Fibrositis

It is presenting a brief explanation and management of disease condition "FIBROSITIS". also known as Fibromyalgia.

1. FIBROSITIS

2. Made BY: NIRUPOM BARDHAN Physical Therapist, Bangladesh.

3. CONTENTS DEFINITION EPIDEMIOLOGY HISTORICAL MEMORY OF FIBROSITIS CAUSES SIGN AND SYMPTOMS DIAGNOSIS TREATMENT

4. DEFINITION Fibrositis is pain and inflammation of the muscles, muscle sheaths, and connective-tissue layers of the bones, muscles, tendons, and joints . Also called “FIBROMYALGIA” Non Inflammatory Chronic Rheumatic Disease Prolonged pain and Hypersensitivity There aren’t demonstrable organic disorders.

5. EPIDEMIOLOGY Affects 2-5% of the world population. It is assumed that only 10% of sufferers are diagnosed. Appears in between 20-50 years old. To a lesser extent it affects children and elderly people. 10 women per man.

6. HISTORICAL MEMORY OF FIBROSITIS It was first mentioned by Sir Richard Mannigham in 1750. In 1843 Robert Floriep described “the sensitive points”. In 1904 Sir William Gowers called ‘ Fibrositis ’ the pain caused by inflammation of fibrous tissue of the muscle. After that, the definition of Fibrositis was “an inflammatory change of fibrous interstitial tissue of the striated muscle”.

7. HISTORICAL MEMORY OF FIBROSITIS In 1936 all the theories about the disease were denied and assumed it of ‘ psychological origin ’. In 1963 appears the concept of “ self-feeding pain ”. In 1976 Philip Kahler Hench defined ‘ Fibrositis ’ as a ‘ form of non articular rheumatism ’.

8. HISTORICAL MEMORY OF FIBROSITIS And in 1992, the WHO recognized “FIBROSITIS” as a disease.

9. CAUSES It’s SUPPOSED to be related with: Stressful or traumatic events. Diseases with RA or Hypothyroidism. Infectious disease. Hormonal changes. Excess of stimulants i.e. coffee, alcohol, tobacco Anaemia and deficiencies in vitamin B12 and B6 Obesity

10. CAUSES… Genetic predisposition Abnormalites in the CNS : A. Decreased Serotonin that controls the intensity of pain and sleep. B. Increased Substance P that controls the perception of pain. Can happen on its own.

11. SIGN AND SYMPTOMS PAIN : Diffuse, Slight, Intense, Sharp, Stabbing, Burning. In many parts of the ody at the same time. Starts in particular area and then spreads to the rest of the body. Depends on the day, activity, climate, levels of stress Muscle spasms and tingling in hands and feet.

12. SIGN AND SYMPTOMS… B . FATIGUE And SLEEP DISTURBANCE: Insomnia Light sleep, waking up several times at night. Apnea, or moments where the person stops breathing. Paroxysms of sleep, sudden movements. Bruxism, or teeth grinding.

13. DIAGNOSIS CHRONIC PAIN in all four quadrants of the body and axial skeleton for 3 months.

14. DIAGNOSIS EASY BLUSH of SKIN by pressure (bad blood flow) FEEL PAIN at 11 to 18 “tender point” when they are pressed.

15. TREATMENT Analgesics Non Steroidal Anti-inflammatory Drugs (NSAIDs) Anttidepressants Anticonvulsants Antiepileptic Drugs Patient education. Psychological therapy.

16. TREATMENT… Physical Therapy Acupuncture Yoga Aerobics Aquatic Exercises. Meditation and Breathing Technique Strict sleep routines. Healthy Diet Support group.

17. ANY QUESTION?