Hospital Treatment Plan for FMS and Chronic Pain

Discussion in 'Fibromyalgia Main Forum' started by JLH, Jun 4, 2006.

  1. JLH

    JLH New Member

    Below is a sample of a hospital's treatment plan for a fibro patient ..... just one of those FYI readings!

    Fibromyalgia Syndrome Pain Treatment & Information
    from Cedars-Sinai Hospitals ..............

    Fibromyalgia Syndrome

    Fibromyalgia syndrome (FMS) is a common rheumatoid disorder of the muscles and bones that does not involve the joints. FMS causes pain and fatigue, and people with FMS feel as if their muscles have been pulled or overworked. Sometimes the muscles twitch or burn.


    Fibromyalgia Causes and Risk Factors

    The exact cause of fibromyalgia is not known. It is not associated with injuries to muscles, nerves or joints nor to any serious body damage or disease. FMS affects more women than men and occurs in people of all ages. In some people, FMS is associated with measurable changes in body chemistry and functioning, but it is not known whether these changes are causes or effects of FMS.

    Stress and difficulty sleeping may contribute to FMS because lack of restful sleep can decrease the body's production of the chemicals needed to regulate pain. Other factors (such as illness, infection or anxiety) may also cause changes in body chemistry that lead to these symptoms.


    Fibromyalgia Symptoms

    The signs of FMS include aches and pains in muscles, tendons and joints all over the body, but especially along the spine. Some people feel more pain when they try to relax and less when they are active, busy or exercising.

    Other symptoms include:

    Disturbed sleep
    Daytime tiredness
    Alternating diarrhea and constipation
    Numbness and tingling in the hands and feet
    Feelings of weakness
    Memory difficulties

    One characteristic of FMS is the presence of multiple tender points. This refers to specific points in the neck, spine, shoulders and hips that feel tender.


    Fibromyalgia Diagnosis
    A diagnosis of FMS will be based on:

    A medical history and physical exam to rule out conditions (such as rheumatoid arthritis, muscle inflammation, bursitis or tendonitis) that can have similar symptoms
    The presence or absence of widespread pain along with other symptoms of FMS that have lasted for three months or more
    The presence or absence of tender spots that can be felt when light pressure is applied to specific locations on the body


    Fibromyalgia Treatment

    FMS is usually treated with:

    Drugs (such as low doses of anti-depressant drugs) taken before bed to improve sleep. Other kinds of sleeping pills have not proven effective for people with FMS. Non-steroidal anti-inflammatory drugs (such as aspirin and ibuprofen) may help decrease pain.

    Lifestyle changes, such as stress reduction and using relaxation techniques. In particular, anxiety and depression need to be treated to reduce stress.

    Exercise, including brisk walking, biking, swimming and water aerobics

    Aerobic exercise for half an hour three times a week helps increase heart and lung function while stretching tight, sore muscles

    Often if stressful situations are resolved, fibromyalgia may improve and medications may not be necessary.

    Even with treatment, however, many people with FMS will continue to have symptoms, especially if they have stressful lives. With treatment, there can be a significant reduction in symptoms.

    Those who are able to continue working and fulfilling their social obligations despite their pain do best.


    Medical Rehabilitation - Chronic Pain and Fibromyalgia Program at Cedars-Sinai Hospitals .....

    Chronic Pain and Fibromyalgia

    The Chronic Pain and Fibromyalgia service offers complete assessment, treatment and management services for patients with fibromyalgia, chronic pain, and rheumatoid-related diseases.

    This self-management, group-training program teaches patients self-reliance and offers drug-free ways to manage pain while increasing their ability to function, improving their endurance and strength and preparing them to return to work.

    For appointments, a doctor's written prescription is needed and may be sent by fax or mail. Prior authorization by the health plan or insurance carrier may also be needed. Patients will be called to arrange an initial evaluation within 24 hours of receiving the prescription.

    Info from the Cedars-Sinai website.

  2. rosemarie

    rosemarie Member

    I know that this is from a hospital but even I know that Naids and antinflamitories don't work well at all. And If I were do try to walk briskly I would not do well at all and the same with the arogbic exercise's , I am seeing PAIN PAIN PAIN from this report. The only exercise that makes scense is the water exercise's as they work and don't cause pain after exerciseing.

    I would really like to know why they feel so strongly that you need to do alot of exerciseing to ease your symptoms from fibro . For me I would not want to go there for help.

    This is ineresting though to see this through some one who has no understanding of how this disease effects us as patients. I don't know how many of us could exercise 3 x a week briskly walking and or riding a bike.

    I have done everything to get my body so that I could not have pain. But walking , riding a bike, and arerobics only have caused me alot of pain as I have done all of those over the years and for me the more that I did the arobics and walking briskly the more I hurt and the slower I walked. Maybe it is just me. But I could not ever do what they suggest doing.

    And I am not depressed. I don't take antidepressants as most of them don't do any thing for me. I have tried many of them because that was what every doctor told me to do when I would ask for pain meds because I had headaches and legs aches and back pain, becaue I am in pain and asking for pain meds I am auto maticly depressed.

    Just because I walk in to a doctors office in tears because I have had a head ache for 4 days and I can't deal with it any more does not mean that I am suffereing from depression. So why is it that depression is the first thing your treated for.
  3. jakeg

    jakeg New Member

    Don't you know after all this time that ADs are the magic bullet that cures everything from the common cold to cancer.

  4. woofmom

    woofmom New Member

    Should I send them my cure for stupidity?
  5. JLH

    JLH New Member