Posted by Celine http://www.medscape.com/viewarticle/560409 Management of fibromyalgia requires a multidimensional approach including "Fibromyalgia is an idiopathic, chronic, nonarticular pain syndrome with Criteria for diagnosis of fibromyalgia are those issued by the American Conditions that should be considered in the differential diagnosis of In recent years, recognition, understanding, and diagnosis of fibromyalgia Specific treatment recommendations are as follows: • Antidepressant medications may alleviate pain and improve sleep quality • Cyclobenzaprine, 10 to 30 mg at bedtime, may decrease pain and improve • Aerobic exercise training may ameliorate fibromyalgia symptoms (level of
on 8/19/2007, 3:50 pm
Multidimensional Approach Recommended for Fibromyalgia Treatment
News Author: Laurie Barclay, MD
CME Author: Désirée Lie, MD, MSEd
Disclosures
Release Date: July 26, 2007; Valid for credit through July 26, 2008
patient education, cognitive behavioral therapy, exercise, and
other treatment, according to a review published in the July 15 issue of
American Family Physician.
generalized tender points," write Sangita Chakrabarty, MD, MSPH, and Roger
Zoorob,
MD, MPH, from Meharry Medical College in Nashville, Tennessee. "It is a
multisystem disease characterized by sleep disturbance, fatigue, headache,
morning
stiffness, paresthesias, and anxiety. Nearly 2 percent of the general
population in the United States suffers from fibromyalgia, with females of
middle
age being at increased risk."
College of Rheumatology (ACR) in 1990. These include widespread pain with a
minimum
duration of 3 months and the presence of 11 or more tender points at 18
specific anatomic sites.
fibromyalgia include myofascial pain syndrome, chronic fatigue syndrome, and
hypothyroidism.
Furthermore, these conditions may also be present in patients with
fibromyalgia, which renders the diagnosis more difficult.
have improved. Despite the absence of well-established treatment
recommendations,
the authors suggest that a multidimensional approach can be effective.
List of 4 items
• Suggested treatment modalities include patient education, cognitive
behavior therapy, exercise, physical therapy, and pharmacotherapy (level of
recommendation,
A, based on 5 randomized controlled trials).
and global well-being in patients with fibromyalgia (level of
recommendation,
B, based on few randomized controlled trials).
sleep quality in patients with fibromyalgia (level of recommendation, A,
based
on systematic review of randomized controlled trials).
recommendation, A, based on systematic review of randomized controlled
trials).
list end
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