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Guideline for the Management of Fibromyalgia Syndrome Pain in Adults and Children

APS Clinical Practice Guidelines Series, No. 4, 2005

Press Release

Guideline Panel

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Contents

Fibromyalgia Syndrome Pain Management Guideline Panel 2002-2005

Carol Burckhardt, PhD, RN, Co-chair

Professor, Psychiatric Mental Health Nursing
Oregon Health & Science University
Portland, OR

Don L. Goldenberg, MD , Co-chair

Chief of Rheumatology
Newton-Wellesley Hospital
Newton, MA

Leslie J. Crofford, MD

Associate Professor of Internal Medicine
Rheumatology Division
University of Michigan
School of Medicine
Ann Arbor, MI

Robert Gerwin, MD

Assistant Professor, Neurology
The Johns Hopkins Hospital
Bethesda, MD

Sue Gowans, PhD, PT

University Health Network
Department of Rehabilitation Services
Toronto General Hospital,
Toronto, Ontario, Canada

Pearl Kugel, BBA

Accountant
San Diego, CA

Kenneth C. Jackson II, PharmD

Assistant Professor of Pharmacy Practice-Pain Management
Texas Tech University Health Sciences Center at Amarillo School of Pharmacy
Lubbock, TX

William McCarberg, MD, FABPM

Founder, Chronic Pain Management Program
Kaiser Permanente
Escondido, CA

Nathan Jeffrey Rudin, MD

Assistant Professor (CHS)
Department of Orthopedics and Rehabilitation Medicine
University of Wisconsin Medical School
Middleton, WI

Laura Schanberg, MD

Assistant Professor, Pediatrics
Co-Chief Pediatric Rheumatology
Medical Director, Pediatric Pain Evaluation Clinic
Duke University Medical Center
Durham, NC

Ann G. Taylor EdD, RN

Betty Norman Norris Professor of Nursing
Director, Center for the Study of Complementary and Alternative Therapies
University of Virginia
Charlottesville, VA

Janalee Taylor, MSN RN

Clinical Nurse Specialist
Associate Clinical Director
Children’s Hospital Medical Center
Cincinnati, OH

Dennis C. Turk, PhD

John and Emma Bonica Professor of Anesthesiology and Pain Research
Department of Anesthesiology
University of Washington
Seattle, WA

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Contents

Overview of Fibromyalgia Syndrome Pain
Nature and Scope of the Problem
Pathophysiologic Mechanisms
Principles of Management of Fibromyalgia
Current Outcomes
Methods for Guideline Development
Evidence Reviews
Classification of Evidence
Fibromyalgia Syndrome Diagnosis and Assessment
History and Differential Diagnosis
Pain Measures
Physical Examination
Psychological and Functional Assessment
Laboratory Assessment
Interventions
Pharmacologic Therapies
Antidepressants
Analgesics
Anticonvulsant medications
Other Medications Active on the CNS
Hormone Therapy
Dietary Modifications, Nutritional Supplements and Biologic Agents
Complementary and Alternative Products and Practices
Trigger Point Injections
Nonpharmacologic Therapies
Patient Education
Cognitive-Behavioral Therapy
Exercise
Movement Therapies
Clinician-assisted Treatments
Multidisiplinary Treatment
Fibromyalgia Syndrome in Children and Adolescents
Epidemiology of Musculoskeletal Pain in Children
Diagnosis of Fibromyalgia in Children
Course and Prognosis of Juvenile Fibromyalgia Syndrome
Assessment of Pain in Children
Coping
Management of Pain in Juvenile Fibromyalgia Syndrome
Cognitive-Behavioral Therapy
Aerobic Exercise and Physical Therapy
Sleep Hygiene
Pharmacologic Management
Family Involvement and School Integration
Controversies and Future Recommendations Concerning FMS

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