Pain management strategies & team approach – fibromyalgia research

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


Keel P

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