Chronic Widespread Pain and Its Comorbidities

Kato, Kenji; Sullivan, Patrick F.; Evengård, Birgitta; Pedersen, Nancy L.

doi:10.1001/archinte.166.15.1649

Cited by 207 publications

(144 citation statements)

References 25 publications

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“…[42] In addition to FM, Irritable Bowel Syndrome, tension-type headaches, interstitial cystitis, temporomandibular joint disease (TMD), chronic fatigue syndrome, and possibly restless leg syndrome are thought to be sensory hypersensitivity conditions ( Figure 1). [43][44][45][46] These conditions often share features typical of FM including diffuse pain in multiple body regions, fatigue, sleep disorders, memory difficulties, mood disturbance, individual or familial history of chronic pain, and increased sensitivity to sensory input in the presence of an otherwise generally normal physical examination. Furthermore, sensory hypersensitivity conditions often copresent with each other suggesting a possible common pathogenesis.…”

Section: Understanding Chronic Painmentioning

confidence: 99%

Rethinking chronic pain in a primary care setting

Stanos

Brodsky

Argoff

et al. 2016

Postgraduate Medicine

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Chronic pain substantially impacts patient function and quality of life and is a burden to society at large in terms of increased health care utilization and loss of productivity. As a result, there is an increasing recognition of chronic pain as a public health crisis. However, there remains wide variability in clinical practices related to the prevention, assessment, and treatment of chronic pain. Certain fundamental aspects of chronic pain are often neglected including the contribution of the psychological, social, and contextual factors associated with chronic pain. Also commonly overlooked is the importance of understanding the likely neurobiological mechanism(s) of the presenting pain and how they can guide treatment selection. Finally, physicians may not recognize the value of using electronic medical records to systematically capture data on pain and its impact on mood, function, and sleep. Such data can be used to monitor onset and maintenance of treatments effects at the patient level and evaluate costs at the systems level. In this review we explain how these factors play a critical role in the development of a coordinated, evidence-based treatment approach tailored to meet specific needs of the patient. We also discuss some practical approaches and techniques that can be implemented by clinicians in order to enhance the assessment and management of individuals with chronic pain in primary care settings. ARTICLE HISTORY

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Section: Understanding Chronic Painmentioning

confidence: 99%

Rethinking chronic pain in a primary care setting

Stanos

Brodsky

Argoff

et al. 2016

Postgraduate Medicine

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“…• • Pain comorbidity in FM It has been well recognized that FM patients commonly complain of other pain conditions such as temporomandibular joint pain and headaches as well as psychiatric problems [34,[156][157]. Evidence also suggests that FM can occur in conjunction with a range of medical conditions.…”

Section: • Methodological Issuesmentioning

confidence: 99%

“…Perhaps, it is this 'driving factor' in FM for each patient that needs to be a primary therapy target; in other words, identifying a patient-specific driving factor for his or her FM can help us identify a specific therapy modality that targets the factor. If we can identify and treat the dominant FM factor, we may have a better chance of controlling overall FM symptoms.• • Pain comorbidity in FM It has been well recognized that FM patients commonly complain of other pain conditions such as temporomandibular joint pain and headaches as well as psychiatric problems [34,[156][157]. Evidence also suggests that FM can occur in conjunction with a range of medical conditions.…”

mentioning

confidence: 99%

Management of Fibromyalgia Syndrome

2005

JAMA

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“…A fibromialgia é uma síndrome dolorosa crônica que acomete 1% a 5% da população em geral (1)(2)(3) . Caracteriza-se por queixa de dor musculoesquelética difusa e pela presença de pontos dolorosos em regiões anatomicamente determinadas.…”

Section: Introductionunclassified

“…Conclusão: Neste estudo-piloto, pacientes com fibromialgia apresentam redução da latência do sono no TMV. Djalma Gomes Ribeiro Sobrinho (1) , Suely Roizenblatt (2) , Antônio Carlos Lopes (3) , Roberto Cordeiro A. Teixeira (1) , Sergio Tufik (2) INtRODUÇÃO A fibromialgia é uma síndrome dolorosa crônica que acomete 1% a 5% da população em geral (1)(2)(3) . Caracteriza-se por queixa de dor musculoesquelética difusa e pela presença de pontos dolorosos em regiões anatomicamente determinadas.…”

Section: Introductionunclassified

Estudo da capacidade de manter o alerta em pacientes com fibromialgia por meio do teste da manutenção da vigília

Sobrinho¹,

Roizenblatt

Lopes

et al. 2008

Rev. Bras. Reumatol.

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Objective: To assess in an objective way the degree of alertness in patients with fibromyalgia through the Maintenance Wakefulness Test ( MWT). Method: Fifteen patients with fibromyalgia and 15 age and sex-matched healthy controls were sequentially selected. The inclusion criteria for fibromyalgia were the presence of at least 11 of the 18 tender points and diffuse pain during three months prior to evaluation. All participants answered the Epworth Sleepiness Scale (ESS) and underwent four 20 minutes sessions of MWT scheduled at 2-hour intervals. Mean sleep latency higher than 20 minutes or lower than 10 minutes was considered normal or pathological, respectively. Results: Although ESS scores did not differ between fibromyalgia patients and controls, the fibromyalgia group showed a significant decrease in the sleep latency by MWT ( 9.9 ± 4.6 and 14.9 ± 5.1, respectively, p = 0.01). Pathological results were obtained in 66.7% of the patients, in comparison to 26.7% of the controls ( p = 0.03). Conclusion: In this pilot study, patients with fibromyalgia showed decrease in the sleep latency by the Wakefulness Maintenance Test.Keywords: fidromyalgia, daytime, excessive sleepiness, maintenance wakefulness test. RESUMOObjetivo: Avaliar, de forma objetiva, a capacidade de manter o alerta em pacientes com fibromialgia por meio do teste da manutenção da vigília (TMV). Método: Foi realizado um estudo caso-controle de 15 pacientes com diagnóstico de fibromialgia com pelo menos 11 de 18 pontos dolorosos e dor difusa nos últimos três meses. O grupocontrole foi constituído de 15 indivíduos hígidos pareados por idade e sexo, selecionados seqüencialmente. Os participantes responderam à escala de sonolência de Epworth e foram submetidos ao TMV. Foram realizadas quatro captações, cada uma com duração mínima de 20 minutos e com intervalo de duas horas. Considerou-se como normal a latência para o início do sono maior do que 20 minutos, e patológica a latência menor que 11 minutos. Resultados: O grupo com fibromialgia apresentou significante redução da latência para o início do sono no TMV, comparado ao grupo-controle 9,9 ± 4,6 e 14,9 ± 5,1, respectivamente, p = 0,01, sendo que em 66,7% dos casos o resultado foi patológico, em comparação com 26,7% no grupocontrole (p = 0,03). Não se observou correlação entre o resultado do TMV e a idade dos pacientes ou a pontuação na escala de sonolência de Epworth. Conclusão: Neste estudo-piloto, pacientes com fibromialgia apresentam redução da latência do sono no TMV. , Suely Roizenblatt (2) , Antônio Carlos Lopes Palavras, Roberto Cordeiro A. Teixeira (1) , Sergio Tufik INtRODUÇÃOA fibromialgia é uma síndrome dolorosa crônica que acomete 1% a 5% da população em geral (1)(2)(3) . Caracteriza-se por queixa de dor musculoesquelética difusa e pela presença de pontos dolorosos em regiões anatomicamente determinadas. Na maioria dos casos, distúrbios do sono acompanham o quadro que se manifesta como sono fragmentado e não reparador (4) . A presença de despertares intermitentes e a intrusão de o...

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Chronic Widespread Pain and Its Comorbidities

Abstract: Associations between CWP and most comorbidities are mediated by unmeasured genetic and family environmental factors in the general population. The extent of mediation via familial factors is likely to be disorder specific.

Cited by 207 publications

References 25 publications

Rethinking chronic pain in a primary care setting

Rethinking chronic pain in a primary care setting

Management of Fibromyalgia Syndrome

Estudo da capacidade de manter o alerta em pacientes com fibromialgia por meio do teste da manutenção da vigília

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