The E3 Rehab Podcast 162. Fibromyalgia w/ Derek Griffin
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Aug 20, 2024 Derek Griffin, a knowledgeable expert in fibromyalgia and chronic pain management, joins Chris Hughen for an insightful discussion. They dive deep into the complexities of diagnosing fibromyalgia, emphasizing the importance of recognizing non-pain symptoms like fatigue. Misconceptions about the condition are addressed, and personalized management strategies are highlighted. The conversation also covers the vital role of tailored exercise and the need for open communication between patients and clinicians to improve care and align treatments with individual values.
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Fibromyalgia Is A Symptom-Based Spectrum
- Fibromyalgia is a symptom-based, heterogeneous disorder with no single objective biomarker.
- It involves both peripheral and central neuroimmune alterations that vary by individual.
Apply 2016 ACR Criteria, But Think Continuum
- Use the 2016 ACR criteria: combine the Widespread Pain Index (0–19) with a Symptom Severity score.
- Treat the diagnostic cutoffs as research tools and view symptoms on a clinical continuum.
Always Screen For Coexisting Conditions
- Don't treat fibromyalgia as a diagnosis of exclusion; actively screen for coexisting conditions like inflammatory arthritis.
- Use history and exam to look for signs (morning stiffness, joint swelling, skin/nail changes) that warrant referral.