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Updated: Mar 10, 2026

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Juvenile Fibromyalgia: A Primary Pain, or Pain Processing, Disorder
Lawrence Zemel1, Peter R Blier2
1Department of Pediatrics, University of Connecticut School of Medicine, Springfield, MA; Pediatric Rheumatology, CT Children's Medical Center, Hartford, CT.
Juvenile fibromyalgia (JFM) is a real pain processing disorder, not psychosomatic. Advances include diagnostic criteria and therapies like cognitive and neuromuscular interventions.
Area of Science:
- Pediatric rheumatology and pain science.
Background:
- Juvenile fibromyalgia (JFM) causes widespread pain and dysfunction, impacting quality of life.
- Historically mischaracterized, JFM is now understood as an organic disorder of pain processing.
Purpose of the Study:
- To review advances in understanding and treating JFM.
- To highlight the organic basis of JFM and its implications for care.
Main Methods:
- Review of scientific literature on JFM pathophysiology and treatment.
- Verification of adult diagnostic criteria for pediatric patients.
Main Results:
- JFM is an organic disorder of the central and peripheral nervous systems.
- Effective therapies include cognitive and physical neuromuscular interventions, with potential for adjunctive medications.
Conclusions:
- Neurologists play a key role in managing JFM.
- A scientific framework now exists for understanding JFM pathophysiology and developing treatments.
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