Key Points
Fibromyalgia-related stiffness and pain can be exacerbated by environmental or emotional stress, poor sleep, trauma, exposure to dampness or cold, or by a physician, family member, or friend who implies that the disorder is âall in the head.â
Suspect fibromyalgia when generalized pain and tenderness and fatigue are unexplained or out of proportion to physical and laboratory findings.
Do ESR or C-reactive protein, CK, and tests for hypothyroidism and hepatitis C, and consider chronic fatigue syndrome and polymyalgia rheumatica.
Consider fibromyalgia in patients having apparent painful exacerbations of systemic rheumatic disorders such as RA or SLE but who have no clinical or laboratory evidence to confirm such exacerbations.
Treat by emphasizing physical methods, stress management, and sleep improvement, and, when necessary for pain, by giving nonopioid analgesics.
Answered2018-04-23 09:58:52
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