Figure 2. Managing Fibromyalgia Diagnosis and Assessment of Disease
Pain for ≥ 3 mos. at multiple locations
and
"Painful" palpation of 8-11 specific points
and
Other symptoms: (Table 4) anxiety, depression, diffuse abdominal pain, variable bowel habits, and
urinary frequency
Rule out similar conditions
and
Assess severity of each symptom
Selecting a Treatment Regimen Assemble multidisciplinary team Patient education Fitness program behavioral therapy Cognitive Other therapies Nutrition Medication
> Course and prognosis > Complementary medical interventions > Medication side effects
> Duloxetine > Milnacipran > Pregabalin
> Heated pool > Relaxation > "Sleep hygiene" > Psychological support
> Physiotherapy > Others
