Fibromyalgia A Practical Clinical Guide

Caring for patients with fibromyalgia requires an understanding of the complex nature of this condition. Fibromyalgia: A Practical Clinical Guide is a state-of-the-art resource designed to clarify the controversy about fibromyalgia and to provide clinicia

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Dawn A. Marcus · Atul Deodhar

Fibromyalgia A Practical Clinical Guide

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Dawn A. Marcus Department of Anesthesiology University of Pittsburgh 3550 Terrace St. A-1305 Scaife Hall Pittsburgh, PA 15261, USA [email protected]

Atul Deodhar, MD Division of Arthritis & Rheumatic Diseases (OP09) Oregon Health & Science University 3181 SW Sam Jackson Park Road Portland, OR 97239, USA [email protected]

Additional material to this book can be downloaded from http://extras.springer.com ISBN 978-1-4419-1608-2 e-ISBN 978-1-4419-1609-9 DOI 10.1007/978-1-4419-1609-9 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010932233 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface

Fibromyalgia affects about 2–3% of adults worldwide, with women affected three to six times as often as men. While fibromyalgia is a chronic pain disorder, patients with fibromyalgia typically present with a complicated constellation of painful and non-painful complaints, including disabling fatigue, sleep disturbance, and neuropsychological symptoms. Anxiety, mental distress, and cognitive dysfunction are reported by nearly two in every three fibromyalgia patients. One in three fibromyalgia sufferers reports current depression, with a history of depression in over half. Headaches are also common. Evaluating fibromyalgia patients requires an understanding of the complex nature of this condition and the myriad of likely fibromyalgia-related complaints. Fibromyalgia is often poorly understood and unrecognized. Failure to identify and treat fibromyalgia patients effectively can lead patients to feel misunderstood, confused, and frustrated that their symptoms are not believed by their healthcare providers, and discouraged about leading a full and rewarding life. Fibromyalgia typically affects adults during what should be fulfilling and productive years, when they