Fibromyalgia: diagnosis and management for the primary healthcare provider
Fibromyalgia is a disorder of chronic generalized musculoskeletal pain affecting 2% of the general population, with an increased frequency in women. Clinical diagnosis relies on history and research-supported tender point criteria. As in other chronic pain syndromes, a multidimensional approach opti...
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| Veröffentlicht in: | Journal of women's health (Larchmont, N.Y. 2002) N.Y. 2002), 2008-10, Vol.17 (8), p.1379-1387 |
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| container_title | Journal of women's health (Larchmont, N.Y. 2002) |
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| creator | Huynh, Christine N Yanni, Leanne M Morgan, Laura A |
| description | Fibromyalgia is a disorder of chronic generalized musculoskeletal pain affecting 2% of the general population, with an increased frequency in women. Clinical diagnosis relies on history and research-supported tender point criteria. As in other chronic pain syndromes, a multidimensional approach optimizes treatment response. Empirical data and consensus support the use of nonpharmacological modalities, such as education, aerobic exercise, and cognitive behavioral therapy, in the management of fibromyalgia. Evidence-supported pharmacological interventions include tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, selective serotonin reuptake inhibitors, alpha-2-delta ligands, and other serotonergic-noradrenergic analgesic agents, such as tramadol. This paper offers the primary healthcare provider a systematic approach to the diagnosis of fibromyalgia and management strategies based on available evidence, consensus, and empirical data. |
| doi_str_mv | 10.1089/jwh.2007.0656 |
| format | Article |
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Clinical diagnosis relies on history and research-supported tender point criteria. As in other chronic pain syndromes, a multidimensional approach optimizes treatment response. Empirical data and consensus support the use of nonpharmacological modalities, such as education, aerobic exercise, and cognitive behavioral therapy, in the management of fibromyalgia. Evidence-supported pharmacological interventions include tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, selective serotonin reuptake inhibitors, alpha-2-delta ligands, and other serotonergic-noradrenergic analgesic agents, such as tramadol. 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| ispartof | Journal of women's health (Larchmont, N.Y. 2002), 2008-10, Vol.17 (8), p.1379-1387 |
| issn | 1540-9996 1931-843X |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Antidepressive Agents - administration & dosage Comorbidity Evidence-Based Medicine Exercise Fibromyalgia - diagnosis Fibromyalgia - therapy Humans Pain - drug therapy Primary Health Care Serotonin Agents - administration & dosage |
| title | Fibromyalgia: diagnosis and management for the primary healthcare provider |
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