Fibromyalgia

  1. What are your opinions, nurses? Is Fibromyalgia a justified condition or just a basket term ? I am interested in your feedback. It seems like we see a large number of patients (usually women) with "fibromyalgia" and the numbers are getting larger and larger.

    I even had a patient tell me that fibromyalgia patients were predisposed to trigeminal neuralgia.
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  2. 388 Comments

  3. by   teeituptom
    20 years ago we never saw that as a diagosis
    now everyone it seems has it

    The only steady fact about it is that there is a 99% correlation associated with clinical depression.

    FM aka muscle fiber pain

    another dx we see all the time in the ER that makes us

    every single one of them are on anti depressants and anti anxiety agents.

    Is there any single test that confirms it????

    Why is it so common now ?????

    Maybe its in the water??????
  4. by   kmchugh
    I agree, Tom. There is an incredibly high coorelation to depression. It makes most of us in anesthesia as well.

    KM
  5. by   teeituptom
    OMG. He actually agreed with me once...


    I wont let it go to my head, Probably will never happen again. Oh well such are the vagaries of life


    Live long and prosper
  6. by   traumaRUs
    It does seem to be the diagnosis of the day. Here in central Illinois - we have the guru of fibromyalgia - an MD that "discovered it" and treats it agressively! I'm with the above posters - think it has more to do with depression than a true physical diagnosis.
  7. by   Nurse Ratched
    I gotta go along with these posters. I'm not saying that the symptoms aren't real, but that calling it this is a disservice to those who are experiencing them, and likely precludes them getting adequate treatment.
  8. by   Rena RN 2003
    i believe the symptoms are there. i believe the pain is real to the patient. afterall, who am i to say otherwise? but i believe that labeling the 'muscle fiber pain' as fibromyalgia and tossing some neurontin at the patient isn't the right approach to dealing with it.

    after a 12 hour shift, my muscle fibers ache. happens after every shift and since i'm full time, that would mean that more than 50% of the time i have 'muscle fiber pain'. FM? no. lack of rest and excercise and improper diet.

    but instead of having the patient start a regimen of proper exercise, sleep patterns, and improved diet it is easier to throw a pill at it and call it cured.

    JMO.
  9. by   mattsmom81
    Quote from kmchugh
    I agree, Tom. There is an incredibly high coorelation to depression. It makes most of us in anesthesia as well.

    KM
    Well, guess if you hurt all over every day you might get depressed too.....
  10. by   veetach
    Quote from mattsmom81
    Well, guess if you hurt all over every day you might get depressed too.....


    I am 46 years old, and have been a nurse for 10 years, I hurt all over frequently. Especially after a particularly horrible shift. I dont have fibromyalgia. hey! wait! Maybe I do!!


    I cant believe we are ALL agreeing! YAY! I totally agree with Tom, our ER docs say it is a basket term, lots of docs use it to their advantage. I am now seeing many of these patients taking Oxycontin routinely. Scary. I have also noted the association with depression. Unfortunately many of these patients are in the 35-55 age group, and they arent working for a living.

    We have a "pain clinic" in our area and they are virtually getting rich.
  11. by   BabyRN2Be
    Quote from veetach
    I am 46 years old, and have been a nurse for 10 years, I hurt all over frequently. Especially after a particularly horrible shift. I dont have fibromyalgia. hey! wait! Maybe I do!! .
    Veetach, if that's the case, run, not walk to your nearest physician and join the gang of the rest of us who have muscle pain after working long hours. It seems as if a doc can't find another diagnosis, they tack "fibromyalgia" on the sheet in order to get reimbursed. I know that's a harsh thing to say, but that's what I see a lot.

    I know that some people who have auto-immune disorders (SLE, RA, scleroderma) have fibromyalgia as one of the symptoms and in that case I don't feel that it's a "catch-all" dx. It's when someone comes in with some pains, who is a little down, and doc writes the whole dx as "fibromyalgia" instead of it being a symptom.

    BTW, I do fall into the group with the auto-immune disorders who have fibromyalgia as a symptom; however, I don't have any problems with depression.
  12. by   veetach
    Quote from BabyRN2Be
    Veetach, if that's the case, run, not walk to your nearest physician and join the gang of the rest of us who have muscle pain after working long hours. It seems as if a doc can't find another diagnosis, they tack "fibromyalgia" on the sheet in order to get reimbursed. I know that's a harsh thing to say, but that's what I see a lot.
    I see it too, and sadly enough I think it is becoming a diagnosis that will qualify people for SS disability. This is a scary thought. 20 years ago we called it "aches and pains" and got up and went to work anyway. Times are a'changin......
  13. by   Silkybo
    Everyone I know with fibromyalgia is A. A hypochondriac B. Clinically depressed or C. a drug seeker. I dont believe in this diagnosis. Throwing oxycontin at aches and pains is like killing mosquitos with a sledgehammer. I am not against appropriate pain meds, especially in the terminal patient....dose 'em up, I say, but not for people who are just not facing life square on...I hurt too after lifting obese geriatrics all night, but Im not going to whine for narcs!
  14. by   veetach
    Quote from Silkybo
    Everyone I know with fibromyalgia is A. A hypochondriac B. Clinically depressed or C. a drug seeker. I dont believe in this diagnosis. Throwing oxycontin at aches and pains is like killing mosquitos with a sledgehammer. I am not against appropriate pain meds, especially in the terminal patient....dose 'em up, I say, but not for people who are just not facing life square on...I hurt too after lifting obese geriatrics all night, but Im not going to whine for narcs!

    You have summed it up in such a short paragraph! way to go!!! We all hurt, but we go on....

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