Latinis, K.

, et al
The Washington
Manual
Rheumatology
Subspecialty
Consult., LWW,
2003.

FIBROMYALGIA

 Fibromialgia adl sind polisimtomatik dg

penyebab tdk diket, ditandai nyeri
muskuloskletal kronik, tender joint,

sensitifitas abnormal thd nyeri serta keluhan

tambahan spt kelelahan,gangguan tidur,
sakit kepala, dan IBS..
Fibromialgia : nyeri jar otot

Fibromyalgia-Background
Chronic musculoskeletal pain syndrome of unknown
etiology
Characterized by diffuse pain, tender points,
fatigue, and sleep disturbances
Prevalence is 2-5% with a female to male
predominance of 8:1
Mean age is 30-60

Etiologi dan patogenesis

Teori sensitisasi sentral individu dg FM

memp ambang nyeri yg rendah akibat

peningkatan sensitifitas otak thd nyeri
Genetik dan lingkungan
Abnormalitas pemrosesan nyeri dlm otak
Disfungsi faktor psikologis dan tingkah laku

FibromyalgiaDiagnosis

4
3
1
2

5
7

8
9

Fibromyalgia-Treatment

LOW BACK PAIN

Low back pain and

other peri-articular complaintsbackground
Very common, one of the most frequent reasons to visit
primary care physicians
Articular vs peri-articular problems
-Articular pain is generally deep or diffuse and
worsens with active and passive motion
-Periarticular pain usually exibits point
tenderness and increased tenderness with
active, but NOT passive motion

Latinis, K., et al
The Washington
Manual
Rheumatology
Subspecialty
Consult., LWW,
2003.

Latinis, K., et al The Washington

Manual Rheumatology Subspecialty
Consult., LWW, 2003.

Low back pain and

other peri-articular
complaints-Treatment
RICE
-Rest
-Ice
-Compression
-Elevation
NSAIDs and
analgesics
Time
Other

Latinis, K., et al The

Washington Manual
Rheumatology
Subspecialty Consult.,
LWW, 2003.

Muscles of the rotator cuff:

Supraspinatus
Infraspinatus
Subscapularis
Teres Minor