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Consider fibromyalgia in older patients with chronic widespread pain

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Abstract

Fibromyalgia (FM) is a chronic condition involving widespread pain and usually fatigue and/or sleep problems. It can significantly decrease patients’ quality of life, and is often overlooked in older patients with other painful conditions. Education and exercise are key to FM management, with non-pharmacological options like cognitive behavioural therapy and physical therapy added as required. Pharmacological therapy should target depression, pain or sleep problems that persist despite other interventions.

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References

  1. Sarzi-Puttini P, Giorgi V, Marotto D, et al. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol. 2020;16(11):645–60.

    Article  Google Scholar 

  2. Minerbi A, Fitzcharles M-A. Fibromyalgia in older individuals. Drugs Aging. 2021;38(9):735–49.

    Article  Google Scholar 

  3. Arnold LM. AAPT diagnostic criteria for fibromyalgia. J Pain. 2019;20(6):611–28.

    Article  Google Scholar 

  4. Bair MJ, Krebs EE. Fibromyalgia. Ann Intern med. 2020;172(5):ITC33-ITC48.

  5. National Institute for Health and Care Excellence. Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain. 2021. https://www.nice.org.uk. Accessed 8 Aug 2022.

  6. Macfarlane GJ, Kronisch C, Dean LE, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017;76(2):318–28.

    Article  CAS  Google Scholar 

  7. Estévez-López F, Maestre-Cascales C, Russell D, et al. Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials. Arch Phys Med Rehabil. 2020;102(4):752–61.

    Article  Google Scholar 

  8. Franco KFM, Lenior D, Dos Santos Franco YR, et al. Prescription of exercises for the treatment of chronic pain along the continuum of nociplastic pain: a systematic review with meta-analysis. Eur J Pain. 2021;25(1):51–70.

    Article  Google Scholar 

  9. Antcliff D, Campbell M, Woby S, et al. Activity pacing is associated with better and worse symptoms for patients with long-term conditions. Clin J Pain. 2017;33(3):205–14.

    Article  Google Scholar 

  10. Karsdorp PA, Vlaeyen JW. Active avoidance but not activity pacing is associated with disability in fibromyalgia. Pain. 2009;147(1):29–35.

    Article  Google Scholar 

  11. Elma Ö, Yilmaz ST, Deliens T, et al. Do nutritional factors interact with chronic musculoskeletal pain? A systematic review. J Clin Med. 2020;9(3):702.

    Article  Google Scholar 

  12. Lowry E, Marley J, McWeigh JG, et al. Dietary interventions in the management of fibromyalgia: a systematic review and best-evidence synthesis. Nutrients. 2020;12(9):2664.

    Article  CAS  Google Scholar 

  13. Bernardy K, Klose P, Welsch P, et al. Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome: a systematic review and meta-analysis of randomized controlled trials. Eur J Pain. 2018;22(2):242–60.

    Article  CAS  Google Scholar 

  14. Lumley MA, Schubiner H, Lockhart NA, et al. Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial. Pain. 2017;158(12):2354–63.

    Article  Google Scholar 

  15. Deare JC, Zheng Z, Xue CCL, et al. Acupuncture for treating fibromyalgia. Cochrane Database Syst Rev. 2013;2013(5):CD007070.

  16. Derry S, Cording M, Wiffen PJ, et al. Pregabalin for pain in fibromyalgia in adults. Cochrane Database Syst Rev. 2016;9(9):CD011790.

  17. Cooper TE, Derry S, Wiffen PJ, et al. Gabapentin for fibromyalgia pain in adults. Cochrane Database Syst Rev. 2017;1(1):CD012188.

  18. Welsch P, Uceyler N, Klose P, et al. Serotonin and noradrenaline reuptake inhibitors (SNRIs) for fibromyalgia. Cochrane Database Syst Rev. 2018;2(2):CD010292.

  19. American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 updated AGS beers Criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2019;67(4):675-94.

  20. Shering Corporation. Mirtazapine: US prescribing information. 2007. https://www.accessdata.fda.gov. Accessed 8 Aug 2022.

  21. Walitt B, Klose P, Uceyler N, et al. Antipsychotics for fibromyalgia in adults. Cochrane Database Syst Rev. 2016(6):CD011804.

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  1. Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand

    Caroline Fenton & Connie Kang

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  1. Caroline Fenton
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  2. Connie Kang
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Correspondence to Connie Kang.

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The preparation of this review was not supported by any external funding.

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C. Fenton, a contracted employee of Adis International Ltd/Springer Nature, and C. Kang, a salaried employee of Adis International Ltd/Springer Nature, declare no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.

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Fenton, C., Kang, C. Consider fibromyalgia in older patients with chronic widespread pain. Drugs Ther Perspect 38, 394–399 (2022). https://doi.org/10.1007/s40267-022-00940-8

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