Complementary therapies for fibromyalgia syndrome -- a rational approach

Area of Science:

• Rheumatology
• Integrative Medicine

Background:

• Fibromyalgia syndrome (FMS) is a complex chronic condition with challenging treatment options.
• Complementary therapies (CT) are increasingly sought by FMS patients.
• Existing reviews on CT for FMS show some potential benefits but lack conclusive evidence.

Purpose of the Study:

• To propose guidelines for the responsible and practical integration of CT in FMS management.
• To address the gap between patient expectations and the available scientific evidence for CT.

Main Methods:

• Review of existing literature on CT effectiveness for FMS.
• Consideration of multiple factors beyond randomized controlled trials (RCTs) for evaluating CT.
• Development of a framework for decision-making regarding CT use in FMS.

Main Results:

• A comprehensive approach is needed to evaluate CT for FMS.
• Factors such as efficacy, effectiveness, efficiency, safety, and risk-benefit ratio are crucial.
• Integration of CT with conventional treatment requires careful consideration of various aspects.

Conclusions:

• Solid evidence for CT in FMS is still developing.
• Guidelines are proposed to balance patient desires with scientific limitations.
• A multi-faceted evaluation is essential for prescribing, proscribing, or tolerating CT for FMS.