TY - JOUR
T1 - Multidisciplinary approach to fibromyalgia
T2 - What is the teaching?
AU - Sarzi-Puttini, Piercarlo
AU - Atzeni, Fabiola
AU - Salaffi, Fausto
AU - Cazzola, Marco
AU - Benucci, Maurizio
AU - Mease, Philip J.
PY - 2011/4
Y1 - 2011/4
N2 - Fibromyalgia (FM) is a rheumatic disease that is characterised by chronic musculoskeletal pain, stiffness, fatigue, sleep and mood disorder. FM patients demonstrate dysregulation of pain neurotransmitter function and experience a neurohormone-mediated association with sleep irregularities. There are currently no instrumental tests or specific diagnostic markers for FM, and many of the existing indicators are only significant for research purposes. Anti-depressants, non-steroidal anti-inflammatory drugs (NSAIDS), opioids, sedatives, muscle relaxants and antiepileptics have all been used to treat FM with varying results. It has been shown that interdisciplinary treatment programmes lead to greater improvements in subjective pain and function than monotherapies. Physical exercise and multimodal cognitive behavioural therapy are the most widely accepted and beneficial forms of non-pharmacological therapy.
AB - Fibromyalgia (FM) is a rheumatic disease that is characterised by chronic musculoskeletal pain, stiffness, fatigue, sleep and mood disorder. FM patients demonstrate dysregulation of pain neurotransmitter function and experience a neurohormone-mediated association with sleep irregularities. There are currently no instrumental tests or specific diagnostic markers for FM, and many of the existing indicators are only significant for research purposes. Anti-depressants, non-steroidal anti-inflammatory drugs (NSAIDS), opioids, sedatives, muscle relaxants and antiepileptics have all been used to treat FM with varying results. It has been shown that interdisciplinary treatment programmes lead to greater improvements in subjective pain and function than monotherapies. Physical exercise and multimodal cognitive behavioural therapy are the most widely accepted and beneficial forms of non-pharmacological therapy.
KW - Drugs
KW - Fibromyalgia
KW - Interdisciplinary management
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U2 - 10.1016/j.berh.2011.03.001
DO - 10.1016/j.berh.2011.03.001
M3 - Article
C2 - 22094204
AN - SCOPUS:81355160978
VL - 25
SP - 311
EP - 319
JO - Best Practice and Research in Clinical Rheumatology
JF - Best Practice and Research in Clinical Rheumatology
SN - 1521-6942
IS - 2
ER -