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A cost-effective approach to the diagnosis & treatment of fibromyalgia (FM)

  [ 21 votes ]   [ Discuss This Article ] • May 10, 1996

The diagnosis of the myalgic patient can prove to be
challenging for even the most experienced of clinicians. The
differential diagnosis includes many diseases that often
present with weakness as well as pain. The diagnosis of
fibromyalgia may now be made using the positive features of
the patient's illness and classified according to well-defined
criteria. The process is facilitated by the demonstration of
FTPs that are quite specific for the condition. The
elicitation of tenderness over these points is highly
reliable and valid owing to high intrarater and interrater
agreements observed in multiple studies. An algorithmic
approach to differential diagnosis is presented. In addition,
a stepwise approach to treatment based on published studies
and geared to functional outcome measures in put forward in
an attempt to encourage a cost-effective approach to care of
these difficult patients.

McCain GA

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