Self management, patient education, targetted physical therapy program to the patient combined with non pharmacological therapy
For pain - paracetamol, Tramadol or both
Gabapentinoids, TCA- Amitriptyline
Snri- duloxietine, milnacipiran
For fatigue - self management/ energy chart, sleep management, behaviour therapy, CBT
SNRI- Duloxetine, Milnacipiran
For sleep- same as fatigue.
Mood changes- exercise, BT, CBT, SNRI
For refractory cases- Multimodal rehabilitation program
Next Steps
Assess for associated underlying treatable conditions, lab CBC,
TSH,CK,HCV,
VITAMIN D, Any other test as per history and clinical examination
Health Tips
Laradio