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Review
. 2012 May;87(5):488-96.
doi: 10.1016/j.mayocp.2012.02.010.

A framework for fibromyalgia management for primary care providers

Lesley M Arnold  1 , Daniel J Clauw, L Jean Dunegan, Dennis C Turk; FibroCollaborative
Collaborators, Affiliations
Review

A framework for fibromyalgia management for primary care providers

Lesley M Arnold et al. Mayo Clin Proc. 2012 May.

Abstract

Fibromyalgia is a chronic widespread pain disorder commonly associated with comorbid symptoms, including fatigue and nonrestorative sleep. As in the management of other chronic medical disorders, the approach for fibromyalgia management follows core principles of comprehensive assessment, education, goal setting, multimodal treatment including pharmacological (eg, pregabalin, duloxetine, milnacipran) and nonpharmacological therapies (eg, physical activity, behavioral therapy, sleep hygiene, education), and regular education and monitoring of treatment response and progress. Based on these core management principles, this review presents a framework for primary care providers through which they can develop a patient-centered treatment program for patients with fibromyalgia. This proactive and systematic treatment approach encourages ongoing education and patient self-management and is designed for use in the primary care setting.

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Figures

FIGURE
FIGURE
Core principles for an integrated approach for fibromyalgia management. CBT = cognitive behavioral therapy; IBS = irritable bowel syndrome.
See this image and copyright information in PMC

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