Guideline for the Management of Fibromyalgia Syndrome Pain in Adults and Children (Archival Version)

These guidelines are no longer viewed as guidance for current medical practice, and are provided for archival purposes only.

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Approximately 8-12 million Americans have fibromyalgia syndrome (FMS), a prevalent chronic pain syndrome. FMS overlaps with other syndromes, especially chronic fatigue syndrome, chronic headache, and irritable bowel syndrome - all of which are associated with major mood disturbances. This comprehensive, peer-reviewed, and evidence-based guideline reflects the significant changes that have occurred in our understanding of the causes of pain and how to assess and manage it to reduce the suffering of people with FMS. Because FMS is now diagnosed in primary care settings, it is important that primary care clinicians become knowledgeable about basic treatment and how to provide continuing care to people with FMS. This guideline will help to educate primary care clinicians about the management of pain in FMS.

Areas covered include:

• Fibromyalgia diagnosis and assessment
• Pharmacologic therapy
• Nonpharmacologic therapies
• Hormone therapy
• Dosage tables
• Dietary modifications, nutritional supplements, and biologic agents
• Patient education
• Cognitive-behavioral therapy
• Exercise and movement therapies
• Multidisciplinary treatment
• FMS in children and adolescents
• Assessment of pain in children
• Pharmacologic management of JFMS
• Family involvement and school integration
• FMS controversies and future recommendations.

Copyright 2005