Chronic, widespread noninflammatory musculoskeletal pain syndrome with multisystem manifestations. Although the specific pathophysiology has not been elucidated, it is generally thou...
Original 1990 ACR criteria, still widely used: (i) pain in all four quadrants, (ii) axial (neck/spine) involvement, (iii) tender points ≥11, (iv) no other explanation for symptoms (2)
2010-11...
Includes both medication and nonpharmacologic interventions. In general, a partial or complete remission can only be achieved with committed changes in life...
For efficacy of initial therapy: at 2- to 4-week intervals, then every 1 to 6 months, tailored to patient’s needs
Advance exercise gradually to m...
24693007 Fibromyositis (disorder)
95417003 primary fibromyalgia syndrome (disorder)
Use ACR criteria to make the formal diagnosis.
Fibromyalgia is a disease of central sensitization; it is not a somatoform disorder and is not merely a manifestation of depression or anx...
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