While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .
Results of a multidisciplinary program for patients with fibromyalgia implemented in the primary care
Purpose . Fibromyalgia is a syndrome of unknown origin with a high prevalence . Multimodal approaches seem to be the treatment of choice in fibromyalgia . A multidisciplinary program was developed and implemented for patients with fibromyalgia in the primary care setting . The program included education ( seven sessions ) and physical therapy ( 25 sessions ) . Method . Patients were referred to the program by their general practitioner or by a medical specialist . A prospect i ve non-controlled treatment study was performed , patients were evaluated before , after and three months after the program ( single group time series design ) . The following measurements were performed : The Fibromyalgia Impact Question naire , R AND 36 , the Pain Coping and Cognition List , the Tampa scale for kinesiophobia , two physical tests and a qualitative evaluation .  Data of 65 patients with fibromyalgia were analysed , of whom 97 % were female . The mean age was 44 and the mean duration of pain was nine years . Results . Data of 65 patients with fibromyalgia were analysed , patients significantly improved on the domains feeling good , pain , fatigue , stiffness , quality of life , catastrophizing and on the physical tests . Conclusion . The multidisciplinary program fibromyalgia implemented in primary care seems feasible and the results are promising
While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .