A practical approach to fibromyalgia.

L. S. Brecher, T. C. Cymet

Research output: Contribution to journalArticle

Abstract

The term fibromyalgia refers to a collection of symptoms with no clear physiologic cause, but the symptoms together constitute a clearly recognizable and distinct pathologic entity. The diagnosis is made through the examiner's clinical observations. The differential diagnosis must include other somatic syndromes as well as disease entities, including hepatitis, hypothyroidism, diabetes mellitus, electrolyte imbalance, multiple sclerosis, and cancer. Diagnostic criteria serve as guidelines for diagnosis, not as absolute requirements. Treatment of fibromyalgia, which is an ongoing process, remains individualized, relying on a good physician-patient relationship. It is goal-oriented, directed at helping patients get restorative sleep, alleviating the somatic pains, keeping patients productive, and regulating schedules. It can be achieved through a goal-oriented agreement between patient and provider. Because fibromyalgia is chronic and may affect all areas of an individual's functioning, the physician needs to also evaluate the social support systems of patients with fibromyalgia. The approach to treatment should integrate patient education as well as non-pharmacologic and pharmacologic modalities. To keep patients well educated and involved in their healthcare, physicians should provide patients with adequate sources for reliable information.

Original languageEnglish (US)
JournalJournal of the American Osteopathic Association
Volume101
Issue number4 Suppl Pt 2
StatePublished - Apr 2001
Externally publishedYes

Fingerprint

Fibromyalgia
Nociceptive Pain
Physicians
Physician-Patient Relations
Patient Education
Hypothyroidism
Social Support
Electrolytes
Hepatitis
Multiple Sclerosis
Diabetes Mellitus
Appointments and Schedules
Sleep
Differential Diagnosis
Guidelines
Delivery of Health Care
Therapeutics
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Brecher, L. S., & Cymet, T. C. (2001). A practical approach to fibromyalgia. Journal of the American Osteopathic Association, 101(4 Suppl Pt 2).

A practical approach to fibromyalgia. / Brecher, L. S.; Cymet, T. C.

In: Journal of the American Osteopathic Association, Vol. 101, No. 4 Suppl Pt 2, 04.2001.

Research output: Contribution to journalArticle

Brecher, LS & Cymet, TC 2001, 'A practical approach to fibromyalgia.', Journal of the American Osteopathic Association, vol. 101, no. 4 Suppl Pt 2.
Brecher, L. S. ; Cymet, T. C. / A practical approach to fibromyalgia. In: Journal of the American Osteopathic Association. 2001 ; Vol. 101, No. 4 Suppl Pt 2.
@article{9bd57daea11d43a39f03850d26177069,
title = "A practical approach to fibromyalgia.",
abstract = "The term fibromyalgia refers to a collection of symptoms with no clear physiologic cause, but the symptoms together constitute a clearly recognizable and distinct pathologic entity. The diagnosis is made through the examiner's clinical observations. The differential diagnosis must include other somatic syndromes as well as disease entities, including hepatitis, hypothyroidism, diabetes mellitus, electrolyte imbalance, multiple sclerosis, and cancer. Diagnostic criteria serve as guidelines for diagnosis, not as absolute requirements. Treatment of fibromyalgia, which is an ongoing process, remains individualized, relying on a good physician-patient relationship. It is goal-oriented, directed at helping patients get restorative sleep, alleviating the somatic pains, keeping patients productive, and regulating schedules. It can be achieved through a goal-oriented agreement between patient and provider. Because fibromyalgia is chronic and may affect all areas of an individual's functioning, the physician needs to also evaluate the social support systems of patients with fibromyalgia. The approach to treatment should integrate patient education as well as non-pharmacologic and pharmacologic modalities. To keep patients well educated and involved in their healthcare, physicians should provide patients with adequate sources for reliable information.",
author = "Brecher, {L. S.} and Cymet, {T. C.}",
year = "2001",
month = "4",
language = "English (US)",
volume = "101",
journal = "The Journal of the American Osteopathic Association",
issn = "0098-6151",
publisher = "American Osteopathic Association",
number = "4 Suppl Pt 2",

}

TY - JOUR

T1 - A practical approach to fibromyalgia.

AU - Brecher, L. S.

AU - Cymet, T. C.

PY - 2001/4

Y1 - 2001/4

N2 - The term fibromyalgia refers to a collection of symptoms with no clear physiologic cause, but the symptoms together constitute a clearly recognizable and distinct pathologic entity. The diagnosis is made through the examiner's clinical observations. The differential diagnosis must include other somatic syndromes as well as disease entities, including hepatitis, hypothyroidism, diabetes mellitus, electrolyte imbalance, multiple sclerosis, and cancer. Diagnostic criteria serve as guidelines for diagnosis, not as absolute requirements. Treatment of fibromyalgia, which is an ongoing process, remains individualized, relying on a good physician-patient relationship. It is goal-oriented, directed at helping patients get restorative sleep, alleviating the somatic pains, keeping patients productive, and regulating schedules. It can be achieved through a goal-oriented agreement between patient and provider. Because fibromyalgia is chronic and may affect all areas of an individual's functioning, the physician needs to also evaluate the social support systems of patients with fibromyalgia. The approach to treatment should integrate patient education as well as non-pharmacologic and pharmacologic modalities. To keep patients well educated and involved in their healthcare, physicians should provide patients with adequate sources for reliable information.

AB - The term fibromyalgia refers to a collection of symptoms with no clear physiologic cause, but the symptoms together constitute a clearly recognizable and distinct pathologic entity. The diagnosis is made through the examiner's clinical observations. The differential diagnosis must include other somatic syndromes as well as disease entities, including hepatitis, hypothyroidism, diabetes mellitus, electrolyte imbalance, multiple sclerosis, and cancer. Diagnostic criteria serve as guidelines for diagnosis, not as absolute requirements. Treatment of fibromyalgia, which is an ongoing process, remains individualized, relying on a good physician-patient relationship. It is goal-oriented, directed at helping patients get restorative sleep, alleviating the somatic pains, keeping patients productive, and regulating schedules. It can be achieved through a goal-oriented agreement between patient and provider. Because fibromyalgia is chronic and may affect all areas of an individual's functioning, the physician needs to also evaluate the social support systems of patients with fibromyalgia. The approach to treatment should integrate patient education as well as non-pharmacologic and pharmacologic modalities. To keep patients well educated and involved in their healthcare, physicians should provide patients with adequate sources for reliable information.

UR - http://www.scopus.com/inward/record.url?scp=0035317174&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035317174&partnerID=8YFLogxK

M3 - Article

VL - 101

JO - The Journal of the American Osteopathic Association

JF - The Journal of the American Osteopathic Association

SN - 0098-6151

IS - 4 Suppl Pt 2

ER -