Pain management in fibromyalgia

摘要

Fibromyalgia is a multidimensional pain syndrome that currently defies an exact definition [1]. Nevertheless, rheumatolo-gists, pain specialists and increasingly primary care providers, are gaining confidence in making this diagnosis and initiating treatment [2]. The multidimensionality of fibromyalgia stems from its amalgamation of diverse symptoms: widespread pain, tenderness, fatigue, nonrefreshing sleep, musculoskeletal stiffness, cognitive dysfunction, environmental sensitivity, mood disorders, poor balance, muscle weakness, functional impairments and disability [3]. Moreover, there are the commonly associated issues of irritable bowel syndrome, restless leg syndrome, overactive bladder, pelvic pain, vulvodynia, dyspareunia, migraine headaches, paresthesia and suicidal ideation.