Subgroups of fibromyalgia.

1: Schmerz. 2007 Mar 29; [Epub ahead of print]

[Article in German]
Muller W, Schneider M, Joos T, Hsu HY, Stratz T.
Rheumatologische Forschungsabteilung, Park-Klinik Bad Sackingen, Weihermatten 1 , 79713, Bad Sackingen, Deutschland.

As has been shown by a number of working groups, primary fibromyalgia syndrome does not represent a single clinical entity. It is possible to distinguish between a subgroup with high pain sensitivity and no associated psychiatric condition, a second subgroup characterized by depression and concomitant pain symptoms associated with fibromyalgia syndrome, and a third group with somatoform pain disorder of the fibromyalgia type. Bland inflammatory processes must be considered as the cause in the first group, while depression is the underlying reason for the development of pain in the second group. In the third group, serious previous or still existing psychological problems or also insufficient coping with illness symptoms must be regarded as the reason for pain chronification.Group 1 benefits from a blocking of the 5-HT3 receptors by means of tropisetron, for example. This not only affects pain chronification but also the inflammatory process itself. Group 2 needs antidepressant treatment, whereas the focus should be on psychotherapy is group 3. Groups 1 and 2 will also profit from multimodal physical treatment programs; to a certain extent this applies to group 3 as well. So-called mixed types require a combination of therapeutic measures.

PMID: 17393187 [PubMed – as supplied by publisher]

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Folllowing Rick Usher's death in December 2008, at his request in September of that year, I had agreed, as his principal contributor and an experienced journalist, to run the FMS Global News service due to his heavy commitments to music and raising research funds through this avenue. Following his sad and sudden death I hope to continue his work as he would have wished.
This entry was posted in Article, Awareness, Back Pain, Chronic Fatigue, Chronic Fatigue Syndrome, Chronic Insomnia, Chronic Multisymptom Illness, Chronic Myofacial Pain, Chronic Pain, Clinical, Clinical Pain, Diseases, Europe, Feeds, Fibrohugs, Fibrohugs News, Fibromyalgia, Fibromyalgia News, Fibromyalgia News Deutschland, Fibromyalia News Germany, FMS Global News, Global News, Health, Invisible Illness, Medical, Medical Journals, Multiple Chemical Sensitivity, Myofacial Pain Syndrome, News, News Australia, News Canada, News India, News Ireland, News Norway, News Scotland, News Sweden, News UK, North Carolina, Ontario, Ontario Research and Development, Pain, Pain Management, Pain Management Clinic, Pain Matrix, Philadelphia, Physiology, Research, Rheumatism, RSS, Sleep Disorders, Statistics, Stockholm, Swedish, Tenderpoints, Therapies, Toronto, Universities, US, Virginia, World, World News, World Wide, Worldwide. Bookmark the permalink.

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