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Fibromyalgia. 2. Management guidelines and research findings.

P K Hench, M M Mitler

    Postgraduate Medicine
    |November 15, 1986
    PubMed
    Summary

    Fibromyalgia treatment involves physical, behavioral, and drug therapies, though no single approach is uniformly successful. Patients play a key role in managing their condition after initial therapy, with research exploring causes like sleep disorders and immune mechanisms.

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    Area of Science:

    • Rheumatology
    • Pain Management
    • Neuroscience

    Background:

    • Fibromyalgia is a complex chronic pain condition.
    • Current treatments include physical, behavioral, psychological, and pharmacologic therapies.
    • No single pharmacologic treatment is uniformly effective for fibromyalgia.

    Purpose of the Study:

    • To summarize current understanding of fibromyalgia treatment and management.
    • To highlight the role of patients in self-management.
    • To review research into the underlying causes of fibromyalgia.

    Main Methods:

    • Literature review of existing studies on fibromyalgia.
    • Analysis of therapeutic approaches.
    • Synthesis of research findings on etiology.

    Main Results:

    • Various therapies offer temporary pain relief but no uniform success.
    • Patient self-management is crucial after initial treatment establishment.
    • Research links fibromyalgia to sleep disorders, neurogenic mediators, immune mechanisms, muscle disease, and psychological factors.

    Conclusions:

    • Comprehensive treatment strategies are necessary for fibromyalgia.
    • Further research is needed to elucidate the exact causes of fibromyalgia.
    • Patient education and empowerment are vital for effective long-term management.

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