• Fibromyalgia (FM) is a complex condition that can limit all facets of life for a person with it. The exact cause of FM is not fully understood and therefore medical treatments have been slow to develop and those available have varying levels of success.30 Pharmacological treatment is common for FM, however literature is beginning to surface that suggests the effects of physical therapy (PT) management may be as effective or perhaps more effective at reducing the symptoms.31 The effectiveness of PT management is based in large part upon the person with FM buying into the plan of care that unfortunately at times may make symptoms worse.

  • Chip Review @ (16:57): Lay’s Nashville Hot Chicken (Thank you Lizzie and Matt)

  • Trivia question of the week @ (13:14): What is the most densely populated US state?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

  1. Pogatzki-Zahn EM, Englbrecht JS, Schug SA. Acute pain management in patients with fibromyalgia and other diffuse chronic pain syndromes. Curr Opin Anaesthesiol. 2009;22(5):627-33.
  2. Rossy LA, Buckelew SP, Dorr N, Hagglund KJ, Thayer JF, McIntosh MJ, Hewett JE, Johnson JC. A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med. 1999;21(2):180-91


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Brief overview of the episode:

           As a PT, it is important to realize that FM causes chronic pain and fatigue and that many patients will not be able to tolerate as many interventions or treatments as we would like to provide. However, treatment tolerance will improve with gradual exercise progression. 19 It is paramount that in the beginning, the PT works at a pace that the person with FM is comfortable with. As the person with FM starts to see and feel benefits from PT management, the difficulty and level of the interventions can be increased to levels that may be beyond the patient’s comfort to reach a therapeutic dose.
            The positive effect of aerobic exercise, specifically aquatic exercise, described by Assis et al and Munguía-Izquierdo et al, on the symptoms of FM is profound. 8,14 Many times people with FM, as was the case with PF, come to PT as a last resort. Being able to show them evidence that supports PT management for FM will help relieve the feelings of hopelessness that are common in the FM community and instantly build some level of trust in the physical therapist. For PF, deep water running or aquatic therapy are treatments that will improve aerobic capacity and decrease pain and fatigue thus improving her quality of life.
  1. Assis MR. Silva LE, Alves AMB. A randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis & Rheumatism. 2006; 55, (1):57-65
  1. Munguía-Izquierdo D, Legaz-Arrese A. Assessment of the effects of aquatic therapy on global symptomatology in patients with fibromyalgia syndrome: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(12):2250-7.
  1. Busch AJ, Barber KA, Overend TJ, Peloso PM, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev. 2007;(4):CD0037



Other episodes you might enjoy:  

Radicular Pain: Episode 22

Pain: Episode 29

Nutrition for Recovery with Amanda Turner: Episode 44


Pain: Episode 29

  • Pain is something everyone experiences. Pain is unique to the individual and is difficult to quantify.

  • Today’s Chips: Kettle Brand – Salt and Fresh Ground Pepper – Thank You Judy Kay!

  • Trivia question of the week: What is the coldest temperature ever recorded in the contiguous United States?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!



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Today we are going to be discussing pain. That is a painful topic. We are going to review Kettle Brand Salt and Fresh Ground Pepper chips. Krinkle cut, Kris Krinkle cut? That is Kringle. Oh, yeah that would not work then. No that is different, easy to confuse. I can understand that.


Pain is an interesting thing. It is just your mind perceiving something. We all perceive that differently. Everyone is going to experience that a different way. When someone says that this is the worst pain I have ever felt, that could be true. There is somatic, visceral, chronic, acute, bone, muscle, radicular ( to name a few.


The infamous scale right? The zero to ten scale. Zero no pain, ten the most pain you have ever had. People are always concerned about getting that one right. There honestly is no wrong. It is a relative scale. It is relative to you, to you only. If we ask you this week, you might be a zero and next week you might be a ten or a one. We are more concerned about the change in pain or establishing a baseline.


What is you pain level like today Djimmer? Zero. So if we start exercising and his pain goes up to four. Then maybe it is time to stop, or we are doing the wrong exercises.


We are also required to document this for insurance. Yeah that is where the whole scale came in. It is semi objective. There is also the Wong-Baker Faces scale. Which goes from happy face to really unhappy face.

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