Fibromyalgia and the old dilemma: theory vs. practice

Detalhes bibliográficos
Autor(a) principal: Martinez,José Eduardo
Data de Publicação: 2014
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Psychology & Neuroscience (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-32882014000100003
Resumo: The objective of this article is to review some aspects of the fibromyalgia syndrome and its mechanisms of development. We also discuss how to go from preclinical research to clinical practice. Fibromyalgia is a clinical syndrome whose main features include diffuse musculoskeletal pain, fatigue, sleep disturbances, and cognitive disorders. Russell & Larsson (2009) proposed "pronociceptive" and "antinociceptive" systems under normal conditions. Functional pain states such as fibromyalgia are derived from central disturbances in pain processing. The association with anxiety and depression is a negative prognostic factor. Distress is an important part of its physiopathology. The concomitance of other functional syndromes is a rule. The already known etiopathogenic mechanisms of fibromyalgia can be applied in clinical practice for diagnosis and rational therapeutic approaches. Pharmacological but mainly nonpharmacological measures must be applied. Although much information still needs to be obtained, the clinician presently has sufficient tools for efficiently treating fibromyalgia patients. An important aspect is that such knowledge needs to reach primary care physicians because the prevalence of fibromyalgia does not allow all patients to be treated by specialists.
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spelling Fibromyalgia and the old dilemma: theory vs. practicefibromyalgiapaincentral sensitizationtreatmentThe objective of this article is to review some aspects of the fibromyalgia syndrome and its mechanisms of development. We also discuss how to go from preclinical research to clinical practice. Fibromyalgia is a clinical syndrome whose main features include diffuse musculoskeletal pain, fatigue, sleep disturbances, and cognitive disorders. Russell & Larsson (2009) proposed "pronociceptive" and "antinociceptive" systems under normal conditions. Functional pain states such as fibromyalgia are derived from central disturbances in pain processing. The association with anxiety and depression is a negative prognostic factor. Distress is an important part of its physiopathology. The concomitance of other functional syndromes is a rule. The already known etiopathogenic mechanisms of fibromyalgia can be applied in clinical practice for diagnosis and rational therapeutic approaches. Pharmacological but mainly nonpharmacological measures must be applied. Although much information still needs to be obtained, the clinician presently has sufficient tools for efficiently treating fibromyalgia patients. An important aspect is that such knowledge needs to reach primary care physicians because the prevalence of fibromyalgia does not allow all patients to be treated by specialists.Pontificia Universidade Católica do Rio de JaneiroUniversidade de BrasíliaUniversidade de São Paulo2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-32882014000100003Psychology & Neuroscience v.7 n.1 2014reponame:Psychology & Neuroscience (Online)instname:Instituto Brasileiro de Neuropsicologia e Comportamento (IBNeC)instacron:PUCRJ10.3922/j.psns.2014.1.03info:eu-repo/semantics/openAccessMartinez,José Eduardoeng2014-04-23T00:00:00Zoai:scielo:S1983-32882014000100003Revistahttps://www.apa.org/pubs/journals/pnePRIhttps://old.scielo.br/oai/scielo-oai.phppsycneuro@psycneuro.org1983-32881984-3054opendoar:2014-04-23T00:00Psychology & Neuroscience (Online) - Instituto Brasileiro de Neuropsicologia e Comportamento (IBNeC)false
dc.title.none.fl_str_mv Fibromyalgia and the old dilemma: theory vs. practice
title Fibromyalgia and the old dilemma: theory vs. practice
spellingShingle Fibromyalgia and the old dilemma: theory vs. practice
Martinez,José Eduardo
fibromyalgia
pain
central sensitization
treatment
title_short Fibromyalgia and the old dilemma: theory vs. practice
title_full Fibromyalgia and the old dilemma: theory vs. practice
title_fullStr Fibromyalgia and the old dilemma: theory vs. practice
title_full_unstemmed Fibromyalgia and the old dilemma: theory vs. practice
title_sort Fibromyalgia and the old dilemma: theory vs. practice
author Martinez,José Eduardo
author_facet Martinez,José Eduardo
author_role author
dc.contributor.author.fl_str_mv Martinez,José Eduardo
dc.subject.por.fl_str_mv fibromyalgia
pain
central sensitization
treatment
topic fibromyalgia
pain
central sensitization
treatment
description The objective of this article is to review some aspects of the fibromyalgia syndrome and its mechanisms of development. We also discuss how to go from preclinical research to clinical practice. Fibromyalgia is a clinical syndrome whose main features include diffuse musculoskeletal pain, fatigue, sleep disturbances, and cognitive disorders. Russell & Larsson (2009) proposed "pronociceptive" and "antinociceptive" systems under normal conditions. Functional pain states such as fibromyalgia are derived from central disturbances in pain processing. The association with anxiety and depression is a negative prognostic factor. Distress is an important part of its physiopathology. The concomitance of other functional syndromes is a rule. The already known etiopathogenic mechanisms of fibromyalgia can be applied in clinical practice for diagnosis and rational therapeutic approaches. Pharmacological but mainly nonpharmacological measures must be applied. Although much information still needs to be obtained, the clinician presently has sufficient tools for efficiently treating fibromyalgia patients. An important aspect is that such knowledge needs to reach primary care physicians because the prevalence of fibromyalgia does not allow all patients to be treated by specialists.
publishDate 2014
dc.date.none.fl_str_mv 2014-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-32882014000100003
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-32882014000100003
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.3922/j.psns.2014.1.03
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Pontificia Universidade Católica do Rio de Janeiro
Universidade de Brasília
Universidade de São Paulo
publisher.none.fl_str_mv Pontificia Universidade Católica do Rio de Janeiro
Universidade de Brasília
Universidade de São Paulo
dc.source.none.fl_str_mv Psychology & Neuroscience v.7 n.1 2014
reponame:Psychology & Neuroscience (Online)
instname:Instituto Brasileiro de Neuropsicologia e Comportamento (IBNeC)
instacron:PUCRJ
instname_str Instituto Brasileiro de Neuropsicologia e Comportamento (IBNeC)
instacron_str PUCRJ
institution PUCRJ
reponame_str Psychology & Neuroscience (Online)
collection Psychology & Neuroscience (Online)
repository.name.fl_str_mv Psychology & Neuroscience (Online) - Instituto Brasileiro de Neuropsicologia e Comportamento (IBNeC)
repository.mail.fl_str_mv psycneuro@psycneuro.org
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