An audit of treatments for fibromyalgia at the Royal London Hospital for Integrated Medicine - Esther Odetunde, Chartered Physiotherapist.
Esther is a specialist physiotherapist working at the Royal London Hospital for Integrated Medicine (RLHIM) known for the high number of patients she treats, the vast majority of whom must feel well looked after given her very high attendance rate. Esther treats a challenging group of patients, those diagnosed with fibromyalgia. She is part of a small team offering a programme of care for those suffering with this potentially debilitating chronic pain condition. The team is multidisciplinary in nature and also comprises a physician, psychologist, dietician and occupational therapist.
Referred patients with fibromyalgia enter a care pathway based on the Eular fibromyalgia treatment guidelines (2007) and are selected either for group or individualized treatment. The care pathway also determines which part of programme is most applicable for the patient. For example if depression is the main issue, the patient would receive a course of CBT, in the case reduced function, pain and mobility issues physiotherapy would be offered. Different types of treatment may be offered concurrently.