Diagnóstico e tratamento da fibromialgia.

Translated title of the contribution: The diagnosis and treatment of fibromyalgia

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)
11 Downloads (Pure)

Abstract

Fibromyalgia syndrome (FMS) affects predominantly females and is characterised by widespread musculoskeletal pain, fatigue, insomnia, nonrefreshing sleep, diffuse stiffness and other organic and psychic signs and symptoms. Diagnosis is essentially based on the 1990 American College of Rheumatology Classificative Criteria, but if, in some cases, they are not completely fulfilled, diagnosis is not excluded in a particular patient. The causes of the enhanced pain perception and of all the other clinical characteristics are unknown. Both the central hypothesis (sleep disturbance; psychological affection; hypothalamus-hypophysis-adrenal axis disorder; neuromediators disregulation; etc.) and the peripheral theory (anatomical and/or functional muscle disturbance) try to explain FMS etiopathogenesis. Tricycles antidepressants (i.e. amitriptilin) and some muscle relaxants (i.e. ciclobenzaprine) have demonstrated some beneficial effect contrary to the classic antirheumatic drugs (NSAID; corticosteroids; etc.). Physical exercise, multidisciplinary support (behavioural therapy, physical agents; etc.) and patient education are some of the other approaches which contribute to the correct management of FMS.

Translated title of the contributionThe diagnosis and treatment of fibromyalgia
Original languagePortuguese
Pages (from-to)233-238
Number of pages6
JournalActa medica portuguesa
Volume8
Issue number4
Publication statusPublished - Apr 1995

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