This enjoyable #ACR18 #fibromyalgia session is an appropriate time for a couple of periodic reminders:
1. Pain is an output of the brain (not an input)
2. Fibromyalgia is best conceptualised as a *description*, not an *explanation*
— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
Why was TENS more effective for FM in this study vs previous studies?
Leslie Crofford:
“All TENS is not the same“ – they will publish their parameters when final study is published. #ACR18 @RheumNow— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
#ACR18 Late Breaking:#L19 Crofford – Active vs placebo TENS vs no TENS for pain & fatigue in #fibromyalgia. TENS superior for pain & fatigue. >30% pain reduction in 44% TENS vs 22% PBO TENS vs 14% no TENS. Safe.
Surprising but exciting to see TENS back for FM. @RheumNow pic.twitter.com/a3qSWQBbqY
— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
#ACR18 Lianne Gensler: #Fibromyalgia an important co-morb in SpA (present in up to 20%). Lower TNFi survival in SpA+FM. Challenge to differentiate tenderness from enthesitis (hint: look at calcaneus and tib tuberosity).
(THM: careful clinical evaluation always best)@RheumNow pic.twitter.com/gcQUMY5AMg— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 23, 2018
Moving from a biomedical model to biopsychosocial model is necessary to treat chronic low back pain, but changing this culture among physicians may be a challenge. Dr. @UnaMakris #ACR18 @RheumNow
— Brittany A (@MissbeeMD) October 21, 2018
Chronic back pain is most common chronic pain condition and can cost > $100 billion per year.. in addition to causing social isolation, depression, spousal discord. @UnaMakris @RheumNow #ACR18
— Brittany A (@MissbeeMD) October 21, 2018
#ACR18 Plenary I. #839. MDHAQ data may be used to simulate 2011 diag criteria to detect #fibromyalgia from routinely-collected data. May help to rationalise the questionnaire burden in clinical practice. @RheumNow
— ǝlʇʇıɥʍ ɯɐs (@samwhittle) October 21, 2018
Plenary Abstract 839: Dr Schmukler Chicago. Can we use MDHAQ (multi-dimensional) to identify FM? 84% agreement with 2011 FMS questionnaire – so the answer is Yes! (But what is the ‘gold std’?) @RheumNow #FMS #ACR18
— Philip Gardiner (@PhilipGardiner) October 21, 2018
Clinical Year in Review w/ Dr. Peter Merkel.
1. SPACE Trial: opioids vs Acetaminophen/NSAIDs for chronic pain: MORE pain improvement in the NON-opioid regimen #ACR18 @RheumNow
— Dr. Paul Sufka (@psufka) October 21, 2018
