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Management of fibromyalgia syndrome 

Management of fibromyalgia syndrome
Chapter:
Management of fibromyalgia syndrome
Author(s):

Ernest Choy

DOI:
10.1093/med/9780198723233.003.0005
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date: 03 April 2020

The major objective in the management of fibromyalgia syndrome is to empower patients to regain control over their life, by having a positive attitude and the ability to cope with the condition. Several evidence-based guidelines have been published to guide best practice. A combination of education, and non-pharmacological and pharmacological therapies is usually needed to achieve this goal. Although these treatments are not curative, they are important adjuvants, helping patients to cope with pain and improve their quality of life. Fibromyalgia syndrome is heterogeneous; therefore, the management strategy must be tailor-made to the individual patient, bearing in mind co-morbidities, such as depression, and potential side effects of therapy. There is moderate to strong evidence to support patient education, exercise, warm water therapy, cognitive behavioural therapy, and massage as non-pharmacological therapies. For pharmacological treatment, there is evidence to support the use of amitriptyline, tramadol, duloxetine, pregabalin, and milnacipran.

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