(線維筋痛症)
common in woman age 20-55
lower threshold to pain
excessive tenderness
widespread muscle pain
sleep disturbance
psychiatric disturbances(eg ☆depression, anxiety)
clinical history
-more than 3 mo
-widespread pain
-no other cause
sleep
regular exercise(incremental aerobic exercise)
medications
-anti depressants(TCAs,SNRIs)
-neuropathic pain agents(e.g.gabapentin)
rheumatology
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