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English
Oxford University Press Inc
10 May 2010
Characterized by chronic widespread pain, fibromyalgia presents complex problems in both its diagnosis and treatment. Fibromyalgia is a fairly common condition, affecting 2-4% of the population. The condition's prevalence has increased dramatically since 1990. The condition is not new, but has been known by various names, such as fibrositis

and myofascial pain syndrome until 1990, when the American College of Rheumatology (ACR) published new classification criteria and first used the name fibromyalgia. The absence of objective diagnostic testing and the overlap with other condition often leads to a significant delay in diagnosis. There is a general misconception that the condition is unresponsive to treatment. However, published research shows that diagnosing and managing fibromyalgia leads to meaningful improvement in the patient's symptons and quality of life.

Patients with fibromyalgia often demonstrate symptons additional to pain and are consquently diagnosed with one or more co-occurring syndromes and conditions, complicating diagnosis and treatment. The comorbidities most commonly associated wtih fibromyalgia are sleep disturbance, depression, anxiety, and other psychiatric disorders. Another condition frequently demonstrated by fibromylgia patients is irritable bowel syndrome. Chronic fatigue syndrome also commonly co-occurs, and is often confused wtih fibromyalgia upon initial diagnosis. Numerous pharmacological therapy options exist to treat pain and related symptons of fibromyalgia. Achievement of desired treatment outcomes requires careful patient selection, drug administration and monitoring. Accurate diagnosis of chronic pain syndromes is critical, as some commonly used medications to treat many pain conditions are relatively ineffective wtih fibromyalgia.

Despite increasing recognition as a relatively common cause of chronic pain, fibromyalgia continues to generate controversy among clinicians. Given the intricate and challenging nature of treating fibromyalgia and comorbid disorders, it is imperative to educate primary care providers on the initial symptons, complications, and treatment strategies for fibromyalgia, as most patients with the condition will see a primary care provider for initial diagnosis/referral, and follow-up-care. In the years since the release of the ACR criteria, increasing recognition and advances in research have provided key insights into the etiology of fibromyalgia, resulting in the use of several successful pharmacological, as well as non-pharmacological, treatment approaches. However, despite the efforts of professional medical organizations and patient care groups, awareness of the current state of clinical assessment and treatment of fibromyalgia by healthcare professionals continues to be lacking.

This book is designed to provide a succint and practical guide to help primary care physicians, internists, specialists, and allied health professionals effectively diagnose and manage patients with fibromyalgia. This concise volume will provide an essential understanding of the pathophysiology of the pain, subtypes, and pitfalls in the diagnosis of this chronic condition.

By:   , , , , , ,
Imprint:   Oxford University Press Inc
Country of Publication:   United States
Dimensions:   Height: 203mm,  Width: 128mm,  Spine: 9mm
Weight:   122g
ISBN:   9780195384413
ISBN 10:   0195384415
Series:   Oxford American Respiratory Library
Pages:   112
Publication Date:  
Audience:   College/higher education ,  Professional and scholarly ,  Professional & Vocational ,  A / AS level ,  Further / Higher Education
Format:   Paperback
Publisher's Status:   Active

Daniel J. Clauw, MD, is the Assistant Dean for Clinical and Translational Research, Professor of Internal Medicine and Director of the Chronic Pain and Fatigue Center at the University of Michigan Center for the Advancement of Clinical Research. Daniel Wallace is a clinical professor of Medicine at the David Geffen School of Medicine at UCLA.

Reviews for Fibromyalgia

On previous edition: Dr. Wallace has treated hundreds of fibromyalgia sufferers, and he clears up much misunderstanding about a disease that has sent six million Americans to doctors with complaints that often get them turned away or treated for depression.... Apart from his clear descriptions of the basic science behind the disorder and the new drug treatments available, Dr. Wallace emerges as a strong advocate for those plagued by it. --The New York Times On previous edition: Dr. Wallace has treated hundreds of fibromyalgia sufferers, and he clears up much misunderstanding about a disease that has sent six million Americans to doctors with complaints that often get them turned away or treated for depression.... Apart from his clear descriptions of the basic science behind the disorder and the new drug treatments available, Dr. Wallace emerges as a strong advocate for those plagued by it. --The New York Times On previous edition: Dr. Wallace has treated hundreds of fibromyalgia sufferers, and he clears up much misunderstanding about a disease that has sent six million Americans to doctors with complaints that often get them turned away or treated for depression.... Apart from his clear descriptions of the basic science behind the disorder and the new drug treatments available, Dr. Wallace emerges as a strong advocate for those plagued by it. --The New York Times On previous edition: Dr. Wallace has treated hundreds of fibromyalgia sufferers, and he clears up much misunderstanding about a disease that has sent six million Americans to doctors with complaints that often get them turned away or treated for depression.... Apart from his clear descriptions of the basic science behind the disorder and the new drug treatments available, Dr. Wallace emerges as a strong advocate for those plagued by it. --The New York Times


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