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Query: UMLS:C0016053 (fibromyalgia)
 4,687 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This article describes common soft tissue problems encountered in older adults, including fibromyalgia, selected bursitis/tendinitis syndromes, nerve entrapment syndromes, and miscellaneous topics such as Dupuytren's contractures, trigger fingers, palmar fasciitis, and reflex-sympathetic dystrophy. Clinical presentations, diagnosis, and treatment are emphasized. These are conditions that are frequently encountered but are generally diagnosed as arthritis or normal age-related problems. This article will hopefully enlighten the reader in distinguishing between these conditions.
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PMID:Soft tissue problems in older adults. 966 8

In the last two decades, injuries to instrumental musicians have been well documented. Major categories of performance-related injuries include musculoskeletal overuse, nerve entrapment/thoracic outlet syndrome, and focal dystonia. Other areas of concern to instrumentalists include hypermobility, osteoarthritis, fibromyalgia, and hearing loss. This chapter reviews the epidemiology, risk factors, physical exam, treatment, and prevention of common problems of instrumentalists. Emphasis is placed on the team approach of treatment and prevention and the need for close collaboration of the various health professionals, music educators, and performers. Additional resources are presented for those interested in pursuing performing arts medicine in greater detail.
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PMID:Instrumental musicians' hazards. 1156 22

The hand surgeon relies on the Tinel sign in the physical examination of the patient suspected of having a peripheral nerve entrapment. Fibromyalgia is recognized by the American College of Rheumatology as a condition characterized by having tender points on physical examination. This article reviews the location of the 9 bilateral critical diagnostic fibromyalgia points as they relate to known sites of anatomic entrapment of peripheral nerves in the upper extremity. The interpretation of this article is that the Tinel sign may be used with validity to identify the site of a peripheral nerve compression in the upper extremity in the patient with fibromyalgia.
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PMID:Diagnosis of compressive neuropathies in patients with fibromyalgia. 1524 5

This brief review of musculoskeletal injuries in musicians serves as an introduction to performing arts medicine and to the role rheumatologists can play in managing injured musicians. This niche is an area of practice that the rheumatologist may find very gratifying that, at the same time, provides a valuable service to the community. Common problems include overuse syndromes, nerve entrapment, thoracic outlet syndrome, osteoarthritis, motor dysfunction, fibromyalgia, and complications of hypermobility. Important points in the history and physical examination of the injured musician must include details of practice and performance patterns. Treatment involves many techniques used in nonmusicians but also often important is direct contact with the musicians' teachers.
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PMID:Musculoskeletal problems of musicians: a niche for the rheumatologist. 1907 37