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There is a strong dose-dependent association between sleep problems and the risk of fibromyalgia syndrome (FMS) in women.

In patients with rheumatoid arthritis (RA), low pain thresholds reflect "fibromyalgic" RA (many tender points) and central pain sensitization with a prolonged disease duration.

Fibromyalgia syndrome has been fraught with ambiguity in diagnosis, uncertainty in understanding of the pathophysiology behind its myriad symptoms, and difficulties that physicians face in managing it competently.

Initial treatment of plantar fasciitis is based on finding ways to reduce stress applied to the plantar fascia. Surgery for plantar fasciitis may be indicated if prolonged attempts at nonoperative correction are unsuccessful.

If DMARDs are not able to relieve RA pain, little else works either, according to systematic reviews.

A multicenter study of the rarely researched juvenile form of fibromyalgia confirms earlier evidence that children with chronic musculoskeletal pain can benefit from cognitive behavior therapy. Simply learning about their condition helped some, but the therapy was significantly better.

Sleep problems are associated with an increased risk of fibromyalgia syndrome in women.


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