Nonarticular Rheumatism/Regional Pain Syndrome Questions & Answers

Updated: Apr 04, 2018
  • Author: T P Sudha Rao, MD; Chief Editor: Herbert S Diamond, MD  more...
  • Print
Questions & Answers

Overview

What are nonarticular rheumatic pain syndromes?

What is the pathophysiology of nonarticular rheumatism/regional pain syndromes?

What is the prevalence of nonarticular rheumatism/regional pain syndromes in the US?

What is the global prevalence of nonarticular rheumatism/regional pain syndromes?

What is the mortality and morbidity of nonarticular rheumatism/regional pain syndromes?

Which patient groups have the highest prevalence of nonarticular rheumatism/regional pain syndromes?

Presentation

Which clinical history findings are characteristic of nonarticular rheumatism/regional pain syndromes?

Which clinical history findings are characteristic of fibromyalgia?

Which clinical history findings are characteristic of tendonitis and bursitis regional pain syndromes?

Which clinical history findings are characteristic of entrapment regional pain syndromes?

What is the focus of clinical history for the evaluation of nonarticular rheumatism/regional pain syndromes?

Which tender-point exam findings are characteristic of nonarticular rheumatism/regional pain syndromes?

Which physical findings are characteristic of hypermobility syndrome?

Which physical findings are characteristic of neurovascular entrapment syndromes?

Which physical findings are characteristic of thoracic outlet syndrome?

Which physical findings are characteristic of regional and local bursitis and tendonitis?

What causes nonarticular rheumatism/regional pain syndromes?

DDX

What are the differential diagnoses for Nonarticular Rheumatism/Regional Pain Syndrome?

Workup

What is the role of lab tests in the workup of nonarticular rheumatism/regional pain syndromes?

What is the role of imaging studies in the workup of nonarticular rheumatism/regional pain syndromes?

When is EMG and NCV indicated in the workup of nonarticular rheumatism/regional pain syndromes?

When is a sleep study indicated in the workup of nonarticular rheumatism/regional pain syndromes?

When is joint aspiration indicated in the workup of nonarticular rheumatism/regional pain syndromes?

Treatment

How are fibromyalgia and multiple bursitis-tendonitis syndrome treated?

How are acute exacerbations of regional and local bursitis and tendonitis treated?

How is neurovascular entrapment treated?

How are carpal and tarsal tunnel syndromes treated?

How is chronic neck pain treated?

What is the role of corticosteroids in the treatment of nonarticular rheumatism/regional pain syndromes?

What is the role of leech therapy in the treatment of nonarticular rheumatism/regional pain syndromes?

What is the role of surgery in the treatment of nonarticular rheumatism/regional pain syndromes?

Which specialist consultations are beneficial to patients with nonarticular rheumatism/regional pain syndromes?

Which dietary modification are used in the treatment of nonarticular rheumatism/regional pain syndromes?

Which activity modification are used in the treatment of nonarticular rheumatism/regional pain syndromes?

Medications

What is the role of medications in the treatment of fibromyalgia and multiple bursitis-tendonitis syndrome?

What is the role of medications in the treatment of regional and local bursitis and tendonitis?

Which medications in the drug class Anticonvulsants are used in the treatment of Nonarticular Rheumatism/Regional Pain Syndrome?

Which medications in the drug class Muscle relaxants are used in the treatment of Nonarticular Rheumatism/Regional Pain Syndrome?

Which medications in the drug class Centrally acting analgesics are used in the treatment of Nonarticular Rheumatism/Regional Pain Syndrome?

Which medications in the drug class Nonsteroidal anti-inflammatory agents (NSAIDS) are used in the treatment of Nonarticular Rheumatism/Regional Pain Syndrome?

Which medications in the drug class Antidepressants are used in the treatment of Nonarticular Rheumatism/Regional Pain Syndrome?

Follow-up

What is the role of aerobic exercise in the treatment of nonarticular rheumatism/regional pain syndromes?

What is the role of physical therapy in the treatment of nonarticular rheumatism/regional pain syndromes?

What is the role of psychotherapies in the treatment of nonarticular rheumatism/regional pain syndromes?

Which complementary and alternative therapies are used in the treatment of nonarticular rheumatism/regional pain syndromes?

How are nonarticular rheumatism/regional pain syndromes prevented?

What is the prognosis of nonarticular rheumatism/regional pain syndromes?

What patient education resources are available for nonarticular rheumatism/regional pain syndromes?