Targeting fibromyalgia pain: brain-spinal cord and peripheral contributions

Fibromyalgia (FM) is a complex chronic pain syndrome with a well-defined clinical phenotype that results from disordered central pain-related mechanisms. The etiology is multifaceted with links to genetic factors, personality, psychological distress, environmental triggers and peripheral musculoskel...

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Veröffentlicht in:International Journal of Clinical Rheumatology 2011-08, Vol.6 (4), p.463-474
Hauptverfasser: Franklyn, Kate Louise, Guymer, Emma Kathryn, Littlejohn, Geoffrey Owen
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creator Franklyn, Kate Louise
Guymer, Emma Kathryn
Littlejohn, Geoffrey Owen
description Fibromyalgia (FM) is a complex chronic pain syndrome with a well-defined clinical phenotype that results from disordered central pain-related mechanisms. The etiology is multifaceted with links to genetic factors, personality, psychological distress, environmental triggers and peripheral musculoskeletal function. Central brain and spinal cord 'top-down mechanisms dominate the pathophysiology of FM. We review the disordered pain-related neurological processes that are present in FM and discuss treatments that target these relevant mechanisms.
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subjects brain
Care and treatment
Chronic pain
Development and progression
diffuse noxious inhibitory control
DNIC
Fatigue
Fibromyalgia
Pain
psychological
spinal cord
stress
Stress (Psychology)
title Targeting fibromyalgia pain: brain-spinal cord and peripheral contributions
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