Fibromyalgia

Paperback | May 10, 2010

byDaniel J. Clauw, Daniel J. Wallace

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Characterized by chronic widespread pain, fibromyalgia presents complex problems in both its diagnosis and treatment. Fibromyalgia is a fairly common condition, affecting 2-4% of the population. The condition's prevalence has increased dramatically since 1990. The condition is not new, but hasbeen known by various names, such as fibrositis and myofascial pain syndrome until 1990, when the American College of Rheumatology (ACR) published new classification criteria and first used the name fibromyalgia. The absence of objective diagnostic testing and the overlap with other condition oftenleads to a significant delay in diagnosis. There is a general misconception that the condition is unresponsive to treatment. However, published research shows that diagnosing and managing fibromyalgia leads to meaningful improvement in the patient's symptons and quality of life.Patients with fibromyalgia often demonstrate symptons additional to pain and are consquently diagnosed with one or more co-occurring syndromes and conditions, complicating diagnosis and treatment. The comorbidities most commonly associated wtih fibromyalgia are sleep disturbance, depression,anxiety, and other psychiatric disorders. Another condition frequently demonstrated by fibromylgia patients is irritable bowel syndrome. Chronic fatigue syndrome also commonly co-occurs, and is often confused wtih fibromyalgia upon initial diagnosis. Numerous pharmacological therapy options exist totreat pain and related symptons of fibromyalgia. Achievement of desired treatment outcomes requires careful patient selection, drug administration and monitoring. Accurate diagnosis of chronic pain syndromes is critical, as some commonly used medications to treat many pain conditions are relativelyineffective wtih fibromyalgia.Despite increasing recognition as a relatively common cause of chronic pain, fibromyalgia continues to generate controversy among clinicians. Given the intricate and challenging nature of treating fibromyalgia and comorbid disorders, it is imperative to educate primary care providers on the initialsymptons, complications, and treatment strategies for fibromyalgia, as most patients with the condition will see a primary care provider for initial diagnosis/referral, and follow-up-care. In the years since the release of the ACR criteria, increasing recognition and advances in research haveprovided key insights into the etiology of fibromyalgia, resulting in the use of several successful pharmacological, as well as non-pharmacological, treatment approaches. However, despite the efforts of professional medical organizations and patient care groups, awareness of the current state ofclinical assessment and treatment of fibromyalgia by healthcare professionals continues to be lacking.This book is designed to provide a succint and practical guide to help primary care physicians, internists, specialists, and allied health professionals effectively diagnose and manage patients with fibromyalgia. This concise volume will provide an essential understanding of the pathophysiology ofthe pain, subtypes, and pitfalls in the diagnosis of this chronic condition.

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Characterized by chronic widespread pain, fibromyalgia presents complex problems in both its diagnosis and treatment. Fibromyalgia is a fairly common condition, affecting 2-4% of the population. The condition's prevalence has increased dramatically since 1990. The condition is not new, but hasbeen known by various names, such as fibros...

Daniel J. Clauw, MD, is Assistant Dean for Clinical and Translational Research, Professor of Internal Medicine and Director of Chronic Pain and Fatigue Center at the University of Michigan Center for the Advancement of Clinical Research. Daniel J. Wallace, MD, is Clinical Professor of Medicine at the David Geffen School of Medicine at...
Format:PaperbackDimensions:112 pages, 4.8 × 7.8 × 0.31 inPublished:May 10, 2010Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195384415

ISBN - 13:9780195384413

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Table of Contents

1. History of fibromyalgia2. Definitions and classification3. Epidemiology4. Pathogenesis and basic science5. Clinical findings---symptoms and signs6. Laboratory and imaging correlates7. Clinical associations and subsets8. Differential diagnosis9. Methods of ascertainment used for clinical trials10. General concepts of treatment11. Medications used to manage fibromyalgia12. Economic impact and disability issues13. Prognosis14. Experimental and innovative therapiesAppendix Resource information