Filtered By:
Specialty: Internal Medicine

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 151 results found since Jan 2013.

Chronic widespread pain and fibromyalgia syndrome
Abstract: Chronic widespread pain (CWP) and fibromyalgia syndrome (FMS) overlap with chronic fatigue syndrome (CFS). Several key tender trigger points are used to define FMS. Other symptoms reported commonly by patients with FMS include reduced pain threshold, fatigue, depression, anxiety, sleep disturbance, memory loss and problems with cognition, headache, migraine, diffuse abdominal pain with changes of bowel habit (irritable bowel syndrome), and urinary frequency. The pathogenesis of these syndromes is not clear, but hyperexcitability of the central and peripheral nervous systems, changes in function of pain receptors,...
Source: Medicine - March 31, 2014 Category: Internal Medicine Authors: Michael Shipley Tags: Fibromyalgia and chronic pain syndrome Source Type: research

Telephone-based cognitive-behavioural therapy and a structured exercise programme are effective for chronic widespread pain (fibromyalgia)
Commentary on: McBeth J, Prescott G, Scotland G, et al.. Cognitive behavior therapy, exercise, or both for treating chronic widespread pain. Arch Intern Med 2012;172:48–57. Context Chronic widespread pain (CWP) is the cardinal feature of fibromyalgia which is one of the three most common musculoskeletal disorders in clinical practice, the others being osteoarthritis and chronic low back pain. CWP is disabling as well as costly and difficult to treat. Methods In a 2x2 factorial randomised controlled trial, 442 patients with CWP were randomised to receive 6 months of telephone-delivered cognitive-behavioural therapy (T...
Source: Evidence-Based Medicine - January 17, 2013 Category: Internal Medicine Authors: Kroenke, K. Tags: Patients, Clinical trials (epidemiology), Neuromuscular disease, Pain (neurology), Psychotherapy, Degenerative joint disease, Fibromyalgia, Musculoskeletal syndromes, Osteoarthritis Therapeutics Source Type: research

Chronic widespread pain and fibromyalgia syndrome
(FMS) are disorders of pain regulation with central sensitization. Several tender trigger points define FMS, but now a composite of pain for>3 months affecting four of five specified body areas, and a raised widespread pain index and symptom severity scale score for – fatigue, waking unrefreshed and cognitive symptoms is used. Other symptoms commonly reported include depression, anxiety, headache, migraine, diffuse abdominal pain with changes of bowel habit (irritable bowel syndrome) and urinary frequency.
Source: Medicine - March 1, 2018 Category: Internal Medicine Authors: Michael Shipley Tags: Fibromyalgia and chronic pain syndrome Source Type: research

Chronic widespread pain and the fibromyalgia syndrome
Chronic pain syndromes are characterized by pain that is present every day and is not explicable by any specific physical injury or disease. The pain is related to central sensitization of the central nervous system pain mechanisms such that pain is amplified. The term ‘chronic widespread pain’ (CWP) means that the pain is present on both sides of the body, both above and below the waist and in the spinal region. Fibromyalgia is a subgroup of CWP in which, as well as pain, patients suffer from typical symptoms including fatigue, unrefreshing sleep and ‘fibro -fog’.
Source: Medicine - February 3, 2022 Category: Internal Medicine Authors: Anisur Rahman Tags: Fibromyalgia and chronic pain syndrome Source Type: research

Increased risk of a suicide event in patients with primary fibromyalgia and in fibromyalgia patients with concomitant comorbidities: A nationwide population-based cohort study
This study aimed to evaluate the risk of a suicide event in patients with primary fibromyalgia and in fibromyalgia patients with comorbidities. We used the Longitudinal Health Insurance Database, a subset of the national insurance claim dataset, which enrolled 1 million Taiwanese people from 2000 to 2005, to identify 95,150 patients with incident fibromyalgia (ICD-9-CM 729.0–729.1) and 190,299 reference subjects matched by sex, age, and index date of diagnosis, with a mean of 8.46 ± 2.37 years of follow-up until 2011. The risk of a suicide event (ICD-9-CM, External-Cause Codes 950–959) was analyzed with a Cox prop...
Source: Medicine - November 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Influence of depressive feelings in the brain processing of women with fibromyalgia: An EEG study
Depression is one of the most common mental health problems which affects more than 10% of the global population. The prevalence of this disorder is higher in fibromyalgia patients. However, the influence of the combination of depression and fibromyalgia in the brain processing is poorly understood. To explore the modifications of EEG power spectrum in women with fibromyalgia when depressive feelings are elicited. Twenty eight women with fibromyalgia participated in this cross-sectional study. They were classified as women with depression or women without depression according to the score in the Geriatric Depression Scal...
Source: Medicine - May 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Fibromyalgia onset has high impact on work ability in Australians
ConclusionA community pilot survey of Australians with fibromyalgia indicates a high impact on work ability. This occurs from symptom onset and often before diagnosis. Early diagnosis and intervention may provide a window of opportunity to prevent work disability in fibromyalgia.
Source: Internal Medicine Journal - May 30, 2016 Category: Internal Medicine Authors: E.K. Guymer, G.O. Littlejohn, C.K. Brand, R.A. Kwiatek Tags: Original Article Source Type: research

Impact of adding a cognitive task while performing physical fitness tests in women with fibromyalgia: A cross-sectional descriptive study
Fibromyalgia symptoms cause a significant reduction in the ability to perform daily life activities. These activities often require the ability to perform more than 1 task at the same time. The aim was to investigate how the addition of a cognitive task modifies the performance in physical fitness tests in fibromyalgia and healthy controls. A total of 61 women participated in this study, 31 of them diagnosed with fibromyalgia by a rheumatologist. They performed 3 physical fitness tests (arm curl, handgrip, and 10-steps stair tests) in 2 conditions: regular (single task [ST]) andwhile thinking in 3 words that were given ...
Source: Medicine - December 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Association between fibromyalgia and cataract: A database retrospective cohort study
This study was set to investigate whether fibromyalgia increased cataract risk. Fibromyalgia patients were the case group and controls were people who never had a history of fibromyalgia. We estimated the hazard ratio of cataract by Cox proportional-hazards model. The adjusted hazard ratios were obtained by controlling variables of age, sex, and comorbidities. Stratification analysis was also performed to ensure the association of fibromyalgia and cataract. We included 6949 participants in each groups. The incidence rate of cataract in patients with fibromyalgia (108.9 per 1000 person-years) was higher than that of c...
Source: Medicine - July 23, 2021 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Stair negotiation in women with fibromyalgia: A descriptive correlational study
The objective of this study was to evaluate the test–retest reliability of stair negotiation tasks and to assess the impact of fibromyalgia symptoms on the ability to negotiate stairs. Forty-two women with fibromyalgia participated in this descriptive correlational study. The relevance of the stair negotiation (both walking up and down) was evaluated by assessing its association with the revised version of the fibromyalgia impact questionnaire (FIQ-R) and other health-related variables. Test–retest reliability was also analyzed. The main outcome measures were time spent walking up and down stairs and impact of fibromy...
Source: Medicine - October 1, 2017 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Treatment of Fibromyalgia in the 21st Century
To the Editor The thorough, systematic review of therapies for fibromyalgia written by Mascarenhas et al concludes that antidepressants and central nervous system depressants are effective treatments for this condition, but the effect sizes are small and fail to reach the threshold for clinical importance. While their findings are congruent with clinical trials, their discussion assumes that most patients with fibromyalgia are treated with a single modality at a time (pharmacologic or otherwise); however, the current standard of care for fibromyalgia and other chronic pain conditions is to use a stepped care model where mu...
Source: JAMA Internal Medicine - March 8, 2021 Category: Internal Medicine Source Type: research

Comparison of core muscle strengthening exercise and stretching exercise in middle-aged women with fibromyalgia: A randomized, single-blind, controlled study
Conclusions: Both exercise could improve symptoms of fibromyalgia but showed no significantly better efficiency with intergroup analysis. Only some balance function was improved with core muscle strengthening exercise with significant difference. Our study presents preliminary results regarding the comparison between both exercises for fibromyalgia through a randomized controlled trial.
Source: Medicine - December 17, 2021 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

One or more functional somatic syndromes? Comparison of the health status of fibromyalgia and electro-hypersensitive people.
CONCLUSION: The health status of fibromyalgia persons is overall worse than the health status of electro-hypersensitive individuals in this small sample. Despite the overlap in symptoms and a similar impact on daily functioning, this exploratory study suggests that heterogeneous mechanisms of "somatization" may be at stake in functional somatic syndromes. PMID: 30885414 [PubMed - as supplied by publisher]
Source: Revue de Medecine Interne - March 20, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

Repetitive transcranial magnetic stimulation in patients with fibromyalgia: A protocol for systematic review and network meta-analysis
Conclusion: This study will provide systematic support of evidence-based medicine for TMS in fibromyalgia, integrate the results of direct and indirect comparisons of the efficacy of different rTMS protocol, and provide the best one.
Source: Medicine - November 25, 2022 Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research

Validation of the 2011 and 2016 American college of rheumatology diagnostic criteria for fibromyalgia in a Chinese population
CONCLUSION: The 2011c and 2016c are reliable instruments for diagnosing fibromyalgia patients in China. The FS scale could be a valid tool to assist in fibromyalgia diagnosis, and a cutoff value 11 points is more suitable in Chinese patients.TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT03381131.PMID:37634058 | DOI:10.1080/07853890.2023.2249921
Source: Annals of Medicine - August 26, 2023 Category: Internal Medicine Authors: Juan Jiao Zeng-Yu Cheng Yu-Ya Xiao Hui Wang Yong-Feng Zhang Ya-Yun Zhao Yuan Jia Source Type: research