Fibromyalgia: principles of diagnostics and complex therapy


DOI: https://dx.doi.org/10.18565/therapy.2018.7-8.38-46

An.B. Danilov

The Department of nervous diseases of I.M. Sechenov First Moscow State Medical University FSAEI of HE of the Ministry of Health of Russia (Sechenov University)
The review presents data on the etiology and pathogenesis of fibromyalgia, its clinical manifestations, current diagnostic criteria and recommendations for therapy based on the principles of evidence-based medicine. In the section, devoted to the treatment of the disease, both non-drug and drug methods with a high degree of evidence are considered in details. The proven effectiveness of multidisciplinary therapeutic programs suggests that the combination of medicamentous treatment, physical exercises and cognitive-behavioral component is the method of choice for treating all patients with fibromyalgia.
Keywords: фибромиалгия, хроническая боль, болезненные точки, центральная сенситизация, антидепрессанты, антиконвульсанты, психотерапия

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  • About the Autors


    Andrey B. Danilov, MD, Professor of the Department of nervous diseases of the Institute Of Professional Education I.M. Sechenov First Moscow State Medical University FSAEI of HE of the Ministry of Health of Russia (Sechenov University). Address: 119991, Moscow, 2, bld. 4 Bolshaya Pirogovskaya St. Tel. +74956091400. E-mail: nervkafedra@gmail.com


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