The FCP Podcast Pain Assessment episode 2 with Dr Graham Dunthorn 'Patient need approach'
We welcome Dr Graham Dunthorn to the podcast who is a GPwSI in Pain management. During the podcast we define chronic pain, symptoms and types of pain. We discuss assessment of a patient with fibromyalgia including history taking, diagnosis , investigations , red flags and referral.
As always thank you for your help with the podcast Scott and thank you to our guest Graham for giving us his time on the podcast.
NICE Guidelines Chronic Pain
https://www.nice.org.uk/guidance/ng193
Royal College of Physicians
https://www.rcp.ac.uk/improving-care/resources/the-diagnosis-of-fibromyalgia-syndrome/
Diagnosis of Fibromyalgia
To make a diagnosis using the ACR 2016 criteria the following need to be present
1 - Widespread pain index (WPI) ≥7 and symptom severity scale (SSS) score ≥5 OR WPI 4–6 and SSS score ≥9.
2 - Generalised pain, defined as pain in at least 4 of the 5 body regions, is present 3 - Symptoms have been present at a similar level for at least 3 months.
Symptoms Severity Score (SSS) and Widespread Pain Index (WPI) calculator
https://rheumcalc.com/fibromyalgia/
Live Well With Pain
https://livewellwithpain.co.uk/
Flippin Pain
https://www.flippinpain.co.uk/
Pain Toolkit
https://www.paintoolkit.org/
Rethink Pain
https://rethinkingpain.org/
Fibromyalgia UK
https://www.fmauk.org/