Rational treatment of fibromyalgia for a solo practitioner.
Fibromyalgia (FM) is a challenging condition, but the management of patients with FM is becoming facilitated by new medications that act in what are thought to be some of most important pathophysiological features in this syndrome. However, it is of pivotal importance that an interdisciplinary approach is used to improve pain, fatigue, sleep and other domains to improve quality of life. Here, we present elements of management that the solo practitioner can tackle, focussing in the formally approved drugs for FM and other drugs commonly used in this condition. Further, the elements of an ideal multidisciplinary team are presented, and on how to incorporate their recommendations for the treatment of FM.
Paiva
Eduardo S
ES
Universidade Federal do Parana, Hospital de Clinicas -Rua General Carneiro, 181 Curitiba, PR 80060-900, Brazil. eduevicky@terra.com.br
Jones
Kim Dupree
KD
D000488:Allied Health Personnel / Q000458:organization & administration*; D003937:Diagnosis, Differential; D005356:Fibromyalgia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007037:Hypothyroidism / Q000175:diagnosis; D010146:Pain / Q000175:diagnosis / Q000503:physiopathology; D059408:Pain Management; D010348:Patient Care Team / Q000458:organization & administration*; D011331:Private Practice / Q000458:organization & administration*; D011788:Quality of Life