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Fibromyalgia: Addressing Co-morbidities, Part 1

Sleep Apnea, Endocrine Abnormalities, and the Importance of the Physical Exam in Understanding the Patient's Pain

Fibromyalgia has a host of possible co-morbidities, which can make management of the disorder challenging. A panel of pain experts discusses the most common fibromyalgia co-morbidities and how to approach them in your pain patients.

This fibromyalgia video is moderated by Joseph Shurman, MD, who is the Chairman of Pain Management at Scripps Memorial Hospital in La Jolla, CA.

The panelists are:

  • Charles E. Argoff, MD: Professor of Neurology at Albany Medical College and Director or the Comprehensive Pain Center at Albany Medical Center
  • John F. Peppin, DO, FACP: Director, Clinical Research Division at The Pain Treatment Center of the Bluegrass
  • Steven P. Stanos, DO: Assistant Professor in Physical Medicine and Rehabilitation at Northwestern University Feinberg School of Medicine and Medical Director, Center for Pain Management at the Rehabilitation Institute of Chicago

The panel reviews the following fibromyalgia co-morbidities: sleep apnea, endocrine abnormalities (eg, thyroid disorders), and irritable bowel syndrome. Dr. Peppin gives recommendations for lab work to order for your patients; these tests will help you get a better picture of your patient's overall health and the effect fibromyalgia is having on their health.

The panelists also stress the importance of doing a physical exam on your fibromyalgia patients. This is, of course, key in diagnosing fibromyalgia, but it remains important in ongoing treatment because the way fibromyalgia affects their body can change. To learn more about the physical exam and its role in fibromyalgia diagnosis, you may want to watch the Practical Pain Highlights video on diagnostic criteria for fibromyalgia.


Last updated on: April 27, 2012
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