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Treatment of “resistant” fibromyalgia (FM)

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Long-term outcome for the majority of patients with
fibromyalgia is sufficiently disappointing so that most
patients can be considered to have "resistant" disease. Among
published treatments, education, active exercise, and
nighttime antidepressant medications perform best. Patients
eligible for treatment include those with primarily regional
symptoms, wide-spread pain without 11 or fewer tender points,
or "typical patients" as defined by the American College of
Rheumatology criteria. Factors important in the process of
prognosis of the syndrome should be identified and addressed
in an integrated therapeutic program in order to positively
influence outcome.

Wilke WS

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Are you vitamin d deficient?

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