Nonpharmacological therapy includes several modalities. Important examples include exercise, cognitive behavioral therapy, patient education, acupuncture, massage therapy, and patient support groups.
Fibromyalgia is a major chronic pain syndrome which can lead to a significant decrease in overall function, long-term disability, and a decrease in the quality of life. Its pathophysiology is complex and is still under investigation. Recent research has shown the probability of central sensitization and exaggeration of "wind up" as part of pain processing in these patients. The definitive diagnosis of fibromyalgia is not clear-cut, because of the multiple overlapping pain syndromes which can be part of the differential diagnosis. Also, its nonspecific nature can lead to underdiagnosis. Thus, a multidisciplinary treatment approach appears to be the most appropriate and effective method.
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