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Updated: May 10, 2026
08:33
A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers
Published on: January 5, 2024
Juvenile fibromyalgia: Guidance for management
Shumpei Yokota1, Masako Kikuchi, Takako Miyamae
1Department of Pediatrics, Yokohama City University School of Medicine, Yokohama, Japan. syokota@med.yokohama-cu.ac.jp
Summary
Juvenile fibromyalgia (JFM) is a growing condition causing severe pain, fatigue, and autonomic symptoms in adolescents. Early diagnosis and a multidisciplinary treatment approach focusing on function restoration and pain relief are crucial for managing JFM.
Area of Science:
- Pediatric Rheumatology
- Adolescent Medicine
- Pain Management
Background:
- Juvenile fibromyalgia (JFM) presents as severe acute and chronic pain without an identifiable primary cause.
- JFM encompasses systemic pain, allodynia, chronic fatigue, hypothermia, and autonomic dysfunction.
- Interacting factors include individual traits, psychological state, and environmental stressors.
Purpose of the Study:
- To provide a guideline for the diagnosis of JFM in children.
- To outline appropriate treatment strategies for JFM.
- To address the increasing prevalence of JFM in pediatric rheumatology.
Main Methods:
- Diagnosis relies on disease history and physical examination, including 18 tender points and allodynia.
- Assessment involves evaluating pain from gentle touch and negative results from specific blood tests.
- Treatment goals focus on functional restoration and pain relief, with psychological support.
Main Results:
- JFM diagnosis is based on a combination of clinical findings and exclusion of other conditions.
- Treatment emphasizes a multidisciplinary approach for symptom management.
- The prevalence of JFM appears to be increasing in pediatric populations.
Conclusions:
- Accurate diagnosis of JFM is essential for effective management.
- A comprehensive treatment plan is necessary for improving patient outcomes.
- Further research is needed to fully understand and manage JFM.
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