Multidisciplinary care and stepwise treatment for fibromyalgia.
Fibromyalgia is a common musculoskeletal pain condition associated with chronic widespread pain, tenderness at various points on the body, fatigue, sleep abnormalities, and common comorbidity with psychiatric and medical disorders. Research into pharmacologic remedies for fibromyalgia has demonstrated efficacy for a variety of agents, but pharmacology is only one piece of the puzzle when it comes to successful management of fibromyalgia. Sensitive and appropriate methods of diagnosis and an integrated treatment plan including proper patient education, aerobic exercise, and cognitive-behavioral therapy have been shown effective in alleviating fibromyalgic symptoms. The development of a comprehensive, multidisciplinary disease management strategy is a difficult but essential challenge facing clinicians treating patients with fibromyalgia.
Arnold
Lesley M
LM
Division of Women's Health Research Program, Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Bradley
Laurence A
LA
Clauw
Daniel J
DJ
Glass
Jennifer M
JM
Goldenberg
Don L
DL
D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D015444:Exercise; D005356:Fibromyalgia / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D010348:Patient Care Team; D010353:Patient Education as Topic; D011619:Psychotropic Drugs / Q000627:therapeutic use
D011619:Psychotropic Drugs