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Pain management strategies & team approach - fibromyalgia research

  [ 92 votes ]   [ Discuss This Article ]
www.ProHealth.com • September 10, 1999


Multimodal pain management programmes have been used for
chronic pain conditions such as low back pain or headache for
many years with good results. However their effectiveness for
treating fibromyalgia has only recently been established and
with respect to long-term outcome the evidence is still not
convincing. Recent findings, about abnormalities in pain
control and neuroendocrine systems, help to understand the
symptomatology of fibromyalgia and give theoretical support
for these treatment concepts. They might also explain why
secondary phenomena like depression, anxiety, deconditioning
and disability can make it harder to treat the condition at a
chronic stage. The ingredients of such multimodal programmes
are described and evidence for their effectiveness is
presented.

Keel P




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