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Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
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Fibromyalgia in Older Individuals
Amir Minerbi1,2, Mary-Ann Fitzcharles3,4
1Institute for Pain Medicine, Rambam Health Campus, Haifa, Israel.
Drugs & Aging
|July 8, 2021
Summary
Fibromyalgia (FM), a chronic widespread pain condition, is often underrecognized in older adults. Early diagnosis and non-pharmacologic treatments are crucial for managing this nociplastic pain and improving quality of life.
Area of Science:
- Rheumatology
- Pain Medicine
- Geriatrics
Background:
- Fibromyalgia (FM) is a chronic widespread pain (CWP) condition impacting quality of life.
- It is often underrecognized in older populations and may coexist with other medical illnesses.
- FM is characterized by nervous system sensitization, now termed nociplastic pain.
Purpose of the Study:
- To highlight the importance of recognizing and diagnosing Fibromyalgia in older patients.
- To emphasize non-pharmacologic interventions as the cornerstone of FM treatment.
- To caution against misattributing new symptoms in older adults solely to FM.
Main Methods:
- Review of current understanding of Fibromyalgia pathophysiology and clinical presentation.
- Discussion of diagnostic considerations, particularly in the geriatric population.
- Analysis of treatment strategies, emphasizing non-pharmacologic approaches.
Main Results:
- Fibromyalgia is a valid diagnosis requiring directed treatment.
- Non-pharmacologic interventions are preferred over pharmacologic options due to modest benefits and potential adverse effects in older adults.
- Accurate diagnosis is essential to avoid misdirected treatments and ensure optimal patient outcomes.
Conclusions:
- Early recognition and diagnosis of Fibromyalgia in older adults are critical.
- Non-pharmacologic therapies should be prioritized for managing FM symptoms.
- Physicians must maintain vigilance for new illnesses in older patients, avoiding premature attribution to FM.
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