Characterized by chronic widespread pain, fibromyalgia presents complex problems in both its diagnosis and treatment. Fibromyalgia is a fairly common condition, affecting 2-4% of the population. The condition's prevalence has increased dramatically since 1990. The condition is not new, but has been known by various names, such as fibrositis and myofascial pain syndrome until 1990, when the American College of Rheumatology (ACR) published new classification criteria and first used the name fibromyalgia. The absence of objective diagnostic testing and the overlap with other condition often leads to a significant delay in diagnosis. There is a general misconception that the condition is unresponsive to treatment. However, published research shows that diagnosing and managing fibromyalgia leads to meaningful improvement in the patient's symptons and quality of life. Patients with fibromyalgia often demonstrate symptons additional to pain and are consquently diagnosed with one or more co-occurring syndromes and conditions, complicating diagnosis and treatment. The comorbidities most commonly associated wtih fibromyalgia are sleep disturbance, depression, anxiety, and other psychiatric disorders. Another condition frequently demonstrated by fibromylgia patients is irritable bowel syndrome. Chronic fatigue syndrome also commonly co-occurs, and is often confused wtih fibromyalgia upon initial diagnosis. Numerous pharmacological therapy options exist to treat pain and related symptons of fibromyalgia. Achievement of desired treatment outcomes requires careful patient selection, drug administration and monitoring. Accurate diagnosis of chronic pain syndromes is critical, as some commonly used medications to treat many pain conditions are relatively ineffective wtih fibromyalgia. Despite increasing recognition as a relatively common cause of chronic pain, fibromyalgia continues to generate controversy among clinicians. Given the intricate and challenging nature of treating fibromyalgia and comorbid disorders, it is imperative to educate primary care providers on the initial symptons, complications, and treatment strategies for fibromyalgia, as most patients with the condition will see a primary care provider for initial diagnosis/referral, and follow-up-care. In the years since the release of the ACR criteria, increasing recognition and advances in research have provided key insights into the etiology of fibromyalgia, resulting in the use of several successful pharmacological, as well as non-pharmacological, treatment approaches. However, despite the efforts of professional medical organizations and patient care groups, awareness of the current state of clinical assessment and treatment of fibromyalgia by healthcare professionals continues to be lacking. This book is designed to provide a succint and practical guide to help primary care physicians, internists, specialists, and allied health professionals effectively diagnose and manage patients with fibromyalgia. This concise volume will provide an essential understanding of the pathophysiology of the pain, subtypes, and pitfalls in the diagnosis of this chronic condition.
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Chapter 1 History of fibromyalgia Chapter 2 Definitions and classification Chapter 3 Epidemiology Chapter 4 Pathogenesis and basic science Chapter 5 Clinical findings---symptoms and signs Chapter 6 Laboratory and imaging correlates Chapter 7 Clinical associations and subsets Chapter 8 Differential diagnosis Chapter 9 Methods of ascertainment used for clinical trials Chapter 10 General concepts of treatment Chapter 11 Medications used to manage fibromyalgia Chapter 12 Economic impact and disability issues Chapter 13 Prognosis Chapter 14 Experimental and innovative therapies Appendix Resource information
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Selling point: Highly portable, user-friendly format for quick reference at the point of care Selling point: Includes quick practical guidelines on the diagnosis, assessment and treatment of the condition Selling point: Format and style tailored to the needs of primary care physicians Selling point: Authored by two renowned experts in the field, at the forefront of clinical research
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Daniel J. Clauw, MD, is the Assistant Dean for Clinical and Translational Research, Professor of Internal Medicine and Director of the Chronic Pain and Fatigue Center at the University of Michigan Center for the Advancement of Clinical Research. Daniel Wallace is a clinical professor of Medicine at the David Geffen School of Medicine at UCLA.
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Selling point: Highly portable, user-friendly format for quick reference at the point of care Selling point: Includes quick practical guidelines on the diagnosis, assessment and treatment of the condition Selling point: Format and style tailored to the needs of primary care physicians Selling point: Authored by two renowned experts in the field, at the forefront of clinical research
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Produktdetaljer

ISBN
9780195384413
Publisert
2010
Utgiver
Vendor
Oxford University Press Inc
Vekt
139 gr
Høyde
122 mm
Bredde
198 mm
Dybde
8 mm
Aldersnivå
UU, UP, P, 05, 06
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
112

Biographical note

Daniel J. Clauw, MD Assistant Dean for Clinical and Translational Research, Professor of Internal, Medicine Director of Chronic Pain and Fatigue Center University of Michigan Center for the Advancement of Clinical Research Daniel J. Wallace, MD Clinical Professor of Medicine David Geffen School of Medicine at UCLA Cedars-Sinai Medical Center