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Fibromyalgia

Painkiller Risks in Pregnancy

Responding to concerns about the risks of NSAIDs, opiates, and acetaminophens in pregnancy, the Food and Drug Administration has said why new cautions aren't yet in order. In case patients ask, here are the details in brief.

Fibromyalgia

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Doctors, remember that pain is subjective and may not fall easily into a grading system, writes Dr. Irina Litvin, a rheumatology fellow at SUNY Downstate in Brooklyn, N.Y.

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A rheumatologist picks 5 studies he found particularly noteworthy at EULAR and gets right to the point about their potential clinical implications.

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Difficult diagnosis, overlap with other conditions, lack of objective signs, the absence of proven treatment. . . these reviews of chronic fatigue syndrome filter and summarize the most rigorous evidence available.

The "Green Berets" of the brain, microglia cells, become hyperactive in fibromyalgia and are key to causing symptoms, said a psychologist and neuroscientist. Finding ways to control them is the key to future treatments, he feels.

Your new patient hopes you'll be the one find the magic solution for longstanding chronic pain. By its nature, this quest may have become counter-productive. What can you do to help?

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