[Principles of treatment, coordination of medical care and patient education in fibromyalgia syndrome and chronic widespread pain]

Schmerz. 2008 Jun;22(3):283-94. doi: 10.1007/s00482-008-0673-5.
[Article in German]


Background: A guideline for the treatment and diagnostic procedures for fibromyalgia syndrome (FMS) was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.

Methods: A systematic literature search including all controlled studies evaluating physiotherapy, exercise and strength training as well as physical therapies was performed in the Cochrane Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.

Results: Patient's information at first diagnosis of FMS is strongly recommended (grade A). Patient-centered communication is recommended (grade B). A stepwise treatment approach depending on the adapatation to restrictions in daily life and response to treatment options can be considered (grade C).

Conclusions: The long-term treatment should be based on principles of basic psychosomatic care and shared decision making on treatment options.

Publication types

  • Consensus Development Conference
  • English Abstract
  • Practice Guideline

MeSH terms

  • Algorithms
  • Combined Modality Therapy
  • Cooperative Behavior
  • Disease Management
  • Evidence-Based Medicine
  • Fibromyalgia / diagnosis
  • Fibromyalgia / rehabilitation*
  • Follow-Up Studies
  • Germany
  • Humans
  • Patient Care Team*
  • Patient Education as Topic*
  • Self-Help Groups
  • Societies, Medical