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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.5

ISSN Druckformat: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v17.i1.10
pages 1-30

Fibromyalgia/Chronic Pain Syndrome: An Alternative Medicine Perspective

Gordon D. Ko
Fibromyalgia Treatment Clinic, Department of Rehabilitation Medicine, Sunnybrook & Women's College Health Sciences Centre, University of Toronto, Toronto; and Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
Scott Whitmore
Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
Bob Gottfried
Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
Annie Hum
Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
Michael Rahman
Pinewood Natural Health Centre, Toronto, Canada
George Traitses
Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
Sylvia Loong
Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
Karen Steward
Canadian Centre for Integrative Medicine, Markham, Ontario, Canada
David Berbrayer
Fibromyalgia Treatment Clinic, Department of Rehabilitation Medicine, Sunnybrook & Women's College Health Sciences Centre, University of Toronto, Toronto, Canada
Michael Jokic
Fibromyalgia Treatment Clinic, Department of Rehabilitation Medicine, Sunnybrook & Women's College Health Sciences Centre, University of Toronto, Toronto, Canada

ABSTRAKT

Purposes: To review the current literature on pain management in fibromyalgia (FMS) including complementary alternative medicine (CAM) use and to report on treatment and rehabilitation strategies. Methods: A literature review of MED LINE and EMBASE for published randomized controlled trials for FMS pain treatment was carried out. This was critiqued with the Jadad criteria for quality trials in the chronic pain population. Clinical experience in treating and following such patients over the last 20 years is discussed. Results: Most published studies are of low quality. We report case studies of patients who significantly improved with specific CAM therapies, indicating the need for future research in these areas. Conclusion: Studies suggest that FMS patients may be effectively managed for pain with Botulinum toxin A injections with an integrative rehabilitation approach. This needs to be confirmed with large randomized controlled trials.


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