of Fibromyalgia RCT’s ,[object Object],[object Object],[object Object],[object Object],[object Object]
SSRI and TCA ,[object Object],[object Object],[object Object],[object Object]
SSRI’s and TCA’s ,[object Object],[object Object]
Venlafaxine: Inhibitor of NE and Serotonin in Fibromyalgia Patients ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pramipexole Added-on Therapy ,[object Object],[object Object],[object Object]
Pramipexole Added-On Therapy ,[object Object],[object Object],[object Object]
Duloxetine (Cymbalta) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Depression ,[object Object],[object Object],[object Object],[object Object]
Depression ,[object Object],[object Object],[object Object]
Improve Physical Endurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Counseling ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Instructions for FM-ACR ,[object Object],[object Object],[object Object]
Summary of FMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Fibromyalgia: Fact or Fiction? A Multi-disciplinary Approach

  • 1. Fibromyalgia: Fact or Fiction? Bob Avina, MD Department of Family Medicine School of Medicine Loma Linda University
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  • 15. Source: “The Manual Tender Point Survey”, D. Sinclair, T. Starz, D. Turk Univ. of Pittsburgh, School of Medicine .                                                                        
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  • 24. Permission for photo granted by L. Castro
  • 25. Multiple Overlapping Syndromes FMS, CFS, MPS RLS, IBS, MCS TMJD, PLMS, IB
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