Fibromyalgia(FM; Fibromyalgia Syndrome; FMS)Pronounced: FI-bro-my-OWL-jah
by
Rick Alan DefinitionFibromyalgia is a complex, chronic, and disabling disorder. It causes widespread pain and stiffness in the muscles, tendons, and ligaments. It also causes poor sleep and fatigue.
CausesThe exact cause of fibromyalgia is unknown. The following conditions are commonly associated with fibromyalgia:
Risk Factors TOPA risk factor is something that increases your chance of getting fibromyalgia. Risk factors include:
Symptoms TOPCommon symptoms include:
Factors that may trigger or worsen symptoms include:
Diagnosis TOPThe doctor will ask about your symptoms and medical history. A physical exam will be done. There are no specific tests for fibromyalgia. The doctor will look for the following signs:
Treatment TOPThe goal of treatment is to relieve or control the symptoms. Treatments include: Therapy Programs
Lifestyle ChangesYour doctor may also recommend that you make lifestyle changes, such as:
MedicationsThese medicines may help to improve symptoms:
Prevention TOPBecause the cause is unknown, there are no guidelines to prevent fibromyalgia. RESOURCES:American College of Rheumatology http://www.rheumatology.org/ The American Fibromyalgia Syndrome Association http://www.afsafund.org CANADIAN RESOURCES:The Arthritis Society http://www.arthritis.ca/ Fibromyalgia Information and Local Support http://fibromyalgia.ncf.ca/ References:
Buckhardt CS, Goldenberg D, Crofford L, et al. Guideline for the management of fibromyalgia syndrome pain in adults and children. Glenview (IL): American Pain Society (APS); 2005. as summarized in
National Guideline Clearinghouse
2005;19:7298.
Carville SF, Arendt-Nielsen S, Bliddal H, et al. EULAR evidence-based recommendations for the management of fibromyalgia syndrome.
Ann Rheum Dis
. 2008;67:536-541.
Fibromyalgia. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php. Updated August 10, 2012. Accessed October 11, 2012.
Fibromyalgia. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at:
http://www.niams.n....
Updated July 2011. Accessed October 11, 2012.
Wierville L. Fibromyalgia: diagnosing and managing a complex syndrome.
J Am Acad Nurse Pract. 2012;24(4):184-92.
2/17/2009 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php: Russell IJ, Perkins AT, Michalek JE; Oxybate SXB-26 Fibromyalgia Syndrome Study Group. Sodium oxybate relieves pain and improves function in fibromyalgia syndrome: a randomized, double-blind, placebo-controlled, multicenter clinical trial.
Arthritis Rheum.
2009;60:299-309.
4/14/2009 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php: Munguía-Izquierdo D, Legaz-Arrese A. Assessment of the effects of aquatic therapy on global symptomatology in patients with fibromyalgia syndrome: a randomized controlled trial. Arch
Phys Med Rehabil.
2008;89:2250-2257.
4/22/2011 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/: Sañudo B, Galiano D, Carrasco L, Blagojevic M, de Hoyo M, Saxton J.
Aerobic exercise versus combined exercise therapy in women with fibromyalgia syndrome: a randomized controlled trial.
Arch Phys Med Rehabil.
2010;91(12):1838-1843.
4/22/2011 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/: Carson JW, Carson KM, Jones KD, Bennett RM, Wright CL, Mist SD.
A pilot randomized controlled trial of the Yoga of Awareness program in the management of fibromyalgia.
Pain.
2010;151(2):530-539.
Last reviewed September 2012 by Rimas Lukas, MD Last Updated: 09/30/2012 | |