Advances in diagnostic and treatment options in patients with fibromyalgia syndrome

Ali Gur1, Pelin Oktayoglu21Department of Physical Medicine and Rehabilitation, Medical Faculty, Gaziantep University, Gaziantep, Turkey; 2Department of Physical Medicine and Rehabilitation, Batman State Hospital, Batman, TurkeyAbstract: Fibromyalgia (FM) is characterized as a chronic, painful, nonin...

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Autores principales: Ali Gur, Pelin Oktayoglu
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Publicado: Dove Medical Press 2009
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spelling oai:doaj.org-article:76e541bfb36b4aea95b4bcaf9ebe4e972021-12-02T04:28:56ZAdvances in diagnostic and treatment options in patients with fibromyalgia syndrome1179-156Xhttps://doaj.org/article/76e541bfb36b4aea95b4bcaf9ebe4e972009-12-01T00:00:00Zhttp://www.dovepress.com/advances-in-diagnostic-and-treatment-options-in-patients-with-fibromya-a3823https://doaj.org/toc/1179-156XAli Gur1, Pelin Oktayoglu21Department of Physical Medicine and Rehabilitation, Medical Faculty, Gaziantep University, Gaziantep, Turkey; 2Department of Physical Medicine and Rehabilitation, Batman State Hospital, Batman, TurkeyAbstract: Fibromyalgia (FM) is characterized as a chronic, painful, noninflammatory syndrome affecting the musculoskeletal system. In addition to pain, common co-morbid symptoms associated with FM include sleep disturbances, fatigue, morning stiffness, affective disorders, chronic daily headache, dyscognition, irritable bowel syndrome, and irritable bladder. Fibromyalgia is usually classified by application of the American College of Rheumatology (ACR) criteria. Although these criteria are accepted among investigators who agree with the concept of fibromyalgia, they do so with some reservations. Tender points and widespread pain alone does not describe the esence of fibromyalgia. New diagnostic tools including either clinical or radiological components are studied to diminish these problems. Although various pharmacological solutions have been studied for treating fibromyalgia, no single drug or groups of drugs have proved to be useful in treating fibromyalgia patients. Recently, three drugs, pregabalin, duloxetine and milnacipran, were approved for the treatment of FM by the US Food and Drug Administration (FDA). Novel therapeutic approaches to the management of FM include cannabinoids, sodium channel blockade and new generation antiepileptics. This review evaluates both new diagnostic tools, including clinical or radiological regimes, and tries to highlight the efficacy of medicinal and nonmedicinal treatments with new therapeutic approaches in the management of FM with a wide perspective.Keywords: diagnosis, fibromyalgia, rehabilitation, treatment Ali GurPelin OktayogluDove Medical PressarticleDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol 2009, Iss default, Pp 193-209 (2009)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the musculoskeletal system
RC925-935
spellingShingle Diseases of the musculoskeletal system
RC925-935
Ali Gur
Pelin Oktayoglu
Advances in diagnostic and treatment options in patients with fibromyalgia syndrome
description Ali Gur1, Pelin Oktayoglu21Department of Physical Medicine and Rehabilitation, Medical Faculty, Gaziantep University, Gaziantep, Turkey; 2Department of Physical Medicine and Rehabilitation, Batman State Hospital, Batman, TurkeyAbstract: Fibromyalgia (FM) is characterized as a chronic, painful, noninflammatory syndrome affecting the musculoskeletal system. In addition to pain, common co-morbid symptoms associated with FM include sleep disturbances, fatigue, morning stiffness, affective disorders, chronic daily headache, dyscognition, irritable bowel syndrome, and irritable bladder. Fibromyalgia is usually classified by application of the American College of Rheumatology (ACR) criteria. Although these criteria are accepted among investigators who agree with the concept of fibromyalgia, they do so with some reservations. Tender points and widespread pain alone does not describe the esence of fibromyalgia. New diagnostic tools including either clinical or radiological components are studied to diminish these problems. Although various pharmacological solutions have been studied for treating fibromyalgia, no single drug or groups of drugs have proved to be useful in treating fibromyalgia patients. Recently, three drugs, pregabalin, duloxetine and milnacipran, were approved for the treatment of FM by the US Food and Drug Administration (FDA). Novel therapeutic approaches to the management of FM include cannabinoids, sodium channel blockade and new generation antiepileptics. This review evaluates both new diagnostic tools, including clinical or radiological regimes, and tries to highlight the efficacy of medicinal and nonmedicinal treatments with new therapeutic approaches in the management of FM with a wide perspective.Keywords: diagnosis, fibromyalgia, rehabilitation, treatment
format article
author Ali Gur
Pelin Oktayoglu
author_facet Ali Gur
Pelin Oktayoglu
author_sort Ali Gur
title Advances in diagnostic and treatment options in patients with fibromyalgia syndrome
title_short Advances in diagnostic and treatment options in patients with fibromyalgia syndrome
title_full Advances in diagnostic and treatment options in patients with fibromyalgia syndrome
title_fullStr Advances in diagnostic and treatment options in patients with fibromyalgia syndrome
title_full_unstemmed Advances in diagnostic and treatment options in patients with fibromyalgia syndrome
title_sort advances in diagnostic and treatment options in patients with fibromyalgia syndrome
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/76e541bfb36b4aea95b4bcaf9ebe4e97
work_keys_str_mv AT aligur advancesindiagnosticandtreatmentoptionsinpatientswithfibromyalgiasyndrome
AT pelinoktayoglu advancesindiagnosticandtreatmentoptionsinpatientswithfibromyalgiasyndrome
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