Healthy lifestyle interventions in general practice: Part 16: Lifestyle and fibromyalgia

Abstract

Fibromyalgia is a chronic disorder, characterised by chronic widespread musculoskeletal pain, and the presence of multiple tender points as well as a host of associated symptomatology. Optimal management of patients with fibromyalgia requires a multidisciplinary approach, with a combination of pharmacological and non-pharmacological interventions that are tailored to the patient's pain, dysfunction and associated features, including depression, sleep disorder and fatigue. Non-pharmacological lifestyle-based interventions to treat this disorder include exercise therapy, dietary modification, and psychosocial interventions. This review outlines these three forms of lifestyle intervention in patients with fibromyalgia.

Cross-cultural adaptation and validation of the South African Pain Catastrophizing Scale (SA-PCS) among patients with fibromyalgia

“…One-way ANOVA’s were conducted to calculate the within-subject/between-subject variance which was used to calculate the ICC. ICC values of 0.6 to 0.8 were regarded as evidence of good reliability, and those of higher than 0.8 were considered as excellent reliability [18]. The higher the coefficient value, the higher the reliability and the lower the standard error of measurement.…”

“…For many years, research was largely prioritized to epidemics such as HIV/Aids and tuberculosis [20]. The recent postulation that chronic pain conditions may be more prevalent in developing nations and in fact place a higher burden on constrained health budgets, has shifted the focus in research [18,19,21,22]. Reflecting the global burden of chronic pain conditions; there is a growing recognition of the importance of accurate outcome measurement and comparability of outcomes across developed and developing world chronic pain populations [23,24].…”

Impact of Repeated Lidocaine Injections, Exercise, and Mindfulness on Fibromyalgia Symptoms in a Clinical Population

“…This research was motivated by EULAR recommendation to use a multidisciplinary approach tailored to each individual patient using both pharmacological and nonpharmacological treatment and their lack of data from such trials to ensure that this treatment plan is optimal in a clinical setting and when used in combination (Mcfarlane et al, 2016). Due to a lack of research on adequate treatments for those with FM, this study was the first of its kind to holistically examine the effects of lidocaine injections, exercise, and mindfulness interventions, as other trials have only examined one of these modalities (Derman et al, 2011;Staud et al, 2017;Santos et al, 2020).…”

“…In terms of a pharmacological treatment, the use of lidocaine injections when compared to saline injections in patients with FM has proven to effectively reduce their overall fatigue and increase their mechanical pain thresholds (Staud et al, 2017). Non-pharmacological treatment methods such as physical exercise regiments, psychosocial, and dietary interventions in a holistic manner have all proven to be important considerations for treatment (Derman et al, 2011). An important aspect of this approach is the patient-specific adjustments to these treatments.…”

Confiabilidade e Validade do World Health Organization Disability Assessment Schedule para Pessoas com Obesidade Mórbida

“…Os processos realizados para verificar as características de confiabilidade e validade do WHODAS 2.0 para pessoas com obesidade mórbida demonstraram que o instrumento apresentou propriedades psicométricas satisfatórias na amostra estudada 16,17 .…”