Fibromyalgia Part 1 (Greater Manchester based)

In this week’s episode Lisa and Sara speak to Professor Anthony Jones and Consultant Physiotherapist William Gregory from Salford Royal Foundation Trust to learn more about Fibromyalgia. In part 1 we cover what the condition involves, the central sensitisation theory, useful examination tips and differentials to consider. We also talk about simple ways of explaining a diagnosis of Fibromyalgia to your patients. 

In part 2 (which will be released in 2 weeks), we break down management options as well as hearing about research and resources helpful to patients and practitioners.

____

Useful resources: 

• Fibromyalgia prevalence at 1 in 10:  Mansfield et al (2016) A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. Pain 157:1 
  https://www.ncbi.nlm.nih.gov/pubmed/26270591

• American College of Rheumatology (ACR)  2016 fibromyalgia diagnostic criteria: Wolfe F, Clauw DJ, FitzCharles M, Goldenberg D, Hauser W, Katz RS, Russell IJ, Mease PJ, Russell A, Walitt B. 2016 Revisions to the 2010/2011 Fibromyalgia Diagnostic Criteria. Arthritis Rheumatol. 2016;68 (suppl 10)  
  https://www.ncbi.nlm.nih.gov/pubmed/27916278

• Currently available checklist for Fibromyalgia diagnosis on ACR website:  
  https://www.rheumatology.org/Practice-Quality/Clinical-Support/Criteria/ACR-Endorsed-Criteria

• A version of the 2016 ACR checklist (amended from the 2010 version): 
  https://people.clarkson.edu/~lrussek/2016FMS.pdf

• National Rheumatoid Arthritis Society - Have you got the S factor?:
  https://www.nras.org.uk/have-you-got-the-s-factor-

• FMA UK website (for patient info and list of local support groups): http://www.fmauk.org/

• Changes in healthcare utilisation pre- versus post- diagnosis; Hughes et al (2006) The impact of a diagnosis of fibromyalgia on healthcare resource use by primary care patients in the UK. Arthritis and Rheumatism (54, 1, p177-183) https://www.ncbi.nlm.nih.gov/pubmed/16385513

 ____

Have feedback or suggestions? You can help us know how we are doing with our 3 minute survey: https://www.surveymonkey.co.uk/r/YYQ763C

 ____

This podcast has been made with the support of Wigan CCG and GP Excellence in Greater Manchester. Given that they are recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. 

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.