Fibromyalgia: management strategies for primary care providers

International Journal of Clinical Practice
Lesley M ArnoldE H S Choy

Abstract

Fibromyalgia (FM), a chronic disorder defined by widespread pain, often accompanied by fatigue and sleep disturbance, affects up to one in 20 patients in primary care. Although most patients with FM are managed in primary care, diagnosis and treatment continue to present a challenge, and patients are often referred to specialists. Furthermore, the lack of a clear patient pathway often results in patients being passed from specialist to specialist, exhaustive investigations, prescription of multiple drugs to treat different symptoms, delays in diagnosis, increased disability and increased healthcare resource utilisation. We will discuss the current and evolving understanding of FM, and recommend improvements in the management and treatment of FM, highlighting the role of the primary care physician, and the place of the medical home in FM management. We reviewed the epidemiology, pathophysiology and management of FM by searching PubMed and references from relevant articles, and selected articles on the basis of quality, relevance to the illness and importance in illustrating current management pathways and the potential for future improvements. The implementation of a framework for chronic pain management in primary care would li...Continue Reading

References

Mar 17, 2004·Arthritis and Rheumatism·Lesley M ArnoldPaul E Keck
Nov 18, 2004·JAMA : the Journal of the American Medical Association·Don L GoldenbergLeslie Crofford
Jun 10, 2006·Arthritis Research & Therapy·Lesley M Arnold
Mar 14, 2007·BMC Musculoskeletal Disorders·Robert M BennettLynne Matallana
Apr 25, 2007·The Clinical Neuropsychologist·UNKNOWN American Academy of Clinical Neuropsychology
Jul 10, 2007·Journal of the American College of Surgeons·UNKNOWN American College Of Radiology
Jan 12, 2008·Journal of Occupational and Environmental Medicine·Leigh Ann WhiteRebecca L Robinson
Mar 4, 2008·Arthritis and Rheumatism·L AnnemansC Taïeb
Mar 7, 2009·European Journal of Pain : EJP·Winfried HäuserDennis C Turk
May 5, 2009·The Journal of Pain : Official Journal of the American Pain Society·Roger B FillingimJoseph L Riley
Sep 8, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Erin M O'BrienMichael E Robinson
Nov 20, 2009·Current Rheumatology Reports·Roland Staud
Apr 28, 2010·BMC Health Services Research·Ernest ChoyErich Kramer
May 26, 2010·International Journal of Clinical Practice·S PerrotG Zlateva
Dec 18, 2010·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Sean M HayesS Murray
Mar 31, 2011·Diabetes Care·Trajko Bojadzievski, Robert A Gabbay
May 3, 2011·Mayo Clinic Proceedings·Lesley M ArnoldUNKNOWN FibroCollaborative
Jul 2, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Laura M TraynorAndrew P Traynor
Jul 21, 2011·Frontiers in Pharmacology·Howard S SmithJoshua M Smith
Sep 1, 2011·Mayo Clinic Proceedings·Daniel J ClauwUNKNOWN FibroCollaborative
Sep 16, 2011·Current Opinion in Psychiatry·Jonathan M Amiel, Harold Alan Pincus
Nov 18, 2011·Journal of Pain Research·Jessica A DavisJin Xie
Nov 19, 2011·Best Practice & Research. Clinical Rheumatology·Kristine Phillips, Daniel J Clauw
Nov 19, 2011·Best Practice & Research. Clinical Rheumatology·Philip J MeasePiercarlo Sarzi-Puttini
Dec 15, 2011·Journal of Women's Health·Lesley M ArnoldLeslie J Crofford
Dec 21, 2011·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Nandini HadkerStuart L Silverman
Mar 15, 2012·The Journal of Ambulatory Care Management·Clarissa HsuRobert J Reid
Mar 21, 2012·The Nurse Practitioner·Andrea Parsons Schram
May 9, 2012·Mayo Clinic Proceedings·Lesley M ArnoldUNKNOWN FibroCollaborative
Sep 11, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Rebecca L RobinsonBill McCarberg
Oct 16, 2012·The Journal of the Association of Nurses in AIDS Care : JANAC·Suzanne Willard, Jason E Farley
Feb 1, 2013·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Jacob T Painter, Leslie J Crofford
Mar 5, 2013·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Erica Briones-VozmedianoDiana Gil-González
Mar 30, 2013·Journal of General Internal Medicine·Peter F CronholmRobert Gabbay
May 25, 2013·Annals of Family Medicine·Sarah Hudson ScholleCarlos Roberto Jaén
Jun 14, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Rebecca L RobinsonBill McCarberg

❮ Previous
Next ❯

Citations

May 15, 2016·European Journal of Pharmacology·Yasuo ItomiToru Kawamura
Nov 9, 2016·BMC Musculoskeletal Disorders·Kevin V HackshawC A Tony Buffington
Dec 9, 2016·Expert Review of Pharmacoeconomics & Outcomes Research·Tracy L Skaer, Winghan Jacqueline Kwong
Jul 1, 2017·Expert Opinion on Therapeutic Patents·Marlange A OliveiraJullyana S S Quintans
Jun 1, 2017·Postgraduate Medicine·Lesley M Arnold, Daniel J Clauw
Dec 20, 2017·Postgraduate Medicine·Daniel J ClauwKim D Jones
Oct 17, 2018·International Journal of Clinical Practice·Leslie Citrome
Sep 10, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Shi-Chen OuSheng-Teng Huang
Sep 10, 2019·Frontiers in Psychology·Maria-Angeles Pastor-MiraCecilia Peñacoba
Aug 10, 2017·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Michelle TeoNelly D Oelke
Jan 16, 2021·Journal of Psychiatric and Mental Health Nursing·Ahmed Mohammad Al-SmadiHrayr Attarian
Jan 22, 2021·European Journal of Pharmacology·Indiara BruscoSara Marchesan Oliveira
Mar 27, 2021·BMJ Open Quality·Hilary Ym PangNatasha K Gakhal
Jun 26, 2021·Clinical Rheumatology·Luis F VidalAntonio Collado
Jul 3, 2021·International Journal of Molecular Sciences·Ramona D'AmicoRosanna Di Paola
Jul 16, 2021·Pharmacology & Therapeutics·Evelyne Silva BrumSara Marchesan Oliveira
Aug 14, 2021·Scandinavian Journal of Pain·Maria Carla GerraMaria Teresa Carrillo-de-la-Peña
Jan 12, 2020·Neurochemistry International·Susana Paula Moreira FischerSara Marchesan Oliveira
Jun 30, 2019·Biochemical Pharmacology·Indiara BruscoSara Marchesan Oliveira
Sep 9, 2020·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Barbara K BruceAndy Abril

❮ Previous
Next ❯

Methods Mentioned

BETA
cognitive behavioural therapy

Software Mentioned

FibroDetect

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.