Fibromyalgia: Recognition and Management in the Primary Care Office

Rheum Dis Clin North Am. 2022 May;48(2):467-478. doi: 10.1016/j.rdc.2022.02.006.

Abstract

Fibromyalgia is a chronic pain condition manifested by chronic generalized pain, fatigue, disordered sleep, and cognitive difficulties, persistent for at least 3 months. Other common complaints/conditions include symptoms of irritable bowel syndrome, headaches, intermittent paresthesias, and various mood disorders. Women are more commonly affected than men. The treatment approach should be individualized and focused on associated mood disorders, sleep, exercise, correction of maladaptive responses to pain, and coping with stress.

Keywords: Depression; Fatigue; Fibromyalgia; Nonpharmacological interventions; Sleep.

Publication types

  • Review

MeSH terms

  • Chronic Pain*
  • Exercise
  • Fatigue
  • Female
  • Fibromyalgia* / diagnosis
  • Fibromyalgia* / therapy
  • Humans
  • Male
  • Primary Health Care