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Unfogging Fibromyalgia · MSKMag OutLoud

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  SPEAKER_00: Unfogging Fibromyalgia, written by Derek Griffin.
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  SPEAKER_00: Fibromyalgia is a symptom-based disorder characterised by persistent,
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  SPEAKER_00: widespread pain and accompanied by fatigue,
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  SPEAKER_00: poor and unrefreshing sleep,
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  SPEAKER_00: low mood or depression,
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  SPEAKER_00: and cognitive symptoms.
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  The diagnosis is made using the 2016 American College of
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  Rheumatology criteria and
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  SPEAKER_00: importantly is not a diagnosis of exclusion,
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  which has significant clinical implications for assessment and
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  management.
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  SPEAKER_00: The diagnostic criteria assess both the extent and spread of pain,
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  SPEAKER_00: as well as the presence and severity of associated symptoms,
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  SPEAKER_00: including fatigue,
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  SPEAKER_00: waking unrefreshed and cognitive symptoms.
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  SPEAKER_00: In addition, symptoms must have been present for three months or longer.
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  SPEAKER_00: Recognised risk factors include female sex,
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  SPEAKER_00: older age,
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  SPEAKER_00: increased body mass index,
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  SPEAKER_00: the presence of medical comorbidities,
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  a history of poor sleep and exposure to stressful life events
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  or depression.
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  SPEAKER_00: Fibromyalgia is estimated to affect 2-3% of the general population.
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  The condition has wide-ranging effects on people's daily lives
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  and often results in
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  SPEAKER_00: reduced ability to engage in occupational and leisure activities,
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  SPEAKER_00: social isolation and disrupted relationships.
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  SPEAKER_00: More generally,
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  SPEAKER_00: widespread pain is associated with high pain intensity,
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  increased healthcare utilisation and a history of poor outcomes
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  following multiple
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  SPEAKER_00: interventions.