Fibromyalgia Pain Management

Fibromyalgia predominantly affects women (more than 80%) between the ages of 35 and 55. Less commonly, fibromyalgia affects men, children and the elderly. It can occur independently or can be associated with another rheumatic disease, such as systemic lupus or rheumatoid arthritis.

Although chronic, widespread body pain is the primary symptom of fibromyalgia, a variety of other symptoms are common. Approximately 90% experience trouble sleeping. Patients with fibromyalgia lack the deep, restorative level of Other symptoms include: problems with cognitive functioning, IBS, headaches and migraines, anxiety and depression, and environmental sensitivities.

American College of Rheumatology (ACR) fibromyalgia diagnostic criteria, includes a history of widespread pain (WPI score of at least 7 & symptom severity scale score of 5; or WPI 3-6 & SS scale score of 9) in all four quadrants of the body for a minimum duration of three months, and pain in at least 11 of the 18 designated tender points when a specified amount of pressure (approx. 4 kg/cm2) is ap...

Because symptoms vary among patients, treatment programs must be individualized for each patient. Treatment programs are most effective when they combine patient education, stress reduction, regular exercise, and medications. Medications include analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants and benzodiazepines.

Alternative therapies, such as massage, myofasical release, acupuncture, chiropractic, herbal supplements and yoga, can be effective tools in managing FM symptoms. Increasing rest, pacing activities, reducing stress, practicing relaxation and improving nutrition can help minimize symptoms and improve quality of life.

Fibromyalgia is a syndrome characterized by chronic pain, stiffness, and tenderness of muscles, tendons, and joints without detectable inflammation. It affects an estimated 3-6 million Americans. Learn more about diagnosis and management with this slideshow.

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