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re: What are the OT's thoughts on fibromyalgia?
Posted on 9/29/14 at 12:42 pm to MeatSlingingFool
Posted on 9/29/14 at 12:42 pm to MeatSlingingFool
quote:
Lyrica is pregabalin
Pregabalin (Lyrica)Prescription drugConsult a doctor if you have a medical concern.Legal status: Schedule V controlled substance, Schedule IV controlled substance
you are correct.
but they are very similar molecules that bind to the same receptor and have nearly identical theraputic effects.
they have different absorption and metabolic profiles
0
Posted on 9/29/14 at 12:43 pm to udtiger
quote:
It's a bullshite diagnosis given when something "concrete" cannot be found to explain a patient's complaints.
There's a mental health aspect to it, likely depression (one of the main ingredients in Lyrica is an anti-depressant).
The vast majority of "sufferers" are pre-menopausal women.
My father was diagnosed with it for 15 years. It was so bad sometimes he didn't even get out of bed or had to walk with a cane. The doctors tried all sorts of drugs and even proposed the mental angle. After all those years a doctor in Springfield, MO. diagnosed him with polymyalgia rheumatica and he went on a prednisolone regiment for 6 months or so and while he is not pain free he can finally function normal again.
This post was edited on 9/29/14 at 12:45 pm
Posted on 9/29/14 at 12:47 pm to DrTyger
quote:
Fibromyalgia is something I've only seen in someone with an already diagnosed underlying psych disorder, usually bipolar, and only in women. Take that for what it's worth.
I believe the medical term is "bitchesbecray". It's Greek, I think.
Posted on 9/29/14 at 1:01 pm to SabiDojo
Posted on 9/29/14 at 1:07 pm to DrTyger
I agree. NL
Posted on 9/29/14 at 1:15 pm to GreatLakesTiger24
My mother was diagnosed with it at the age of 65. She wasn't bat shite crazy, depressed or fat. She never took lyrica because of the side effects. She was in extreme pain most of the time. Some of you need to stfu when you have no experience with it personally.
Posted on 9/29/14 at 1:28 pm to GreatLakesTiger24
Yeah, it is mostly psychosomatic.
My wife has a few friends with that diagnosis. Two of them, developed 'fibromyalgia' after their first child and another was having marital problems. They all complained and whined about how miserable they were and that there had to be something their doctors were missing... Or not properly treating...
Fast forward 3 years, the new moms got used to the care-giver role, they lost their baby weight, ate healthier, started yoga classes... Their 'fibromyalgia' apparently went into remission.
The other woman and her husband apparently worked things out, she goes to a chiropractor (glorified masseuse) weekly and she is feeling better...
My wife has a few friends with that diagnosis. Two of them, developed 'fibromyalgia' after their first child and another was having marital problems. They all complained and whined about how miserable they were and that there had to be something their doctors were missing... Or not properly treating...
Fast forward 3 years, the new moms got used to the care-giver role, they lost their baby weight, ate healthier, started yoga classes... Their 'fibromyalgia' apparently went into remission.
The other woman and her husband apparently worked things out, she goes to a chiropractor (glorified masseuse) weekly and she is feeling better...
Posted on 9/29/14 at 1:28 pm to jmcs68
quote:
So you're thinking like I am that this is a bs diagnosis? And Heyy :)
I am not sure if it is a BS diagnosis; what I would say is that the professional literature is mixed on the issue. If at some point the etiology is better defined, then we might get closer to a more definitive conclusion.
That said, some folks just simply seem to have some screwed up neural systems that seem to express themselves in middle age or later.
Hey back! :-) Good to hear from ya. I have been a bit busy with work and haven't had much down time in the last few weeks.
Offer for dinner still stands good.
This post was edited on 9/29/14 at 1:31 pm
Posted on 9/29/14 at 1:32 pm to Artie Rome
Posted on 9/29/14 at 1:34 pm to diplip
quote:
sure. but it is not an anti-depressant. it is primarily used for neuropathy due to diabetes complications/shingles
Again, it is a multiple med, which is the case with many meds. Not sure about the primary use, given what all I have seen it prescribed for. However, it is very prominent in use for sleep disorders, specifically RLS.
Posted on 9/29/14 at 1:40 pm to thickandthin
quote:
My mother was diagnosed with it at the age of 65.
Well... at 65 years old, there could be a lot of causes for chronic pain besides fibromyalgia. Neuropathy, degenerative muscle/joint diseases, auto-immune diseases, hormonal imbalances, and chronic illnesses could all contribute to some form of chronic pain.
That is a lot different from a healthy mid-20 to mid-30 woman who suddenly couldn't get out of bed....
Posted on 9/29/14 at 1:50 pm to GreatLakesTiger24
It's pretty much BS. Patients with this are folks with depression and/or anxiety who have problems expressing it and have it manifest with more physical symptoms. If you want to read some conclusive literature about this perspective look up Nortin Hadler, M.D. the chief of Rheumatology at UNC.
Posted on 9/29/14 at 1:59 pm to nvcowboyfan
Anecdote: All of the people i know who have fibromyalgia are fat and use it as an excuse to not exercise.
Posted on 9/29/14 at 1:59 pm to GreatLakesTiger24
In 9 years of practice, I've noticed that almost every patient with "fibromyalgia" has nearly the same habits/issues:
1.) Obese or at least overweight
2.) Smoke...a lot
3.) Drink tons of Diet Coke
4.) Stay in a dark, cold room nearly all day
5.) Have some type of family/marital problem
If I were to try to treat every single pain, I'd never get anywhere. So I tend to try to get them more motivated and more physically active. It's more productive in the long term and either they'll get better or they quit coming to therapy.
1.) Obese or at least overweight
2.) Smoke...a lot
3.) Drink tons of Diet Coke
4.) Stay in a dark, cold room nearly all day
5.) Have some type of family/marital problem
If I were to try to treat every single pain, I'd never get anywhere. So I tend to try to get them more motivated and more physically active. It's more productive in the long term and either they'll get better or they quit coming to therapy.
Posted on 9/29/14 at 2:03 pm to bodean45
quote:These too.
3.) Drink tons of Diet Coke
4.) Stay in a dark, cold room nearly all day
5.) Have some type of family/marital problem
Posted on 9/29/14 at 2:04 pm to pleading the fifth
quote:
Fibromyalgia is a buzz word that instantly alerts clinicians to the fact that the patient is either crazy, has a mood disorder, addicted to pain medicine, or all of the above. Another neat trick is to inquire about allergies. Often patients with fibromyalgia will have 5 or more medical "allergies", many of which may be to less potent narcotic analgesics. (i.e. "Only Dilaudid works for me"). Most will always complain of vague abdominal pain and have had most or all of their optional internal organs removed (appendix, gall bladder, uterus, ovaries) often with little clinical indication.
exactly this. whenever i see this on a new patient's medical history i know it's going to be a bumpy ride.
Posted on 9/29/14 at 2:07 pm to bodean45
Central sensitization phenomenon, like so many other pain states.
Posted on 9/29/14 at 2:08 pm to GreatLakesTiger24
I'm against it
Posted on 9/29/14 at 2:09 pm to GreatLakesTiger24
That the fat/lazy person disease?
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