Fibromyalgia
- 1 October 2011
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion In Anesthesiology
- Vol. 24 (5), 532-539
- https://doi.org/10.1097/aco.0b013e32834a1091
Abstract
Purpose of review The present review is intended to give an overview of fibromyalgia for the anesthesiologist. While the basics of the treatment of fibromyalgia are included, the intent is to provide context to discuss the potential implications in perioperative management. Recent findings Research continues to demonstrate that fibromyalgia patients have neurophysiologic abnormalities that alter sensory perception, including lower levels of central neurotransmitters associated with the inhibition of pain and higher levels those that facilitate pain. While comorbid mood disorders are more common in fibromyalgia patients, studies have shown that fibromyalgia symptoms are not explained by depression alone. In the last year, the American College of Rheumatology established a new self-report questionnaire for the diagnosis of fibromyalgia in lieu of the previously required tender point examination plus self-report questionnaire. This questionnaire allows for the study of the severity of sensitivity and symptomatology on a continuum, which is termed ‘fibromyalgianess’. Some new concepts in the treatment have been proposed, including sodium oxybate, transcranial magnetic stimulation, and web-based cognitive behavioral therapy. Summary The impact of fibromyalgia on anesthesia care is not known. Years of quality research have clearly demonstrated multiple pathophysiologic changes that could impact anesthesia care and future study is needed.Keywords
This publication has 61 references indexed in Scilit:
- Cannabinoids for treatment of chronic non‐cancer pain; a systematic review of randomized trialsBritish Journal of Clinical Pharmacology, 2011
- Effects of Lifestyle Physical Activity in Adults With FibromyalgiaJCR: Journal of Clinical Rheumatology, 2011
- Internet-enhanced management of fibromyalgia: A randomized controlled trialPain, 2010
- Sustained Pain Reduction Through Affective Self-awareness in Fibromyalgia: A Randomized Controlled TrialJournal of General Internal Medicine, 2010
- The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom SeverityArthritis Care & Research, 2010
- Effects of lifestyle physical activity on perceived symptoms and physical function in adults with fibromyalgia: results of a randomized trialArthritis Research & Therapy, 2010
- Patient Satisfaction after Total Knee Arthroplasty: Who is Satisfied and Who is Not?Clinical Orthopaedics & Related Research, 2010
- Elevated insular glutamate in fibromyalgia is associated with experimental painArthritis & Rheumatism, 2009
- Evidence of augmented central pain processing in idiopathic chronic low back painArthritis & Rheumatism, 2004
- The american college of rheumatology 1990 criteria for the classification of fibromyalgiaArthritis & Rheumatism, 1990