Author | Daniel J. Wallace, MD

Articles

Fighting Fibromyalgia: Five Key Issues

October 20, 2010

Physicians treating patients with fibromyalgia syndrome should rule out coexisting disorders and establish possible inducing factors.

Fighting fibromyalgia: Five key issues

March 27, 2008

ABSTRACT: Physicians treating patients with fibromyalgia syndrome(FMS) should rule out coexisting disorders and establish possible inducingfactors. They can work with patients to address their symptomsby providing patient education, instilling a sense of self-worth,advising avoidance of disability and narcotic medications, offeringinstruction in sleep hygiene, establishing anxiety reduction measures,and recommending an exercise program. Patients who havespecial needs and refractory cases may benefit from referral to amusculoskeletal specialist. Physicians can best improve patients'prognosis and quality of life by addressing several issues: whetherthe FMS is primary or secondary, whether there are underlying psychosocialstressors, whether pain is regional or widespread, how toapproach exercise for therapy, and determining which medicationsto use. (J Musculoskel Med. 2008;25:172-184)