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10 Dec2013

10 December 2013.

Written by Liesbeth Raymakers
Posted in Various

Written by Liesbeth Raymakers10-12-2013 19:14:20. Posted in Various

Purple ribbon
Purple ribbon (Image by: Unknown)

A framework for fibromyalgia management for primary care providers.

Fibromyalgia is a chronic widespread pain disorder commonly associated with several symptoms, including fatigue, cognitive dysfunction, stiffness, mood swings and nonrestorative sleep. It is affecting 0.5% to 5% of Western populations. With growing recognition of fibromyalgia by patients and health care professionals, more people are seeking medical help for chronic pain conditions. 

Although there is increasing evidence about the underlying pathophysiologic mechanisms involved in fibromyalgia (recently excessive innervation in microvascular tissue of the hands), clinicians may find it difficult to communicate this emerging information to their patients. Also, many clinicians report difficulty in identifying and diagnosing fibromyalgia. Finally, patients with fibromyalgia are sometimes perceived as difficult to treat, as time and resources may be limited for complex presenting problems.

This article summarizes the principles of comprehensive assessment, education, ADL-goal setting, and multimodal treatment. Practical advise includes pharmacological and nonpharmacological therapies (eg, physical activity, behavioral therapy, sleep hygiene, education), extensive education and most importantly, objective monitoring of treatment response and progress (by means of the FIQ, Fibromyalgia Impact Questionnaire). A practical framework is presented for GP's and allied health professionals through which they can develop a patient-centered treatment program for patients with fibromyalgia > from Arnold et al, Mayo Clin Proc 87 (2012) 488-496. All rights reserved to Elsevier, Inc.

Read the free full text article for more information.

Fibromyalgia
Fibromyalgia
(Image by: medscape.com)

Tags: fibromyalgia, chronic, management

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About the Author
Liesbeth Raymakers
Liesbeth Raymakers
Liesbeth Raymakers has been working as a Physiotherapist since 1998, mainly in hospital based care, ICU and intensive rehab. Originally from the Nethe...

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  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
        • Shoulder
        • Elbow
        • Wrist
        • Hand
      • Lower extremity
        • Hip
        • Knee
        • Ankle
        • Foot
      • Spine
        • Pelvis
        • Lumbar
        • Thoracic
        • Rib cage
        • Cervical
    • Other
      • Nervous
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      • Nutrition
      • Aging
      • Pain
      • Various
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  • Videos
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