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A 34-year-old woman presents with the sole complaint of fatigue that has grown gradually worse over 6 months. She attributes a recent 5-lb weight gain to her lack of energy to exercise. No family members share her symptoms. She is newly in remission (8 months) from Hodgkin disease and is generally happy.

At least among women in Kentucky (the ones polled in this study), cigarette smoking is strongly associated with chronic pain syndromes.

Multidisciplinary management of fibromyalgia syndrome, including pharmacological and nonpharmacological interventions, is optimal. Exercise may improve patients’ symptoms and quality of life, but an exercise program may be challenging because of pain, stiffness, and fatigue.

A variety of complementary and alternative medicine (CAM) therapies show promise for contributing to pain management, according to research presented at the Annual Scientific Meeting of the American Pain Society (APS), held recently in Austin, Texas.

Women with fibromyalgia syndrome (FMS) may experience significant reductions in pain after preferred-intensity or prescribed-intensity exercise.

Misdiagnosis of fibromyalgia syndrome (FMS) occurs frequently in the clinic. In our case report, a 27-year-old woman with recurring neck pain and stiffness had received a diagnosis of cervical spondylosis, but later a definitive diagnosis of FMS was made. Misdiagnosis of FMS has occurred with various other diseases.

Twenty years ago, the American College of Rheumatology (ACR) introduced the following clinical criteria for the diagnosis of fibromyalgia (FM) . . .


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