Fibromyalgia is a pain-focused syndrome involving diffuse chronic myalgia, somatization, sleep disturbances, and cognitive and functional impairments affecting approximately 3% of the general population, mostly following trauma, motor vehicle accidents, acute febrile disease, or mental illness stress. 1 Women are affected two times more than men. 2 Although extensively investigated, anatomic or pathophysiological causes for fibromyalgia are still obscure. [2][3][4] Fibromyalgia treatment includes non pharmacological, 5-9 pharmacological, or combined strategies. Non pharmacological treatment includes education, 10 cognitive therapies, [11][12][13][14][15] and passive versus active physical therapies. [16][17][18][19][20] Passive treatment modalities may include massages, acupuncture, 21 and additional alternative medicine treatments, 8,13,[22][23][24] while active physical therapies
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