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. 2011 Jul 12:3:47-51.
doi: 10.2147/OARRR.S10691. eCollection 2011.

Management strategies for fibromyalgia

Kim Francis Le Marshall  1 , Geoffrey Owen Littlejohn  1
Affiliations

Management strategies for fibromyalgia

Kim Francis Le Marshall et al. Open Access Rheumatol. .

Abstract

Clinical question: What are the effective, evidence-based strategies available for the management of fibromyalgia?

Conclusion: There are a number of management strategies available with robust evidence to support their use in clinical practice.

Definition: Fibromyalgia is a complex pain syndrome characterized by widespread, chronic muscular pain and tenderness, disordered sleep, emotional distress, cognitive disturbance, and fatigue. Its prevalence is estimated to be 3%-5% in the population and higher yet in patients with comorbid rheumatic diseases.

Level of evidence: Systematic reviews, meta-analyses, randomized controlled trials (RCTs).

Search sources: PubMed, Cochrane Library, manual search.

Consumer summary: Key messages for patients and clinicians are: There are many effective pharmacological management strategies available for fibromyalgia.A nonpharmacological, multicomponent approach utilizing education, aerobic exercise, psychological therapy, and other strategies is also effective for fibromyalgia.Despite the significant and, at times, disabling physical and psychological symptoms, fibromyalgia can be a manageable condition with a potentially good outcome.

Keywords: evidence; fibromyalgia; management; pain; treatment.

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References

    1. Burckhardt CS, Mannerkorpi K, Hedenberg L, Bjelle A. A randomized, controlled clinical trial of education and physical training for women with fibromyalgia. J Rheumatol. 1994;21:714–720. - PubMed
    1. Rooks DS, Gautam S, Romeling M, et al. Group exercise, education, and combination self-management in women with fibromyalgia: A randomized trial. Arch Intern Med. 2007;167:2192–2200. - PubMed
    1. Busch AJ, Barber KA, Overend TJ, Peloso PMJ, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev. 2007;4:CD003786. - PubMed
    1. Kelley GA, Kelley KS, Hootman JM, Jones DL. Exercise and global well-being in community-dwelling adults with fibromyalgia: A systematic review with meta-analysis. BMC Public Health. 2010;10:198. - PMC - PubMed
    1. Hauser W, Klose P, Langhorst J, et al. Efficacy of different types of aerobic exercise in fibromyalgia syndrome: A systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther. 2010;12:R79. - PMC - PubMed