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Medical Pack

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Article Index
Medical Pack
2. Diagnosis
3. Criteria for Fm
4. Pathogenesis
5. Evidence-based interventions
6. Pharmacological management
7. Non-pharmacological management
8. Body Conditioning
9. Exercise Management
10. Activity Scheduling
11. Young People
12. Alternative therapies
13. Trigger versus tender points
14. References
15. Resources & Contacts
All Pages

Guidance on the management of fibromyalgia for the multidisciplinary team

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Introduction
Fibromyalgia is a painful, non-articular condition predominantly involving muscles; it is the most common cause of chronic, widespread musculoskeletal pain. It is typically associated with persistent fatigue, non refreshing sleep and generalised stiffness (Table 1).1

Fibromyalgia affects about 2% of the UK population2 with females outnumbering males in a ratio of 9:1. The most common age group affected is between 45–60, though it can occur at any age, even in children. There is no distinction between ethnic or social groups.

The onset of fibromyalgia can be sudden or gradual, traumatic or non-traumatic. Fibromyalgia can also co-exist with other distinct clinical disorders.3

Prognosis can depend on treatment availability and approach, and the individual’s willingness to adopt a self-management outlook. In 1998, Turk et al demonstrated that an interdisciplinary approach exploring concepts of

  • Medication utilisation
  • Activity scheduling
  • Graded exercise
  • Cognitive behavioural therapy (CBT)

to be the optimal intervention for individuals with fibromyalgia.




Written by gillshutt

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