Fibromyalgia: current recommendations for diagnosis and therapy

被引:4
作者
Krasselt, Marco [1 ]
Baerwald, Christoph [1 ]
机构
[1] Univ Klinikum Leipzig AoR, Sekt Rheumatol, Klin Gastroenterol & Rheumatol, Dept Innere Med Neurol & Dermatol, Leipzig, Germany
关键词
SMALL FIBER PATHOLOGY; CRITERIA; PAIN;
D O I
10.1055/a-0542-9531
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The therapy of fibromyalgia is based on conservative therapeutic approaches such as increased physical activity, supportive physiotherapy and coping strategies. Secondarily, pain-modulating therapies can be used. A first line therapy with NSAIDs or opioids is not recommended. This article will discuss the current evidence based therapeutic concepts as well as promising new therapeutic approaches. © Georg Thieme Verlag KG, Stuttgart. New York.
引用
收藏
页码:1103 / 1108
页数:6
相关论文
共 22 条
[1]   Evidence of Abnormal Epidermal Nerve Fiber Density in Fibromyalgia Clinical and Immunologic Implications [J].
Caro, Xavier J. ;
Winter, Earl F. .
ARTHRITIS & RHEUMATOLOGY, 2014, 66 (07) :1945-1954
[2]  
Deutsche Schmerzgesellschaft, 2017, DEF PATH DIAGN THER
[3]   Reduced dermal nerve fiber diameter in skin biopsies of patients with fibromyalgia [J].
Doppler, Kathrin ;
Rittner, Heike L. ;
Deckart, Maximiliane ;
Sommer, Claudia .
PAIN, 2015, 156 (11) :2319-2325
[4]   The painDETECT project - far more than a screening tool on neuropathic pain [J].
Freynhagen, Rainer ;
Toelle, Thomas R. ;
Gockel, Ulrich ;
Baron, Ralf .
CURRENT MEDICAL RESEARCH AND OPINION, 2016, 32 (06) :1033-1057
[5]   Low serum vitamin D, statin associated muscle symptoms, vitamin D supplementation [J].
Glueck, Charles J. ;
Lee, Kevin ;
Prince, Marloe ;
Milgrom, Alexander ;
Makadia, Frini ;
Wang, Ping .
ATHEROSCLEROSIS, 2017, 256 :125-127
[6]   Long-Term Opioid Use in Non-Cancer Pain [J].
Haeuser, Winfried ;
Bock, Fritjof ;
Engeser, Peter ;
Toelle, Thomas ;
Willweber-Strumpf, Anne ;
Petzke, Frank .
DEUTSCHES ARZTEBLATT INTERNATIONAL, 2014, 111 (43) :732-+
[7]  
Hsiao MY, 2015, PAIN PHYSICIAN, V18, pE877
[8]   Ambroxol for the treatment of fibromyalgia: science or fiction? [J].
Kern, Kai-Uwe ;
Schwickert, Myriam .
JOURNAL OF PAIN RESEARCH, 2017, 10 :1905-1929
[10]   Increased cutaneous miR-let-7d expression correlates with small nerve fiber pathology in patients with fibromyalgia syndrome [J].
Leinders, Mathias ;
Doppler, Kathrin ;
Klein, Thomas ;
Deckart, Maximiliane ;
Rittner, Heike ;
Sommer, Claudia ;
Üceyler, Nurcan .
PAIN, 2016, 157 (11) :2493-2503