Treatment for fibromyalgia

[Avisek Kar]

AGE : 16
SEX : F

complains of pain in the nape of the neck to the si joint ;pain in dull yet very acute sometimes; postural positions altering altering(inc.)pain

sitting
prone lying
supported sitting
supine

tender points present on

medial traps
levator scapule
infraspinatus
rhomboids
l.dorsi
g.medius

no relieving factors as such
sleep undisturbed

Investgations:
crp -ve
rh -ve
tsh -ve
hlab 27 -ve

xray shows no profound changes facet joints normal with slight reduction in spaces...

on medicinal therapy

aceclofenac + rabeprazole (to control pain)
and topical ointments compunded with heat fermentation...

Phsycal treatement

U/s at 0.8-1 ma/cm2 for 12 mins over in the interscapular region....

multidirectional isometrics of neck and shoulder girdle taught ....


THE PROBLEM IS PATIENT IS NOT GETTING MUCH HELP

AND AM RUNNING OUT OF IDEAS

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