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Fibromyalgia: Chronic Pain

Author: Jassin M. Jouria, MD
(Click author's name for bio)

Duration: 3 hours

Course Summary

Fibromyalgia is one of the most common chronic pain conditions. To understand fibromyalgia as a syndrome nurses require knowledge of chronic pain and how to recognize the clinical presentation and support patients to experience improved outcomes. The purpose of the course is to provide nurses knowledge about chronic pain syndromes and medical and alternative treatments as it relates to fibromyalgia.

Course Format


Course Syllabus

  1. Introduction
  2. Fibromyalgia: A Chronically Painful Condition
    1. Other Types of Chronic Pain
      1. Nociceptive Pain
      2. Neuropathic Pain
  3. Pharmacological Treatments
    1. Antidepressants
    2. Tricyclic Antidepressants (TCAs)
    3. Selective Serotonin Reuptake Inhibitors (SSRIs)
    4. Dopamine Reuptake Inhibitors (DRIs)
    5. Nor-Epinephrine Dopamine Reuptake Inhibitors (NDRIs)
    6. Monoamine Oxidase Inhibitors (MOIs)
    7. Nor-Epinephrine Reuptake Inhibitors (NRIs)
    8. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
    9. Anti-Epileptic Drugs (AEDs)
    10. Sedative-Hypnotics
    11. Muscle Relaxants
    12. Opiates and Opioids
    13. Additional Pharmacologic Treatments
      1. Duloxetine (Cymbalta)
      2. Milnacipran (Savella)
      3. Acetaminophen
      4. Tramadol (Ultram)
      5. Guaifenesin
  4. Integrative Treatments For Fibromyalgia
    1. Dietary Supplements
      1. 5-Hydroxytryptophan
      2. S-Adenosyl-L-Methionine
      3. Magnesium
      4. Melatonin
      5. St. John’s Wort f. Capsaicin
    2. Acupuncture
    3. Chiropractic Manipulation
    4. Massage Therapy
      1. Augmentation strategies for stress relief
    5. Sleep
  5. Hormone Balance: Stress Related Disorders
    1. Nutrition
    2. Exercise
    3. Biofeedback
  6. Summary


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