Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative TherapiesReportar como inadecuado




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Evidence-Based Complementary and Alternative MedicineVolume 2013 2013, Article ID 485272, 7 pages

Review Article

Department of Rheumatology, Tel Aviv Sourasky Medical Center, 64239 Tel Aviv, Israel

Division of Rheumatology, Alan Edwards Pain Management Unit, McGill University Health Centre, Canada

Department of Medicine, H. Soroka Medical Center, 84101 Beer Sheva, Israel

Edwards Pain management Unit, McGill University Health Centre, Canada H3G 1A4

Department of Neurology, Universitätsklinikum Würzburg, 81865 Würzburg, Germany

Department Internal Medicine I, Klinikum Saarbrücken, 66119 Saarbrücken, Germany

Department of Psychosomatic Medicine and Psychotherapy, Technische Universität München, München, 90780 Würzburg, Germany

Received 9 April 2013; Accepted 1 October 2013

Academic Editor: Jost Langhorst

Copyright © 2013 Jacob Ablin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Current evidence indicates that there is no single ideal treatment for fibromyalgia syndrome FMS. First choice treatment options remain debatable, especially concerning the importance of complementary and alternative medicine CAM treatments. Methods. Three evidence-based interdisciplinary guidelines on FMS in Canada, Germany, and Israel were compared for their first choice and CAM-recommendations. Results. All three guidelines emphasized a patient-tailored approach according to the key symptoms. Aerobic exercise, cognitive behavioral therapy, and multicomponent therapy were first choice treatments. The guidelines differed in the grade of recommendation for drug treatment. Anticonvulsants gabapentin, pregabalin and serotonin noradrenaline reuptake inhibitors duloxetine, milnacipran were strongly recommended by the Canadian and the Israeli guidelines. These drugs received only a weak recommendation by the German guideline. In consideration of CAM-treatments, acupuncture, hypnosis-guided imagery, and Tai Chi were recommended by the German and Israeli guidelines. The Canadian guidelines did not recommend any CAM therapy. Discussion. Recent evidence-based interdisciplinary guidelines concur on the importance of treatment tailored to the individual patient and further emphasize the need of self-management strategies exercise, and psychological techniques.





Autor: Jacob Ablin, Mary-Ann Fitzcharles, Dan Buskila, Yoram Shir, Claudia Sommer, and Winfried Häuser

Fuente: https://www.hindawi.com/



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