Primary care & specialist management options – fibromyalgia related research

Fibromyalgia syndrome varies from being a mild intermittent

disorder to one that is severe and protracted. Much of the

management of the more common milder type is best done at the

primary care level with the expectancy of improvement in key

symptoms and a generally good prognosis. Careful appraisal of

the dimensions of fibromyalgia is needed with an

individualized management strategy. Critical to good outcome

is the need for an understandable explanation of the mechanism

of fibromyalgia and introduction to self-management skills

that include exercise and techniques that minimize aberrant

responses to psychosocial stressors.

The primary care

practitioner is well placed to identify risk factors that

associate with fibromyalgia in order to minimize emotional

distress accompanying illness or psychosocial predicaments.

Little formal research has been done on these important areas.

In contrast, there is much information on management of

fibromyalgia when it presents to specialist practice. More

complex and expensive approaches result in variable changes in

the outcome of fibromyalgia.

Schachna L, Littlejohn G

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