By using a principle- and evidence-based approach, physicians can improve patients' function and comfort and reduce their pain and disability..… Read More
Uncommon conditions and common conditions with uncommon presentations—test and sharpen your diagnostic skills with these challenging musculoskeletal cases..… Read More
Fibromyalgia syndrome (FMS) is a complex disorder of chronic, widespread pain and tenderness usually accompanied by numerous other symptoms, including fatigue, cognitive dysfunction, nonrestorative sleep, depression, anxiety, and stiffness.
Misdiagnosis of fibromyalgia syndrome (FMS) occurs frequently in the clinic. In our case report, a 27-year-old woman with recurring neck pain and stiffness had received a diagnosis of cervical spondylosis, but later a definitive diagnosis of FMS was made. Misdiagnosis of FMS has occurred with various other diseases.
The severity of fibromyalgia syndrome symptoms—with generally continuing high levels of self-reported symptoms and distress for most patients—does not show clinically meaningful improvement over... More »
I comment on the well-designed trial by Alda and colleagues reported in a recent issue of Arthritis Research and Therapy which demonstrated some benefits of cognitive-behavioral therapy (CBT) for fibromyalgia (FM). CBT in this and other studies provides statistically significant but rather modest benefits for FM. This may be because CBT does not directly address the high rates of victimization, post-traumatic stress disorder, and emotional avoidance experienced by a substantial number of patients with FM.
Concise report. Tailored cognitive behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia. ,. ,. ,. ,. ,. ,. ,. ,. ,. ,. ... Accepted 5 July 2011. Published Online First 16 September 2011. Objectives
Does a 3-month multidisciplinary intervention improve pain, body composition and physical fitness in women with fibromyalgia? ... outcomes) in women with fibromyalgia ( FM).
Electrical stimulation of central nervous system areas with surgically implanted stimulators has been shown to result in pain relief. To avoid the risks and side effects of surgery, transcranial direct current stimulation is an option to electrically stimulate the motor cortex through the skull. Previous research has shown that transcranial direct current stimulation relieves pain in patients with fibromyalgia, chronic neuropathic pain and chronic pelvic pain. Evidence indicates that the method is pain f
Determinants of Engagement in Face-to-Face and Online Patient Support Groups|Background: Although peer-to-peer contact might empower patients in various ways, studies show that only a few patients actually engage in support groups. Objective: The objective of our study was to explore factors that facilitate or impede engagement in face-to-face and online peer support, using the Theory of Planned Behavior. Methods: A questionnaire was completed by 679 patients being treated for arthritis, breast cancer, or
Tax Schemes Every Physician Should Avoid Ike Devji, JD, January 31, 2012 The next 60 days marks the final push to sell physicians across the United States tax plans of both good and questionable value.
Prevent Physician Distraction When Using mHealth Technology Aubrey Westgate, January 25, 2012 As more and more physicians use handheld mobile technology in their day-to-day work, some critics are raising concerns about “distracted doctoring.”
Can That Applicant Do the Job at Your Medical Practice? Karen Zupko, January 25, 2012 If like many communities, yours has significant numbers of non-English speaking people with whom neither you nor your staff are able to converse, your practice is at a serious disadvantage.