The challenge of fibromyalgia: new approaches

Eic, W Müller, D Pongratz, E Bärlin, W

doi:10.1080/030097400446715

Scandinavian Journal of Rheumatology

2000

DOI: 10.1080/030097400446715

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The challenge of fibromyalgia: new approaches

W Müller, D Pongratz, E Bärlin, W Eic¹

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Diagnose und Klinik der Fibromyalgie

Conrad

2003

Der Schmerz

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According to the criteria of the American College of Rheumatology (ACR 1990) fibromyalgia can be classified as a complex of clinical symptoms. It is characterised by widespread muscle pain, and pain in at least 11 out of 18 defined so-called tender points. The widespread muscle pain must be present for at least 3 months. For the diagnosis of fibromyalgia many other rheumatological, neurological and psychiatric diseases have to be excluded; additional autonomic or functional symptoms are usual. Routine laboratory or radiological examinations yield normal results. From a pathogenetic point of view endocrine disturbances and psychosocial stress factors are found. In most cases the clinical course shows a slow development of generalised pain.

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Diagnose und Klinik der Fibromyalgie

Conrad

2003

Der Schmerz

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Fibromyalgiesyndrom

Biewer¹,

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H�user

2004

Der Schmerz

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Within clinical practice fibromyalgia is diagnosed according to the classification criteria of the American College of Rheumatology. The examination of the tender points is still to be standardized. By using additional diagnostic criteria fibromyalgia changes into a polysymptomatic syndrom with multiple functional and psychic symptoms. The prevalence of FMS is estimated to range between 1,3-4,8% in the general population. Relative hypocortisolism, sensory hypervigilance, adverse life experiences and psychiatric disorders are discussed as main pathophysiological mechanisms. There are no evidence-based guidelines of scientific societies for the management of fibromyalgia available. Patient education, medical training therapy, physical therapy (heat or cold) and relaxation therapy are recommended. There is a moderate evidence for the effectiveness of tricyclic antidepressants and aerobic training. The effectiveness of multicomponent therapy in fibromyalgia is still to be demonstrated.

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The challenge of fibromyalgia: new approaches

Cited by 2 publications

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Diagnose und Klinik der Fibromyalgie

Diagnose und Klinik der Fibromyalgie

Fibromyalgiesyndrom

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