Skip to main content

Fibromyalgia

F. Stuart Leeds, MD, MS Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Chronic, widespread noninflammatory musculoskeletal pain syndrome with multisystem manifestations. Although the specific pathophysiology has not been elucidated, it is generally thou...

DIAGNOSIS

  • 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...

TREATMENT

Evidence-based interventions (3): 
  • Includes both medication and nonpharmacologic interventions. In general, a partial or complete remission can only be achieved with committed changes in life...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • 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...

REFERENCES

1
Wolfe F, Häuser W. Fibromyalgia diagnosis and diagnostic criteria. Ann Med.  2011;43(7):495–502. [View Abstract on OvidMedline]
2
Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 Revision...

ADDITIONAL READING

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] 

SEE ALSO

Algorithm:...

CODES

ICD10

M79.7 Fibromyalgia 

ICD9

729.1 Myalgia and myositis, unspecified 

SNOMED

  • 24693007 Fibromyositis (disorder)

  • 95417003 primary fibromyalgia syndrome (disorder)

CLINICAL PEARLS

  • 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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×