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Fibromyalgia syndrome: a review

D H Reiffenberger1, L H Amundson

  • 1Brown Clinic, Watertown, South Dakota, USA.

American Family Physician
|April 1, 1996
PubMed
Summary

Fibromyalgia is a chronic pain condition affecting more women, characterized by widespread pain, fatigue, and sleep issues. Treatment involves medication, exercise, and patient education for symptom relief.

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Area of Science:

  • Rheumatology
  • Pain Management
  • Musculoskeletal Disorders

Background:

  • Fibromyalgia syndrome (FMS) presents as chronic widespread musculoskeletal pain, stiffness, and tender points.
  • Commonly associated symptoms include fatigue and sleep disturbances.
  • FMS predominantly affects women, with a mean age of onset around 49 years.

Purpose of the Study:

  • To provide an overview of fibromyalgia syndrome.
  • To discuss differential diagnoses, including myofascial pain syndrome and chronic fatigue syndrome.
  • To outline current understanding of fibromyalgia's multifactorial nature and treatment approaches.

Main Methods:

  • Literature review of fibromyalgia syndrome.
  • Analysis of diagnostic criteria and symptom presentation.
  • Summary of pharmacologic and non-pharmacologic treatment options.

Main Results:

  • Fibromyalgia is a complex condition with no single treatment guideline.
  • Tricyclic antidepressants are a potential pharmacologic therapy.
  • Patient education, reassurance, and exercise are crucial non-pharmacologic interventions.

Conclusions:

  • Fibromyalgia requires a multifactorial management approach.
  • Integrated treatment strategies combining medication, education, and exercise are effective.
  • Addressing symptoms like pain, fatigue, and sleep disturbance is key to improving patient outcomes.

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