Myofascial Pain and Fibromyalgia. Trigger Point Management by Edward S. Rachlin MD FACS, Isabel Rachlin PT, Isabel

By Edward S. Rachlin MD FACS, Isabel Rachlin PT, Isabel Rachlin

This concise, yet thorough textual content covers either the idea and present perform of fibromyalgia and myofascial soreness administration. It presents useful, step by step descriptions of either conventional and cutting-edge techniques to set off aspect injections and nerve blocks, observed through transparent diagrams that illustrate soreness styles, muscle anatomy, sufferer positioning, and extra. An interdisciplinary technique attracts at the wisdom and services of professionals within the fields of rheumatology, physiatry, orthopedic surgical procedure, psychology, endocrinology, actual treatment, dentistry, ergonomic engineering, and anesthesiology.

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Percept Mot skills 89:881-884, 1999. 154. Pillemer SR, Bradley LA, Crofford LJ, et al: The neuroscience and endocrinology of fibromyalgia. Arthritis Rheum 40:1928-1939, 1997. 155. Pincus T, Callahan LF: What explains the association between socioeconomic status and health: Primarily access to medical care or mind-body variables? J Mind-Body Health 11:4-36, 1995. 156. Press J, Phillip M, Neumann L, et al: Normal melatonin levels in patients with fibromyalgia syndrome. J Rheumatol25:551-555, 1998.

Psychological management includes emotional support, psychotherapy (including cognitive behavioral therapy [CBT]), and use of antidepressant and anxiolytic drugs. Only a minority of patients, who have severe psychiatric problems, need referral to a psychiatrist. Environmental and Occupational Factors. Patients frequently believe that their symptoms vary with changes in weather. " Thus, patients should be advised to avoid the aggravating weather factors as much as possible. Waylonis and colleagues"?

Gulf war syndrome is similar to FMS,48 except that it is described mostly among men and the stress factors to trigger the illness are uniquely a combination of physical and psychological, as involved in a war. v- 214 Moreover, no structural tissue pathology (such as inflammation or degeneration) is present in these conditions by usual laboratory tests Chapter 1 • Fibromyalgia Syndrome: Clinical Features, Diagnosis, and Biopathophysiologic Mechanisms 23 Figure 1-3. The members of the central sensitivity syndromes (CSS) share overlapping features and a common biopathophysiologic mechanism of neuroendocrine dysfunctionlcentralsensitivity.

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