There are no abnormalities noted on radiograph. Laboratory studies are invariably unremarkable. The treatment consists of using certain drugs that appear to help control pain and promote more normal sleep. It should be used with caution in older men with prostatic hypertrophy. Patients with signs of depression should be referred for psychiatric evaluation.
Aerobic exercise is a critical component of the treatment regimen for fibromyalgia.
For example, indomethacin is seems best for spondyloarthritic disorders. Patients at greatest risk are those with preexistent renal disease, those with CHEF and those with cirrhosis and ascites. A clue to toxicity is weight gain. The risk of GI bleeding is also greatest in the elderly, particularly women over age 60. H2 blockers may help to prevent duodenal ulcers.