Sarzi-Puttini P et al. - It is difficult to draw definite conclusions concerning the most appropriate approach in managing fibromyalgia syndrome (FMS). An individually tailored multidisciplinary pharmacologic, rehabilitative, and cognitive–behavioral approach currently seems to be the most effective. Methods
A study to highlight the efficacy of the pharmacologic and nonpharmacologic treatments administered to FMS pts
Medline search for articles published between 1983 and 2007 were performed to collect data
Results
FMS has been treated by a wide range of drugs including antidepressants, opioids, NSAIDs, sedatives, muscle relaxants, and antiepileptic agents
Treatment of FMS remains challenging and some physicians believe that no effective treatment exists
Only a few drugs have been shown to have clear-cut benefits
FMS sufferers benefit from exercise
Two other major approaches are psychophysiologically based therapy, such as electromyography biofeedback, and interventions based on cognitive–behavioral therapy
12 clinical studies have provided evidence supporting the efficacy of treatments by multidisciplinary teams using multicomponent strategies
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