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Review
. 2021 Nov;47(4):725-736.
doi: 10.1016/j.rdc.2021.07.002. Epub 2021 Aug 21.

Juvenile Fibromyalgia

Jennifer E Weiss  1 , Susmita Kashikar-Zuck  2
Affiliations
Review

Juvenile Fibromyalgia

Jennifer E Weiss et al. Rheum Dis Clin North Am. 2021 Nov.

Abstract

Juvenile fibromyalgia is a common referral in pediatric rheumatology settings. Providing a clear diagnosis and explanation of altered pain processing offers reassurance that pain has a biologic basis and the symptoms are part of a recognized pain syndrome. Physicians should acknowledge the impact of chronic pain and associated symptoms on patient's lives and take time to understand contributing factors including stress, mood, inactivity, and lifestyle factors. The optimal treatment for juvenile fibromyalgia is multidisciplinary, focusing on education about juvenile fibromyalgia, along with physical therapy, cognitive behavioral therapy, sleep hygiene, healthy lifestyle habits, and medications for symptom management as appropriate.

Keywords: Chronic musculoskeletal pain; Cognitive-behavioral therapy; Combined treatments; Juvenile fibromyalgia; Multidisciplinary treatment; Physical exercise.

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Conflict of interest statement

Disclosure S. Kashikar-Zuck receives funding for her research in JFM from the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the National Institutes of Health, USA. Drs J.E. Weiss and S. Kashikar-Zuck receive support from the Arthritis Foundation for their work on the Steering Committee of the Childhood Arthritis and Rheumatology Research Alliance (CARRA) of North America.