Tags

Type your tag names separated by a space and hit enter

Common questions about the diagnosis and management of fibromyalgia.
Am Fam Physician 2015; 91(7):472-8AF

Abstract

Fibromyalgia has a distinct pathophysiology involving central amplification of peripheral sensory signals. Core symptoms are chronic widespread pain, fatigue, and sleep disturbance. Most patients with fibromyalgia have muscle pain and tenderness, forgetfulness or problems concentrating, and significant functional limitations. Fibromyalgia is diagnosed using an updated set of clinical criteria that no longer depend on tender point examination; laboratory testing may rule out other disorders that commonly present with fatigue, such as anemia and thyroid disease. Patients with fibromyalgia should be evaluated for comorbid functional pain syndromes and mood disorders. Management of fibromyalgia should include patient education, symptom relief, and regular aerobic physical activity. Serotoninnorepinephrine reuptake inhibitors, tricyclic antidepressants, antiepileptics, and muscle relaxants have the strongest evidence of benefit for improving pain, fatigue, sleep symptoms, and quality of life. Multiple complementary and alternative medicine therapies have been used but have limited evidence of effectiveness. Opioids should be used to relieve pain in carefully selected patients only if alternative therapies are ineffective.

Authors+Show Affiliations

University of Louisville School of Medicine, Louisville, KY, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25884747

Citation

Kodner, Charles. "Common Questions About the Diagnosis and Management of Fibromyalgia." American Family Physician, vol. 91, no. 7, 2015, pp. 472-8.
Kodner C. Common questions about the diagnosis and management of fibromyalgia. Am Fam Physician. 2015;91(7):472-8.
Kodner, C. (2015). Common questions about the diagnosis and management of fibromyalgia. American Family Physician, 91(7), pp. 472-8.
Kodner C. Common Questions About the Diagnosis and Management of Fibromyalgia. Am Fam Physician. 2015 Apr 1;91(7):472-8. PubMed PMID: 25884747.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Common questions about the diagnosis and management of fibromyalgia. A1 - Kodner,Charles, PY - 2015/4/18/entrez PY - 2015/4/18/pubmed PY - 2016/5/27/medline SP - 472 EP - 8 JF - American family physician JO - Am Fam Physician VL - 91 IS - 7 N2 - Fibromyalgia has a distinct pathophysiology involving central amplification of peripheral sensory signals. Core symptoms are chronic widespread pain, fatigue, and sleep disturbance. Most patients with fibromyalgia have muscle pain and tenderness, forgetfulness or problems concentrating, and significant functional limitations. Fibromyalgia is diagnosed using an updated set of clinical criteria that no longer depend on tender point examination; laboratory testing may rule out other disorders that commonly present with fatigue, such as anemia and thyroid disease. Patients with fibromyalgia should be evaluated for comorbid functional pain syndromes and mood disorders. Management of fibromyalgia should include patient education, symptom relief, and regular aerobic physical activity. Serotoninnorepinephrine reuptake inhibitors, tricyclic antidepressants, antiepileptics, and muscle relaxants have the strongest evidence of benefit for improving pain, fatigue, sleep symptoms, and quality of life. Multiple complementary and alternative medicine therapies have been used but have limited evidence of effectiveness. Opioids should be used to relieve pain in carefully selected patients only if alternative therapies are ineffective. SN - 1532-0650 UR - https://www.unboundmedicine.com/medline/citation/25884747/Common_questions_about_the_diagnosis_and_management_of_fibromyalgia_ L2 - http://www.aafp.org/link_out?pmid=25884747 DB - PRIME DP - Unbound Medicine ER -