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Fibromyalgia Syndrome: Approach to Management

Published online by Cambridge University Press:  07 November 2014

I. Jon Russell
I. Jon Russell*
Affiliation:
Dr. Russell is associate professor of medicine and director of the University Clinical Research Center at the, University of Texas Health Sciences Center in San Antonio
*
Department of Medicine, Mail Code 7868, University of Texas Health Center, 7703 Floyd Curl Dr, San Antonio, TX 78229-3900; Tel: 201-567-4661; E-mail: russell@uthscsa.dcci.com
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Abstract

The management of fibromyalgia syndrome (FMS) has traditionally been multimodal and multidisciplinary, including education, physical modalities, and medication. In this article, an acronym is offered to help the clinician remember the important components of management. An improved understanding of the pathogenesis of FMS has allowed substantial refinements in its treatment. This is particularly true for medications that target specific symptom domains, allowing individualization of therapy. Since all FMS patients experience pain, there has been emphasis on that domain although medications are now available to address two or more domains with monotherapy. In addition, a logical basis is provided to help the clinician design strategic polypharmacy.

Type
Research Article
Information
CNS Spectrums , Volume 13 , Issue S5 , March 2008 , pp. 27 - 33
Copyright
Copyright © Cambridge University Press 2008

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