Fibromyalgia Syndrome
Open accessAbstract
BACKGROUND: This S3 guideline takes positions on currently contentious issues in the classification and treatment of fibromyalgia syndrome (FMS). METHODS: A panel of experts from 10 specialist societies and patients belonging to 2 patient self-help organizations reviewed a total of approximately 8000 publications. Recommendations were developed according to the suggested procedure for S3 guidelines and were then reviewed and approved by the boards of the participating specialist societies. The steering committee ensured that the literature review and the recommendations were kept up to date. RESULTS: Because this disorder is defined by its symptoms and signs, rather than by any consistently identifiable bodily lesion, the term "fibromyalgia syndrome" is a more appropriate designation for it than "fibromyalgia." FMS is defined by the criteria of the American College of Rheumatology and is classified as a functional somatic syndrome. FMS is diagnosed from the typical constellation of symptoms and by the exclusion of inflammatory and metabolic diseases that could cause the same symptoms. A stepwise treatment approach in which the patient and the physician decide jointly on the treatment options is recommended. The most strongly recommended forms of treatment are aerobic exercise, amitriptyline, cognitive behavioral therapy, and spa therapy. CONCLUSIONS: The guideline recommendations are intended to promote more effective treatment of this disorder.
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Aerobic exercise, hydrotherapy, and multicomponent therapy have shown efficacy in alleviating fibromyalgic symptoms without harms.
“Aerobic exercise, hydrotherapy, and multicomponent therapy have shown efficacy in alleviating fibromyalgic symptoms without harms, and can be offered to the patient either as alternative or used adjunctively with pharmacological therapy.7,8,30,33,41”
From Comparative Efficacy and Harms of Duloxetine, Milnacipran, and Pregabalin in Fibromyalgia Syndrome (2010) · cites this paper as [33]
The Results (Table 5; page not available) give aerobic endurance training, balneotherapy or pool-based exercise, and multimodal therapy strong recommendations for short-term fibromyalgia treatment. The Results also recommend monitoring potential side effects; they do not establish that these treatments are without harms. (LLM, conf=0.86)
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Sagen Sie nie: „Sie haben nichts“!
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Effect of aerobic exercise on quality of life in patients with fibromyalgia
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Entwicklung eines internetbasierten klinischen Pfads am Beispiel des Fibromyalgiesyndroms
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La fibromyalgie est-elle une maladie psychiatrique ? Is fibromyalgia a psychiatric illness?
Fond, G. B., Capdevielle, D., & Attal, J. (2011)
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- Authors
- Häuser, W., Eich, W., Herrmann, M., Nutzinger, D. O., Schiltenwolf, M., & Henningsen, P.
- Affiliations
- Klinikum Saarbrücken (DE)
- Venue
- Deutsches Ärzteblatt international
- Publisher
- Deutscher Arzte-Verlag GmbH
- Published
- 2009-06-05
- Volume
- 106
- Issue
- 23
- Pages
- 383-91
- ISSN
- 1866-0452 (ISSN-L)
- PMC
- PMC2712241
- OpenAlex
- W2104453018
- Cited by
- 88
- References
- 52
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 2 · 2014: 6 · 2013: 10 · 2012: 16
- FWCI
- 8.86
- Type
- journal article
- Language
- de
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Deutsches Ärzteblatt international (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Keywords
- fibromyalgia, classification, diagnosis, functional somatic syndromes, American College of Rheumatology criteria, stepwise treatment, shared decision-making, aerobic exercise, amitriptyline, cognitive behavioral therapy, balneotherapy
- MeSH terms
- Delivery of Health Care, Fibromyalgia, Humans, Rheumatology, Practice Guidelines as Topic
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