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Target Concepts:
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Query: UMLS:C0016053 (
fibromyalgia
)
4,687
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Patients with chronic widespread pain often present with musculo-skeletal pain and therefore often initially contact an orthopaedist. For these patients
fibromyalgia
syndrome is an important differential diagnosis. Recommendations for the diagnosis of and therapy for
fibromyalgia
syndrome based on the recent German S3 guidelines for
fibromyalgia
syndrome (AWMF registration number 041/004) are outlined in this paper. These guidelines were developed under the coordination of the German interdisciplinary association for pain management DIVS and two patient support groups. The history of a typical symptom complex and the exclusion of relevant somatic causes for the pain are epecially relevant for the diagnosis of
fibromyalgia
syndrome. Besides the exclusion of relevant orthopaedic causes for the pain, psycho-social aspects should always be evaluated. According to the modified ACR criteria 2010, chronic widespread pain and accompanying sleep disturbances and a physical as well as mental state of exhaustion lead to the diagnosis of
fibromyalgia
syndrome. It is not mandatory to check tender points (ACR 1990 criteria). A graduated treatment approach depending on the severity level of the
fibromyalgia
syndrome in the individual patient is recommended. Active treatment options (aerobic training, meditative movement therapies, strength training) should be preferred to any drug therapy in the long-term treatment of
fibromyalgia
. If indicated, amitryptiline or duloxetine may be used to treat accompanying depressive or generalised anxiety disorder.
Muscle relaxant
medication, non-steroidal anti-inflammatory drugs and strong opioids should be avoided. The multimodal pain therapy considering all psycho-social aspects is a promising treatment option for
fibromyalgia
syndrome of moderate to high severity.
...
PMID:[Fibromyalgia syndrome - updated s3 guidelines]. 2434 15
