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Fibromyalgia Pain & Cognitive Impairment: New Insights

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Mark L. Fuerst

Jan 7, 2019

Facet blocks are the second most frequently performed procedures for chronic pain, yet they remain mired in controversy. In addition, cognitive impairment is one of the major manifestations of fibromyalgia.

Three recent studies address these common issues: (1) lumbar facet joint blocks have predictive value before radiofrequency denervation in patients with chronic pain, such as those who have fibromyalgia; (2) radiofrequency ablation is less helpful for pain but is effective for anxiety and sleep disturbance; and (3) patients with fibromyalgia who smoke cigarettes are more likely to have cognitive impairment, colloquially referred to as “fibrofog.”1-3 Scroll through the slides for the latest findings and their clinical implications.

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