Fibromyalgia and the old dilemma: theory vs. practice
نویسنده
چکیده
The objective of this article is to review some aspects of the fibromyalgia syndrome and its mechanisms of development. We also discuss how to go from preclinical research to clinical practice. Fibromyalgia is a clinical syndrome whose main features include diffuse musculoskeletal pain, fatigue, sleep disturbances, and cognitive disorders. Russell & Larsson (2009) proposed “pronociceptive” and “antinociceptive” systems under normal conditions. Functional pain states such as fibromyalgia are derived from central disturbances in pain processing. The association with anxiety and depression is a negative prognostic factor. Distress is an important part of its physiopathology. The concomitance of other functional syndromes is a rule. The already known etiopathogenic mechanisms of fibromyalgia can be applied in clinical practice for diagnosis and rational therapeutic approaches. Pharmacological but mainly nonpharmacological measures must be applied. Although much information still needs to be obtained, the clinician presently has sufficient tools for efficiently treating fibromyalgia patients. An important aspect is that such knowledge needs to reach primary care physicians because the prevalence of fibromyalgia does not allow all patients to be treated by specialists.
منابع مشابه
تأثیر ویتامین D بر درد منتشر بدن در بیماران فیبرومیالژی
Background: Various studies have reported hypovitaminosis D in Fibromyalgia patients. In the present study, we have evaluated the effect of vitamin D supplements on widespread pain index of fibromyalgia patients. Methods: The present study was performed from October 2012 to February 2014 in Rheumatology Clinic of Firoozgar Hospital. A total of 74 patients diagnosed as fibromyalgia ...
متن کاملPrevalence of fibromyalgia in patients referring to Kerman rheumatology clinic from 1995 to 1998
fibromyalgia(FM), a chronic musculoskeletal syndrome,is charaterized by widespread pain and multiple tenderness in the body.clinical studies show a wide range of prevalence(1% to 20%). there is no published data about the prevalence of FM in Kerman.in this descriptive study demographic variables and the final clhnical diognosis of 8270 cases referring to Kerman rheumatology clinic from 1995 ...
متن کاملEffectiveness of mindfulness-based cognitive therapy separately and combined with TDCS on Pain severity and quality of life in Fibromyalgia patients
The aim of this research was to compare the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) with and without Transcranial direct-current Stimulation(tDCS) on pain severity, quality of life, and their subcomponents in fibromyalgia patients. In regard to the purpose, this research was applicable and in regard to procedure, it was a semi-experimental pretest-posttest with two experimen...
متن کاملCharacteristics and healthcare costs of patients with fibromyalgia syndrome
PURPOSE To examine the characteristics and healthcare costs of fibromyalgia syndrome (FMS) patients in clinical practice. MATERIALS AND METHODS Using a US health-insurance database, we identified all patients, aged > or = 18 years, with any healthcare encounters for FMS (ICD-9-CM diagnosis code 729.1) in each year of the 3-year period, 1 July 2002 to 30 June 2005. A comparison group was then ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2014