This guideline replaces the earlier CG88 i.e. Early management of persistent non-specific low back pain. Here, low back pain and sciatica has been estimated and managed in people aged 16 and over alongwith the physical, psychological, pharmacological and surgical treatments for the same. It is pivoted to improve people's quality of life, encouraging the most effective forms of care for low back pain and sciatica.
Fibromyalgia syndrome is a common disorder characterized by multiple tender points, widespread deep muscle pain, sleep disturbance, fatigue and depression. The cause and cure for fibromyalgia is unknown, but medications and other treatments can helps to reduce the symptoms. Although, people experience pain and tenderness all over the body, they are often diagnosed by the doctors based on the tender spots or points in certain places of the body.
What are tender points?
Gout involves problem with the purine metabolism. In this disease, the uric acid levels are increased (hyperuricemia) and urate crystals accumulates in joints and tissues of the body. This deposition of urate crystals causes acute, recurrent and painful attacks of gouty arthritis in the joints, usually the foot (especially the big toe), knee, hand or wrist. Chronic gout occurs when joints are affected by subcutaneous concentrations of urate crystals (nodular tophi).
Syndesmotic injuries at the ankle joint are injuries to the ligaments that connect the tibia and fibula. They are the most severe ligament injuries to the ankle, and occur either in isolation or at the same time as an ankle fracture. External rotation and/or hyperdorsiflexion are the most common mechanisms causing syndesmotic injuries. These injuries can occur during activities like sports or dancing, and any other fall. Patients with syndesmotic injuries like acute ankle sprains experience acute ankle instability, pain & functional problems.
Fibromyalgia is a syndrome which is indicated by chronic widespread pain. It was first described more than 100 years ago with the first official diagnostic guidelines being published in 1990 by the American College of Rheumatology (ACR). Fifteen years later, the first treatment guidelines were published by the American Pain Society (APS). From then, many controversies have surrounded both diagnosis and management of fibromyalgia syndrome. Rheumatologists most often see these patients.
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