SPEAKER #1 Gisha Systemic Myalgic Disorders

Part 1: Exploration

Systemic Myalgic Disorders PART 1 : EXPLORATION

What is it ?
The Process Causes

What is it ?
Myalgia is pain in a muscle or group of muscles. It can be a symptom of a large number of diseases and disorders.

(mayoclinic.com)

The Process
Active motor neurons in CNS are unable to synthesize acetylcholine to maintain the chemical transmission of action potentials from motor neurons to muscles. (wisegeek.com)

Causes
Injury or trauma Overuse of a muscle or group of muscles Chronic tension (wisegeek.com)

Classification of myalgia : a. Localized b. Systemic

Fibromyalgia

(wisegeek.com)

Case : masseter muscle pain The symptoms are :

Jaw pain Teeth that are sensitive to hot, cold and or pressure Pain under the eye and over the eye Pain or low roaring sounds in the ear Deep itching in the ear

Localized or Systemic?

HIGHLIGHT
Please have the ability to find out the muscle origin

SPEAKER # 2 NIDA
FIBROMYALGIA: Introduction

FIBROMYALGIA: Introduction

Characteristics

?
Fibromyalgia is a chronic, global, musculoskeletal pain disorder.
Okeson, 2008

Fibromyalgia is a common health problem that causes widespread pain and tenderness (sensitive to touch).
American College of Rheumatology

FIBROMYALGIA: Introduction

Characteristics

Characteristics

Tenderness is found at 11 or more of 18 specific tender-point site throughout the body.

youcure.me

Characteristics
Pain must be felt in three of the four quadrants of the body. Pain must be present for at least 3 months.

Bottom Line Please from now on be familiar for this kind of musculoskeletal pain.

SPEAKER #6 LHIA
CLINICAL CHARACTERISTICS Part 2 : Muscle Function

CLINICAL CHARACTERISTICS Part 2 : Muscle Function Increased Pain with Function

Weakness and Fatigue

Increased Pain with Function

Can be found in fibromyalgia and myospasm

How to differentiate it?

Increased Pain with Function

Increase in pain with functional movements of the involved muscles Increase in pain when patient attempt to function with a muscle in spasm

fibromyalgia

myospasm

CLINICAL CHARACTERISTICS Part 2 : Muscle Function Increased Pain with Function

Weakness and Fatigue

Weakness and Fatigue

What? Why?

Weakness and Fatigue

A condition of being feeble, fragile, frail, or decrepit or lacking physical strength, energy, or vigor

weakness

http://medical-dictionary.thefreedictionary.com

Weakness and Fatigue

fatigue

The decreased capacity or complete inability of an organism, an organ, or a part to function normally because of excessive stimulation or prolonged exertion

Dorland, 2006

Weakness and Fatigue

What? Why?

the length

Weakness and Fatigue

Constant deep pain and emotional stress
Generalized musculoskeletal pain complaints in numerous sites throughout the body

Some degree of clinical depression

Poor quality of sleep

SPEAKER #7

ARIEF
CLINICAL CHARACTERISTICS Part 3 : Presence of Tender Points

CLINICAL CHARACTERISTICS Part 3 : Presence of Tender Points

What is it The Process

What is it
Various point's in the course of a nerve, pressure upon which is painful in cases of neuralgia

www. Medical-dictionary.com

What is it ?
Numerous tender points throughout the various quadrants of the body characterize fibromyalgia. These tender points do not produce heterotopic pain when palpated.

Okeson, 2008

CLINICAL CHARACTERISTICS Part 3 : Presence of Tender Points

What is it The Process

The Process

Fibromyalgia patients must reveal tenderness in at least 11 of 18 predetermined sites throughout three of the four quadrants of the body.

Okeson, 2008

www. American Family Physician.org

Highlight
As a clinician, please be aware of the patients tender points.