Fibromyalgia summary

Fibromyalgia is a chronic centralised pain syndrome that affects 2-5% of the population

  • It is associated with sleep disturbance, chronic fatigue and mood disorders
  • There is a female:male incidence ratio of 2:1
  • Use the 2010 ARC diagnostic criteria
  • A stepwise approach to treatment is advised
  • Patient education is the first step and the patient needs to be an active participant
  • The aim is to reduce symptoms and increase patient function
  • There is a waxing and waning pattern to the condition
  • There is scepticism in the medical profession as to the validity of the diagnosis
  • There are measurable (research) biochemical changes in fibromyalgia
  • There is an evidence base to treatment which must be tailored to the patient’s symptoms
  • The management of fibromyalgia has 4 main components:-
    • Patient education
    • Physical therapy
    • Psychological therapy/support
    • Drug treatment
  • Be aware that long term opiates may be associated with a poorer outcome
  • Patients with fibromyalgia will need a long term relationship with their primary care physician – and this is best built on trust, mutual respect and an understanding of the condition

Previous

Next

Your privacy

This website uses cookies to ensure you get the best experience, please accept these so we can deliver a more reliable service.

To find out more, read our privacy policy and cookie policy.

Manage preferences