Treatment of fibromyalgia, myofascial pain, and related disorders.
Chronic muscle pain is a common complaint among patients who seek care for musculoskeletal disorders. A spectrum of clinical presentations exists, ranging from focal or regional complaints that usually represent myofascial pain syndromes to more wide spread pain that may meet criteria for a diagnosis of fibromyalgia. This article addresses the epidemiology, pathophysiology, and clinical management of myofascial pain syndrome and fibromyalgia. These conditions are challenging to treat and require physiatrists to be aware of the wide range of pharmacologic, rehabilitative,and psychosocial interventions that can be helpful.
Borg-Stein
Joanne
J
Rehabilitation Center, Spaulding Newton-Wellesley Rehabilitation Hospital, 65 Walnut Street, Wellesley, MA 02481, USA. jborgstein@partners.org
D000328:Adult; D000700:Analgesics / Q000627:therapeutic use*; D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005156:Facial Neuralgia / Q000175:diagnosis / Q000534:rehabilitation*; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D011379:Prognosis; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000700:Analgesics; D000928:Antidepressive Agents