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 (TPs) ≥11, (iv) no other explanation for symptoms (2)
2...
Nonpharmacologic treatment are central to successful outcomes. Patients should be active participants in their care, especially with exercise and li...
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...
Theadom A, Cropley M, Smith HE, et al. Mind and body therapy for fibromyalgia. Cochrane Database Syst Rev. 2015;(4):CD001980. [View Abstract on OvidMedline]
24693007 Fibromyositis (disorder)
95417003 primary fibromyalgia syndrome (disorder)
Use ACR criteria to make the formal diagnosis.
Fibromyalgia is not a somatoform disorder and is not merely a manifestation of depression or anxiety. As with all chronic pain syndromes, ...
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