[Fibromyalgia--a challenge for interdisciplinary management].

Area of Science:

• Rheumatology
• Pain Medicine
• Psychosomatic Medicine

Context:

• Fibromyalgia is a prevalent chronic pain syndrome.
• It disproportionately affects middle-aged women.
• Symptoms include widespread myofascial pain, tenderness, fatigue, sleep disturbances, depression, and anxiety.

Purpose:

• To outline the current understanding of fibromyalgia's etiology and pathogenesis.
• To describe diagnostic criteria and limitations of current investigations.
• To evaluate the efficacy of existing treatments and propose an optimized rehabilitation approach.

Summary:

• Fibromyalgia pathogenesis is multifactorial, involving biological, psychological, and social factors.
• Diagnosis relies on clinical presentation and tender point assessment, excluding other conditions.
• Current treatments offer limited symptomatic relief, necessitating a shift in rehabilitation focus.

Impact:

• Current treatments provide only temporary relief for 30-50% of patients.
• Psychosomatic rehabilitation should prioritize physical reconditioning and active coping skills.
• Psychological interventions, education, and psychotherapy are crucial for comprehensive fibromyalgia management.