Fibromyalgia: Recent Advances in Diagnosis, Classification, Pharmacotherapy and Alternative Remedies

Int J Mol Sci. 2020 Oct 23;21(21):7877. doi: 10.3390/ijms21217877.

Abstract

Fibromyalgia (FM) is a syndrome that does not present a well-defined underlying organic disease. FM is a condition which has been associated with diseases such as infections, diabetes, psychiatric or neurological disorders, rheumatic pathologies, and is a disorder that rather than diagnosis of exclusion requires positive diagnosis. A multidimensional approach is required for the management of FM, including pain management, pharmacological therapies, behavioral therapy, patient education, and exercise. The purpose of this review is to summarize the recent advances in classification criteria and diagnostic criteria for FM as well as to explore pharmacotherapy and the use of alternative therapies including the use of plant bioactive molecules.

Keywords: alternative therapies; diagnosis; fibromyalgia; natural products; pharmacotherapy; plant extracts.

Publication types

  • Review

MeSH terms

  • Behavior Therapy
  • Combined Modality Therapy / methods*
  • Complementary Therapies
  • Exercise Therapy
  • Fibromyalgia / diagnosis*
  • Fibromyalgia / etiology
  • Fibromyalgia / therapy*
  • Humans
  • Pain Management
  • Patient Education as Topic
  • Phytochemicals / therapeutic use

Substances

  • Phytochemicals