Clinical Management of Fibromyalgia

Front Cover
Professional Communications, 2008 - Medical - 148 pages
In the United States alone, 3 to 6 million people have fibromyalgia. Fibromyalgia is the most common cause of generalized pain in general medical practice. Primary care physicians and specialists are often uncomfortable making the diagnosis and uncertain how to proceed with a therapeutic plan. This handbook is timely, with the availability of newer pharmacologic choices for the treatment of fibromyalgia and related disorders. The majority of patients with fibromyalgia will be treated by primary care physicians and this handbook should be especially helpful to improve their skills in understanding, diagnosing, and treating this illness.
 

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Contents

What is Fibromyalgia?
9
1 Who Gets Fibromyalgia?
10
Diagnosis and Differential Diagnosis 2
17
1 Telltale Patient Descriptions of Fibromyalgia
18
2 Structured Interview for Fibromyalgia
24
1 Medically Unexplained Illnesses Concurrent
32
Associated Illnesses 3
41
1 Fibromyalgia and Mood Disorders
43
3 Demographic and Baseline Characteristics
74
8 Adverse Events in Pooled Trials
78
Clinical Trials in Fibromyalgia
83
10 Improvement in Average Pain Severity
84
6 Tricyclics in Fibromyalgia
91
Nonpharmacologic Management 7
99
1 The Nonpharmacologic Approach
100
6 EULAR Conclusions Regarding Nonmedicinal
109

7 Possible Etiologic Links Between
51
Pathophysiology 5
57
3 Alterations in Descending Analgesic Activity
58
7 Neuroendocrine Studies in Fibromyalgia
64
Pharmacologic Management 6
69
1 Rationale for the Use of Central Nervous
70
1 Pregabalin and Gabapentin
72
Comprehensive Management Plan 8
113
1 Patient and Family Education
116
5 Strategies to Achieve Improvement in Comorbid
125
Controversies in the Management of Fibromyalgia 9
129
3 Outcome and Disability in Fibromyalgia
132
AbbreviationsAcronyms 10
135
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About the author (2008)

Chief of Rheumatology and Director of the Arthristis/fibromyalgia Center at Newton-Wellesley Hospital.

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