[Guidelines for the diagnosis and treatment of the fibromyalgia syndrome].
Over the past years, considerable progress has been made in understanding the pathogenesis of the fibromyatgia syndrome and the evidence based approach to the diagnosis and management has been significantty extended. The purpose of the current project is to develop practicat and evidence based guidetine recommendations for the Israeli health care system. A panet of physicians with clinical and research experience in the fibromyalgia field was convened under the auspices of the Israeli Rheumatology Association. A systematic review was performed on the current literature regarding the diagnosis and treatment of fibromyalgia. Using an interactive discussion procedure, recommendations were reached and expert opinion was introduced where evidence was considered incomplete. The panel recommendations underline the importance of concomitant and integrated medical therapy, such as serotonin and noradrenaline reuptake inhibitor (SNRI) anti-depressants or gamma-aminobutyric acid (GABA) related anti-epileptics, with regular aerobic physical exercise.
Institute of Rheumatotogy, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv, Israel.
Jacob N
JN
Ablin
Department of Medicine B, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Howard
H
Amital
Zabludowicz Center for Autoimmune Diseases, Chaim Sheba Medical Center, Tel-Hashomer and Sackler Faculty of Medicine, Tel Aviv University, Israel.
Michael
M
Ehrenfeld
Institute of Rheumatotogy, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv, Israel.
Valerie
V
Aloush
Institute of Rheumatotogy, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv, Israel.
Ori
O
Elkayam
Rheumatalogy Unit, Sheba Medical Center, Tel-Hashomer, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Pnina
P
Langevitz
The Laboratory for Cevlular and Molecular Immunology, Department of Medicine, Rheumatology Research Center, Hadassah-Hebrew University Medical Center, Jerusalem. Israel.
Dror
D
Mevorach
Rheumatic Diseases Unit, Ha'Emek Medical Center, Afula, Israel.
Reuven
R
Mader
Family Medicine Department, Hebrew University, Jerusalem, Israel.
Tali
T
Sachar
Department of Psychiatry 'B, Ness Ziona Mental Health Center, Ness Ziona, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Daniela
D
Amital
Department of Medicine H, Soroka Medical Center and Faculty of Health Sciences, Ben Gurion University, Beer Sheva, Israel.
Dan
D
Buskila
D003695:Delivery of Health Care / Q000379:methods*; D019317:Evidence-Based Medicine; D005081:Exercise Therapy; D005356:Fibromyalgia / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007557:Israel