Non-Pharmacological Treatment Options for Patients with Fibromyalgia
Journal Title: Journal of Enam Meical College - Year 2018, Vol 8, Issue 3
Abstract
Fibromyalgia is a generalized chronic pain syndrome characterized by widespread pain and tenderness to palpation at multiple anatomically defned soft tissues and associated with depression, anxiety, insomnia, cognitive dysfunction, chronic fatigue, and autonomic dysfunction. In 2010, American College of Rheumatology modifed classifcation criteria defned in 1990. This is one of the most common musculoskeletal complaints in physician’s chambers. For lack of specifc pharmacological treatment options, non-pharmacological treatment modalities are found to have some immediate effcacy and a variable effcacy in the long term. We searched literatures and reviewed randomized controlled trials for possible predictors of outcome in fbromyalgia. The effects of non-pharmacological interventions are limited and positive outcomes largely disappear in the long term. However, within the various populations with fbromyalgia, treatment outcomes showed considerable individual variations. Subgroups of patients with high levels of psychological distress may beneft from non-pharmacological interventions. Some of the relevant published articles demonstrated the benefcial effects of non-pharmacological treatment options, specially exercise, cognitive behavioral therapy and alternative and complementary medicine, in the context of non-availability of specifc pharmacotherapy.
Authors and Affiliations
Md Shahidur Rahman
Keywords
Related Articles
- EP ID EP36315
- DOI https://doi.org/10.3329/jemc.v8i3.38368
- Views 291
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