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Journal of women's health · Oct 2008
Fibromyalgia: diagnosis and management for the primary healthcare provider.
- Christine N Huynh, Leanne M Yanni, and Laura A Morgan.
- Division of General Internal Medicine, Virginia Commonwealth University, Richmond, Virginia 23298, USA. chuynh@mcvh-vcu.edu
- J Womens Health (Larchmt). 2008 Oct 1;17(8):1379-87.
AbstractFibromyalgia 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.
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