What are the guidelines on the treatment of fibromyalgia?

Updated: Nov 14, 2018
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Guidelines on fibromyalgia have been issued by the following organizations:

  • Japan Pediatric Society [164]
  • German Pain Society (three guidelines: pediatric fibromyalgia, [165] drug therapy, [166] and multimodal therapy [167] )
  • European League Against Rheumatism (EULAR) [102]
  • Canadian Pain Society and Canadian Rheumatology Association [168]  
  • Association of the Scientific Medical Societies in Germany [169]
  • Israeli Rheumatology Association [170]

The Japanese and German guidelines on juvenile fibromyalgia recommend exclusively using nonpharmacologic treatments in pediatric patients. While the guidelines on adult fibromyalgia differ in specifics, all of them stress the importance of individualized treatment consisting of both nonpharmacologic (specifically patient education, aerobic exercise, and psychologic counseling if necessary) and pharmacologic therapies.


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