Management strategies for fibromyalgia

Abstract

Clinical question

What are the effective, evidence-based strategies available for the management of fibromyalgia?

Conclusion

There are a number of management strategies available with robust evidence to support their use in clinical practice.

Definition

Fibromyalgia is a complex pain syndrome characterized by widespread, chronic muscular pain and tenderness, disordered sleep, emotional distress, cognitive disturbance, and fatigue. Its prevalence is estimated to be 3%–5% in the population and higher yet in patients with comorbid rheumatic diseases.

Level of evidence

Systematic reviews, meta-analyses, randomized controlled trials (RCTs).

Search sources

PubMed, Cochrane Library, manual search

Consumer summary

Key messages for patients and clinicians are:

1. There are many effective pharmacological management strategies available for fibromyalgia.

2. A nonpharmacological, multicomponent approach utilizing education, aerobic exercise, psychological therapy, and other strategies is also effective for fibromyalgia.

3. Despite the significant and, at times, disabling physical and psychological symptoms, fibromyalgia can be a manageable condition with a potentially good outcome.

Keywords:

• fibromyalgia
• pain
• treatment
• management
• evidence

Disclosure

Dr Littlejohn has done consulting work and has received honoraria from Pierre Fabre, Eli Lilly, and Pfizer.