Integrative therapy for fibromyalgia: possible strategies for an individualized treatment program.
One of the most complex patient treatment situations encountered by the clinician is the patient who presents with the cluster of signs and symptoms that lead to the diagnosis of fibromyalgia syndrome. While physicians focus primarily on pharmacologic treatment, a number of nonpharmacologic modalities have been shown to benefit patients as well. No one therapy is uniformly effective in every patient; treatment programs consisting of a combination of pharmacologic and nonpharmacologic therapies must be individualized to the patient, and the clinician may have to try several different modalities before reaching an optimal improvement in the patient's symptoms.
Morris
Christopher R
CR
Arthritis Associates, Kingsport, TN, USA. arthritis@charter.net
Bowen
Laraine
L
Morris
Alton J
AJ
D015670:Acupuncture Therapy; D000700:Analgesics / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy; D015444:Exercise; D005247:Feeding Behavior; D005356:Fibromyalgia / Q000628:therapy*; D006801:Humans; D006990:Hypnosis; D026882:Manipulation, Chiropractic; D008405:Massage; D010346:Patient Care Management / Q000379:methods / Q000592:standards; D026741:Physical Therapy Modalities; D012893:Sleep Wake Disorders / Q000188:drug therapy
D000700:Analgesics